J Assoc Nurses AIDS Care. 2020 Sep-Oct;31(5):598-605. doi: 10.1097/JNC.0000000000000189.
There are racial and geographic disparities for HIV in the United States; Black women have nearly 20 times the risk of White women in being infected with HIV, and lifetime HIV risk is greatest for people living in the southern United States. These disparities, layered with the structural racism and discrimination that is more prominent in the south, is a public health issue. The purpose of this article is to share Black women's perspectives of how perceived structural racism and discrimination, and medical mistrust in the health care system contribute to their participation in health services. In this formative study, we conducted seven focus groups among women living in 10 low-income housing communities. Results indicate that there are barriers to the utilization of health services that are grounded in personal experiences and historical mistrust for the health care system. Understanding these barriers is critical to combating the HIV epidemic for this population.
在美国，艾滋病毒存在种族和地域差异；黑人女性感染艾滋病毒的风险是白人女性的近 20 倍，而终生感染艾滋病毒的风险最高的是生活在美国南部的人。这些差异，加上在南部更为突出的结构性种族主义和歧视，是一个公共卫生问题。本文的目的是分享黑人女性的观点，即她们如何看待感知到的结构性种族主义和歧视，以及对医疗保健系统的不信任，这如何导致她们参与医疗服务。在这项基础研究中，我们在 10 个低收入住房社区中进行了 7 次焦点小组讨论。结果表明，存在利用卫生服务的障碍，这些障碍源于个人经历和对医疗保健系统的历史不信任。了解这些障碍对于为这一人群抗击艾滋病毒疫情至关重要。
