HIV: A Health-Related Disparity Among Older Hispanic Women

Cianelli, Rosina

doi:10.1891/1540-4153.8.2.58

Cited by 5 publications

(16 citation statements)

References 37 publications

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“…Gender roles are often determined by the social context. Traditional gender roles in the Hispanic culture are depicted in the concepts of machismo, marianismo, and familism (Cianelli, 2010). The cultural value of machismo suggests that men are superior to women while marianismo suggests that women are passive and subordinate to men.…”

Section: Discussionmentioning

confidence: 99%

“…Although cultural norms and gender role expectations may make public and intimate sex and sexuality discussions problematic, drug makers and entrepreneurs have marketed their sexuality enhancing products in the Spanish language media (Beaulaurier et al 2009). While all older individuals with HIV/ AIDS are often invisible, isolated, and ignored, this is particularly true for older Hispanic women who are often unable to disclose their HIV status to their social support networks (Cianelli, 2010). Nokes et al (2011) found that sexual functioning as measured on a health-related quality of life instrument was significantly different (F=5.91, p=01) for older (n= 220) compared to younger HIV+(n=927) persons in that older persons reported less positive sexual function.…”

Section: Review Of the Literaturementioning

confidence: 99%

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Sexual Function in Younger and Older HIV+adults in the United States and Puerto Rico

et al. 2011

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Since HIV infection can be spread through sexual contact, it is important to understand how sexual behavior is expressed in different age groups. The purpose of this article was to conduct a secondary analysis of a multi-site study to explore sexual function in a sample of younger /older HIV+persons living in the United States (N=558) and Puerto Rico (N=98). Data were collected using a demographic survey and the Sexual Function subscale of the HIV Assessment Tool (HAT)-Quality Ageing Int (2011) 36:334-345

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Section: Discussionmentioning

confidence: 99%

Section: Review Of the Literaturementioning

confidence: 99%

Sexual Function in Younger and Older HIV+adults in the United States and Puerto Rico

et al. 2011

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“…Studies report that higher levels of education results in greater financial stability and has protective effects on HIV risk [3, 7]. Moreover, adults with higher levels of education report a greater sense of control over their lives and health [3, 16, 26]. It is also found that women of color from low socioeconomic communities are at greater risk for HIV, with limited educational attainment directly associated with elevated risk [3, 4].…”

Section: Discussionmentioning

confidence: 99%

“…It is also found that women of color from low socioeconomic communities are at greater risk for HIV, with limited educational attainment directly associated with elevated risk [3, 4]. Language barriers further contribute to limited educational attainment in Latino populations and segregated neighborhoods [3, 16]. In fact, consistent condom use has been shown to be directly associated with both employment and higher education [3, 16].…”

Section: Discussionmentioning

confidence: 99%

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Exploring HIV concern in a population of Dominican American women midlife and older

et al. 2019

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BackgroundThe feminization and ethnic diversification of HIV infection, has resulted in a call for gender- and culture-specific prevention strategies for at-risk groups including Latinos in the United States. The steadily changing demographic profile of the AIDS epidemic challenges prevention strategies to remain relevant and up-to-date, particularly in populations of women midlife and older where an understanding of risk remains under explored. As the CDC requests country-specific HIV risk profiles for Latino communities in the US, understanding the socio-economic, behavioral and personal risk reasons of HIV risk for older Dominican women is critical for prevention.MethodsWe conducted focus group discussions informed by the Theory of Gender and Power (TGP). The three constructs of the TGP: 1) Affective influences/social norms; 2) Gender-specific norms and.3) Power and Authority guided the thematic analysis and identified themes that described the socio-cultural and contextual reasons that that contribute to perceptions of HIV risk.ResultsSixty Dominican American women ages 57–73 participated in our focus group discussions. Sexual Division of Labour: 1) Economic Dependence; 2) Financial Need and 3) Education and Empowerment. Sexual Division of Power: 4) HIV Risk and 5) Relationship Dynamics. Cathexis: Affective Influences/Social Norms: 6) HIV/AIDS Knowledge and 7) Prevention and Testing. Importantly, participants were concerned about partner fidelity when visiting the Dominican Republic, as the country accounts for the second highest HIV rates in the Caribbean.ConclusionsOur results confirm previous findings about perceptions of HIV risk and provide additional insight into aging-related aspects of HIV risk for Latino women midlife and older.

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Exploring Intimate Partner Relationships before and after HIV Diagnosis among Minority Older Women

Villegas

Cianelli

Oliveira

et al. 2020

Clinical Gerontologist

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HIV: A Health-Related Disparity Among Older Hispanic Women

Cited by 5 publications

References 37 publications

Sexual Function in Younger and Older HIV+adults in the United States and Puerto Rico

Sexual Function in Younger and Older HIV+adults in the United States and Puerto Rico

Exploring HIV concern in a population of Dominican American women midlife and older

Exploring Intimate Partner Relationships before and after HIV Diagnosis among Minority Older Women

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