Black Women's Experiences Along the HIV Care Continuum in the United States: A Scoping Review.

IF 2.6 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Health Equity Pub Date : 2024-09-12 eCollection Date: 2024-01-01 DOI:10.1089/heq.2024.0020
Jacqueline P Thomas, Will Ballew, Miu Ha Kwong
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Abstract

Purpose: The prevalence of HIV among Black women is higher than the prevalence among other ethnic groups. Although antiretroviral therapy reduces HIV transmission and mortality, Black women still face health disparities when it comes to receiving health care. The purpose of this scoping review is to synthesize research regarding health disparities and health inequities faced by Black women living with HIV (BWLH).

Methods: We searched three scholarly databases, PsychNet, MEDLINE, and CINAHL, and 18 peer-reviewed complete studies that met the inclusion criteria.

Results: Several themes emerged from the literature, including discrimination, poverty, mental and physical health, health care, and social support. Each theme had a role in the progression of BWLH along the HIV care continuum.

Conclusion: Black women continue to be disproportionately affected by HIV, which involves active engagement in HIV care to sustain viral suppression to prevent the spread of the virus. Factors continue to exist that contribute to health disparities and inequities, such as discrimination, internal and enacted HIV-related stigma, and poverty. Thematic findings in this review indicate that patient-centered care and support systems can positively impact BWLH experiences along the HIV continuum.

美国黑人妇女在艾滋病毒护理连续体中的经历:范围审查。
目的:黑人妇女的艾滋病毒感染率高于其他种族群体。虽然抗逆转录病毒疗法减少了艾滋病毒的传播和死亡率,但黑人妇女在接受保健方面仍然面临着健康差距。本范围综述的目的是综合有关黑人妇女艾滋病毒感染者(BWLH)面临的健康差异和健康不平等的研究。方法:我们检索了三个学术数据库:PsychNet、MEDLINE和CINAHL,以及18项符合纳入标准的同行评议的完整研究。结果:从文献中出现了几个主题,包括歧视、贫困、身心健康、卫生保健和社会支持。每个主题都在BWLH沿着HIV护理连续体的进展中发挥作用。结论:黑人妇女继续不成比例地受到艾滋病毒的影响,这需要积极参与艾滋病毒护理,以维持病毒抑制,防止病毒传播。造成健康差距和不平等的因素仍然存在,例如歧视、内部和实际的与艾滋病毒有关的耻辱以及贫穷。本综述的主题发现表明,以患者为中心的护理和支持系统可以积极影响艾滋病毒连续体中的BWLH体验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Equity
Health Equity Social Sciences-Health (social science)
CiteScore
3.80
自引率
3.70%
发文量
97
审稿时长
24 weeks
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