HIV Testing, Positivity, and Receipt of Services among Black, White, and Hispanic Women Participating in HIV Prevention Programs Funded by the Centers for Disease Control and Prevention, 2015

Lima, Ashley C.; Jeffries, William L.; Kudon, Hui Zhang; Wang, Guoshen; McCree, Donna Hubbard

doi:10.1016/j.whi.2018.05.001

Cited by 3 publications

(3 citation statements)

References 14 publications

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“…If this is true, we may not expect to see an association between HIV-related stigma and engagement in care in a sample of women who are already linked to care (e.g., women participating in the Unity Health Study). Evaluating the association between HIV-related stigma and engagement in care (both linkage and retention) in a general sample of AA WLWH but prior to being linked to HIV care (Lima, Jeffries, Kudon, Wang, & McCree, 2018), may provide additional insights. Further exploration of the role of HIV-related stigma in engagement in care in this population is warranted.…”

Section: Discussionmentioning

confidence: 99%

Exploring HIV-Related Stigma as a Determinant of Engagement in HIV Care by African American Women

McCoy¹,

Lipira²,

Kemp³

et al. 2020

J Assoc Nurses AIDS Care

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Engagement in HIV care reduces HIV-related health disparities that persist across racial/ethnic and gender lines, yet African American (AA) women face multiple challenges to remaining engaged in care, including HIV-related stigma. We analyzed longitudinal data from 239 participants in the Unity Health Study to estimate associations between HIV-related stigma and engagement in care among AA women linked to HIV care. In adjusted Poisson regression analyses, engagement in care was not associated with HIV-related stigma, but was associated with older age (IRR = 1.01, 95% CI = [1.00, 1.01], p = .01), higher levels of education (IRR = 1.18, 95% CI = [1.02, 1.35], p = .03), and higher levels of social support (IRR = 1.05, 95% CI = [1.01-1.09], p = 0.04). Our findings suggest the need for targeted interventions to enhance engagement in care and to incorporate social support into health promotion programming for AA women living with HIV.

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Section: Discussionmentioning

confidence: 99%

Exploring HIV-Related Stigma as a Determinant of Engagement in HIV Care by African American Women

McCoy¹,

Lipira²,

Kemp³

et al. 2020

J Assoc Nurses AIDS Care

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“…Disparities continue to impact women living with HIV/AIDS (WLHA) in the US. WLHA are less likely to be virally suppressed than men, while Black and Latinx WLHA have lower rates of viral suppression compared to White WLHA (Geter et al, 2018(Geter et al, , 2019, and fewer Black and Latinx WLHA are linked to HIV care within three months of diagnosis (Lima et al, 2018). HIV care outcomes are associated with mutually reinforcing, or syndemic conditions, including violence, trauma, substance use, and adverse mental health.…”

mentioning

confidence: 99%

Feasibility and Acceptability of a Web-Based Peer Navigation-Psychoeducational HIV Intervention for Women

Stockman¹,

Anderson

Carr³

et al. 2022

Research on Social Work Practice

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Purpose: This study examined feasibility, acceptability, and preliminary effects of a pilot randomized controlled trial (BRIDGES) designed to improve HIV care outcomes among syndemic-affected women living with HIV (WLHA). Method: We enrolled and randomized adult WLHA who were out-of-care or at risk of falling out-of-care and experienced any syndemic condition(s) into BRIDGES ( n = 11) or standard of care ( n = 13). BRIDGES employed peer navigation one-on-one sessions and six weekly 2-h video psychoeducation group sessions. Feasibility and acceptability were assessed through participant quantitative and semistructured interviews. Intention-to-treat analyses were conducted to evaluate the preliminary effects of BRIDGES. Results: BRIDGES was highly feasible and acceptable. Intervention participants demonstrated improved self-reported adherence to antiretroviral therapy at 3 months, and better engagement and retention in care and viral suppression at 12 months compared to control participants. Discussion: BRIDGES is a promising program to provide syndemic-affected WLHA with the tools needed to mitigate social and structural barriers to HIV care.

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“…3 Black women are 15 times more likely to be diagnosed with HIV than White women. 4 Black WLHA are less likely than Latinx and White WLHA to be linked to HIV care within 90 days of diagnosis (64% vs. 69% and 74%) 5 and only 56% are retained in care. 3 While WLHA overall are less likely to be virally suppressed than men, Black WLHA are less likely to be virally suppressed compared with White WLHA.…”

mentioning

confidence: 99%

LinkPositively: A Trauma-Informed Peer Navigation and Social Networking WebApp to Improve HIV Care among Black Women Affected by Interpersonal Violence

Stockman¹,

Anderson²,

Tsuyuki³

et al. 2021

Journal of Health Care for the Poor and Underserved

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In the U.S., Black women living with HIV/ AIDS (WLHA) are affected disproportionately by interpersonal violence, which often co-occurs with adverse mental health and/or substance use, and exacerbates existing poor HIV care outcomes. Peer navigation has been successful in improving HIV care; however, HIV clinics often lack resources for sustainability and may not account for socio-structural barriers unique to Black WLHA. To address this gap, we developed LinkPositively, a culturally-tailored, trauma-informed WebApp for Black WLHA affected by interpersonal violence to improve HIV care outcomes. Using focus group data from nine Black WLHA and peer navigators, we developed LinkPositively. Core components include: virtual peer navigation to facilitate skill-building to cope with barriers and navigate care; social networking platform for peer support; educational and self-care tips; GPS-enabled resource locator for HIV care and support service agencies; and medication self-monitoring/ reminder system. If efficacious, LinkPositively will shift the HIV prevention and care paradigm for Black WLHA.

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HIV Testing, Positivity, and Receipt of Services among Black, White, and Hispanic Women Participating in HIV Prevention Programs Funded by the Centers for Disease Control and Prevention, 2015

Cited by 3 publications

References 14 publications

Exploring HIV-Related Stigma as a Determinant of Engagement in HIV Care by African American Women

Exploring HIV-Related Stigma as a Determinant of Engagement in HIV Care by African American Women

Feasibility and Acceptability of a Web-Based Peer Navigation-Psychoeducational HIV Intervention for Women

LinkPositively: A Trauma-Informed Peer Navigation and Social Networking WebApp to Improve HIV Care among Black Women Affected by Interpersonal Violence

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