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In the Yi communities of rural Southwest China, kinship and collective honor (, to\n                      <jats:italic>jia zhi<\/jats:italic>\n                      ) structure the moral world of everyday life, yet their role in shaping family resilience remains underexplored. This study examined how Yi families in Liangshan experience and enact family resilience, with particular attention to the interplay between kinship obligations, moral meanings of care, and HIV-related stigma.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A descriptive phenomenological design was employed. Semi-structured, in-depth interviews were conducted with 35 adults from HIV-affected Yi households between January and June 2024. Data were analyzed using Colaizzi\u2019s method to elucidate the essential structure of lived family resilience, utilizing Hill\u2019s ABC-X model and Walsh\u2019s family resilience framework as sensitizing frameworks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Family resilience emerged not as a fixed individual capacity, but as a relational and morally infused practice of \u201ccollective endurance\u201d. Two interrelated experiential domains were identified: (1) Resilience woven within the family, sustained through shared presence, reciprocal care, and intergenerational responsibility; and (2) Resilience negotiated beyond the household, characterized by cautious engagement with healthcare resources while managing community surveillance. Central to both domains was\u00a0\n                      <jats:italic>jia zhi<\/jats:italic>\n                      (lineage-based family identity), which functioned as a double-edged sword: simultaneously sustaining essential belonging while intensifying pressures to conceal HIV to protect collective honor.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Family resilience in Yi households is a collective moral practice anchored in the\n                      <jats:italic>jia zhi\u00a0<\/jats:italic>\n                      system. HIV is perceived as a \u201cgenealogical rupture.\u201d While \u201cstrategic silence\u201d safeguards lineage honor, it imposes significant costs on individual members, especially women. Nursing and public health interventions should adopt lineage-sensitive models that engage clan elders and reframe treatment as \u201cfamily protection\u201d to ensure cultural alignment.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12889-026-27151-4","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T05:54:59Z","timestamp":1774850099000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cThe clan carries us\u201d: kinship, honor, and the collective enactment of family resilience among Yi households living with HIV in rural Southwest China"],"prefix":"10.1186","volume":"26","author":[{"given":"Xi","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiuyue","family":"Shang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiuhong","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenxi","family":"Zhong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lingyu","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Tan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianjun","family":"Mao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ZhaoLan","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanhua","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"27151_CR1","unstructured":"UNAIDS. 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