Newman Peter A, Williams Charmaine C, Massaquoi Notisha, Brown Marsha, Logie Carmen
Faculty of Social Work, University of Toronto, 246 Bloor Street West, Toronto, Ontario, Canada M5S 1A1.
J Health Care Poor Underserved. 2008 Aug;19(3):829-41. doi: 10.1353/hpu.0.0043.
Black women bear a disproportionate burden of HIV/AIDS in North America. The purpose of this investigation was to explore Black Canadian women's perspectives on HIV risk and prevention. Four 90-minute focus groups (n=26) and six key informant interviews were conducted in Toronto with Black women of African and Caribbean descent and low socioeconomic status. Data analysis revealed a number of potent barriers to existing HIV preventive interventions: stigma, cultural disconnections, lack of engagement of Black religious institutions, and multiple intersecting forms of discrimination. Recommended HIV prevention opportunities included the Black church, mainstreaming, health care providers, and ethno-specific agencies. HIV prevention strategies for North American Black women, rather than focusing on HIV and individual risk behaviors, may benefit from a primary focus on social and structural factors (e.g., promoting gender equality, economic opportunity, women-controlled prevention technologies and combating racism in health care) thereby integrating HIV prevention into the larger context of community health and survival.
在北美，黑人女性承受着不成比例的艾滋病毒/艾滋病负担。本调查的目的是探讨加拿大黑人女性对艾滋病毒风险和预防的看法。在多伦多对非洲和加勒比裔且社会经济地位较低的黑人女性进行了4个90分钟的焦点小组访谈（n = 26）和6次关键信息人访谈。数据分析揭示了现有艾滋病毒预防干预措施存在的一些强大障碍：耻辱感、文化脱节、黑人宗教机构参与度不足以及多种交叉形式的歧视。推荐的艾滋病毒预防机会包括黑人教会、主流化、医疗保健提供者和特定族裔机构。北美黑人女性的艾滋病毒预防策略，与其关注艾滋病毒和个人风险行为，或许更应主要关注社会和结构因素（例如，促进性别平等、经济机会、女性控制的预防技术以及消除医疗保健中的种族主义），从而将艾滋病毒预防融入社区健康与生存的更大背景中。
