University of North Carolina at Chapel Hill, Lineberger Comprehensive Cancer Center, Clinical Oncology Research Program, 101 East Weaver Street, CB# 7294, Carrboro, NC 27510, United States.
Department of African, African American, and Diaspora Studies, University of North Carolina at Chapel Hill, CB #3395, 208 Battle Hall, Chapel Hill, NC 27599, United States.
J Natl Med Assoc. 2017;109(2):115-125. doi: 10.1016/j.jnma.2016.11.005. Epub 2017 Feb 13.
This article explores the impact of patient and healthcare provider communication (PPC) on the HIV testing behaviors of middle socioeconomic status (SES) Black women in North Carolina. We explore how PPC about STIs and HIV (or the lack thereof) affects the provision of STI/HIV testing by either confirming the need for middle SES Black women to test routinely or potentially deterring women from feeling they need to be tested.
METHODS/FINDINGS: After conducting 15 qualitative interviews with middle SES Black women between 25 and 45 years of age, we uncovered the role of patient self-advocacy in promoting HIV testing among middle SES Black women when they communicate with their healthcare providers.
We discuss the importance of healthcare providers engaging their middle SES Black female patients in routine discussions about sexual health and sexual risk reduction, regardless of providers' perceptions of their potential STI/HIV risk. We recommend including SES as a variable in data collection and research in order to better understand how social class, race, and gender affect sexual health behavior and the provision of STI and HIV/AIDS prevention to diverse populations.
本文探讨了医患沟通（PPC）对北卡罗来纳州中社会经济地位（SES）黑人女性进行 HIV 检测行为的影响。我们探讨了关于性传播感染（STI）和 HIV 的 PPC（或缺乏这种沟通）如何影响 STI/HIV 检测的提供，这种影响既可以通过确认中 SES 黑人女性定期进行检测的必要性来实现，也可以通过潜在地阻止女性认为自己需要进行检测来实现。
方法/发现：在对 15 名年龄在 25 岁至 45 岁之间的中 SES 黑人女性进行了 15 次定性访谈后，我们发现了患者自我倡导在促进中 SES 黑人女性与医疗保健提供者沟通时进行 HIV 检测方面的作用。
我们讨论了医疗保健提供者与他们的中 SES 黑人女性患者进行关于性健康和性风险降低的常规讨论的重要性，而不论提供者对她们潜在的 STI/HIV 风险的看法如何。我们建议将 SES 作为数据收集和研究的一个变量，以更好地了解社会阶层、种族和性别如何影响不同人群的性健康行为以及 STI 和艾滋病/艾滋病的预防措施的提供。
