“The clan carries us”: kinship, honor, and the collective enactment of family resilience among Yi households living with HIV in rural Southwest China

Family resilience in Yi households is a collective moral practice anchored in the jia zhi system. HIV is perceived as a "genealogical rupture." While "strategic silence" 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 "family protection" to ensure cultural alignment.