scholarly journals 3242 Stressful experiences and adherence to HIV care among Black Women Living with HIV: A qualitative analysis

2019 ◽  
Vol 3 (s1) ◽  
pp. 74-74
Author(s):  
Crystal Chapman Lambert ◽  
Chastity McDavid ◽  
Tammi F. Thomas ◽  
Kiko King ◽  
Andres Azuero ◽  
...  
Keyword(s):  
Social Support ◽  
Black Women ◽  
Physical Abuse ◽  
Traumatic Events ◽  
The United States ◽  
Stressful Events ◽  
Hiv Care ◽  
Care Clinic ◽  
Women Living With Hiv ◽  
Living With Hiv

OBJECTIVES/SPECIFIC AIMS: Our primary objective was to understand the relationship between incident or recent stressful events and adherence to HIV care in the context of other person, environment, and HIV-specific stressors in a sample of Black women living with HIV (WLWH). METHODS/STUDY POPULATION: Thirty in-depth interviews were conducted with Black women living with HIV who receive care at an academic HIV primary care clinic in the Southern region of the United States to elicit stressful events influencing adherence to HIV care. Semi-structured interview guides were used to facilitate discussion regarding stressful events and adherence to HIV care. Interviews were audiotaped and transcribed verbatim. Transcripts were independently coded using a theme-based approach by two experienced coders, findings were compared, and discrepancies were resolved by discussion. RESULTS/ANTICIPATED RESULTS: Participants described frequently experiencing incident stressful events including death or serious illness of a close friend or family member, and relationship, financial, and employment difficulties. Furthermore, participants reported experiencing traumatic events such as sexual and physical abuse during childhood and adolescents. While experiencing traumatic events such as sexual and physical abuse during childhood and adolescence may be distressing, these events did not influence adherence to HIV care. However, incident stressful events as defined above did influence adherence to HIV care for some participants, but not for others. For participants who reported that stressful events did not influence adherence to HIV care, factors such as personal motivation, access to social support, and adaptive coping strategies facilitated their engagement in care. DISCUSSION/SIGNIFICANCE OF IMPACT: Experiencing stressful events, incident or traumatic, is common among Black WLWH and have the potential to negatively influence adherence to HIV care. Thus, Interventions aimed at identifying and addressing stress, social support, and coping are essential to improve adherence to HIV care behaviors.

scholarly journals Poverty stigma is associated with suboptimal HIV care and treatment outcomes among women living with HIV in the United States

AIDS ◽  
2019 ◽  
Vol 33 (8) ◽  
pp. 1379-1384 ◽  
Author(s):  
Anna M. Leddy ◽  
Janet M. Turan ◽  
Mallory O. Johnson ◽  
Torsten B. Neilands ◽  
Mirjam-Colette Kempf ◽  
...  
Keyword(s):  
United States ◽  
Treatment Outcomes ◽  
The United States ◽  
Hiv Care ◽  
Women Living With Hiv ◽  
Care And Treatment ◽  
Living With Hiv

scholarly journals Adhering to antiretroviral therapy: A qualitative analysis of motivations for and obstacles to consistent use of antiretroviral therapy in people living with HIV

2020 ◽  
Vol 8 ◽  
pp. 205031212091540
Author(s):  
Lisa Fleischer ◽  
Ann Avery
Keyword(s):  
United States ◽  
Antiretroviral Therapy ◽  
Qualitative Analysis ◽  
The United States ◽  
Care Team ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Care Clinic ◽  
Main Motivation ◽  
Living With Hiv

Objectives: Based on the 2015 U.S. Centers for Disease Control and Prevention data, 40% of people living with HIV in the United States with an HIV diagnosis and 18.5% of people living with HIV in HIV care in the United States are not virally suppressed. Many HIV care clinics have implemented recommendations to improve the percentage of people living with HIV on antiretroviral therapy. To understand what more could be done, we examine patients’ motivations and obstacles to maintaining adherence to antiretroviral therapy. Methods: We conducted qualitative analysis using a qualitative description framework of in-depth interviews with people living with HIV receiving care at an urban HIV care clinic in the midwestern United States. Results: We found that while many traditional barriers to care have been addressed by existing programs, there are key differences between those consistent with antiretroviral therapy and those inconsistent with antiretroviral therapy. In particular, self-motivation, diagnosis acceptance, treatment for depression, spiritual beliefs, perceived value of the HIV care team, and prior experience with health care distinguish these two groups. Most significantly, we found that people living with HIV consistent with antiretroviral therapy describe their main motivation as coming from themselves, whereas people living with HIV inconsistent with antiretroviral therapy more often describe their main motivation as coming from the HIV care team. Conclusion: Our results highlight the importance of the HIV care team’s encouragement of maintaining antiretroviral adherence, as well as encouraging treatment for depression.

scholarly journals Meeting the needs of young Latino gay, bisexual, and other men who have sex with men (MSM) and transgender women living with HIV through the weCare intervention in the United State (U.S.)

2021 ◽  
pp. 209-232
Author(s):  
Jorge Alonzo ◽  
◽  
Lilli Mann-Jackson ◽  
Jesús García ◽  
Amanda E. Tanner ◽  
...  
Keyword(s):  
Social Media ◽  
Viral Suppression ◽  
The United States ◽  
Transgender Women ◽  
Lessons Learned ◽  
Hiv Care ◽  
Media Messages ◽  
Women Living With Hiv ◽  
Sex With Men ◽  
Living With Hiv

Young gay, bisexual, and other MSM (men who have sex with men) and transgender women in the United States (US) who are living with HIV, and particularly those who are Latino, have low rates of viral suppression. The weCare intervention uses social media to increase HIV care engagement. Method: We used community-based participatory research to develop the intervention as well as theory-based social media messages tailored to each participant’s unique context. We analyzed elements and characteristics of weCare, messages sent by the Cyber Health Educator (CHE), and lessons learned to meet the needs of Latino participants living with HIV. Results: We identified 6 core elements, 5 key characteristics, effective social media messages used in implementation, and 8 important lessons regarding relationships between the CHE and HIV clinics, the CHE and participants, and participants and the health system. Conclusions: Social media offers a promising platform to retain young Latino gay bisexual and other MSM and transgender women living with HIV in care and achieve viral suppression.

Stigma, isolation and depression among older adults living with HIV in rural areas

2019 ◽  
Vol 40 (6) ◽  
pp. 1352-1370 ◽  
Author(s):  
Katherine G. Quinn ◽  
Molly K. Murphy ◽  
Zack Nigogosyan ◽  
Andrew E. Petroll
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Rural Areas ◽  
Qualitative Interviews ◽  
The United States ◽  
Hiv Stigma ◽  
Hiv Care ◽  
Mental Wellbeing ◽  
Software Analysis ◽  
Living With Hiv

AbstractThere is a growing population of ageing individuals living with the human immunodeficiency virus (HIV). Older adults living with HIV often contend with intersecting stigmas including HIV stigma, ageism and, for some, homonegativity and/or racism. Although the HIV stigma literature is quite robust, research on the relationship between HIV stigma, social support and mental wellbeing among older adults living with HIV is limited. This study begins to address this gap by examining how intersectional stigma affects social support and mental wellbeing among rural-dwelling older adults living with HIV. Qualitative interviews were conducted by phone with 29 older adults living with HIV, over the age of 50, living in rural areas of the United States of America. Interviews were transcribed verbatim and analysed using thematic content analysis in MAXQDA qualitative analysis software. Analysis revealed three primary themes. The first had to do with gossip and non-disclosure of HIV status, which intersected with ageism and homonegativity to exacerbate experiences that fell within the remaining themes of experiences of physical and psychological isolation and loneliness, and shame and silence surrounding depression. The prevalence of social isolation and the effects of limited social support among older adults living with HIV are prominent and indicate a need for tailored interventions within the HIV care continuum for older adults living with HIV.

Social support and intimate partner violence among women with HIV/AIDS

2015 ◽  
Vol 18 (1) ◽  
pp. 52-66
Author(s):  
Yasoda Sharma ◽  
Vijayan Pillai
Keyword(s):  
Social Support ◽  
Intimate Partner Violence ◽  
Partner Violence ◽  
Social Work Students ◽  
The United States ◽  
Intimate Partner ◽  
Women Living With Hiv ◽  
Aids Diagnosis ◽  
Living With Hiv ◽  
Hiv Aids

This study examines the relationships between Social Support and Intimate Partner Violence (IPV) among women living with HIV/AIDS. During the fall of 2011, women living with HIV/AIDS and receiving services from AIDS Outreach Center located in the southwestern part of the United States were recruited to participate in a study through the purposive sampling method. They were asked to complete surveys about their HIV/AIDS diagnosis, the level of IPV experienced, and their level of social support. Sixty-four women completed the Revised Conflict Tactic Scale (Straus et al., 1996), the Multidimensional Scale of Perceived Social Support (Zimet et al., 1988), and a HIV/AIDS Questionnaire. The majority (51.6%) of the research participants were African-Americans with a mean age of 46 years. Many women in the study were separated/divorced (34.4%); 29.7 % were married and 12.5% were cohabiting. Social support (β = -.206, p<.05) significantly predicted severity of emotional violence experienced by women living with HIV/AIDS.. This research emphasizes on the importance of teaching social work students about the co-occurrence of IPV and HIV/AIDS.

Engagement in and continuity of HIV care among African and Caribbean Black women living with HIV in Ontario, Canada

2016 ◽  
Vol 28 (10) ◽  
pp. 969-974 ◽  
Author(s):  
Carmen H Logie ◽  
Victoria L Kennedy ◽  
Wangari Tharao ◽  
Uzma Ahmed ◽  
Mona R Loutfy
Keyword(s):  
Black Women ◽  
Hiv Care ◽  
Caribbean Black ◽  
Women Living With Hiv ◽  
Living With Hiv
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