Assistant professor in the Department of Health Behavior at the University of Alabama at Birmingham School of Public Health.
Associate professor in the Department of Public Health and Community Medicine at Tufts University School of Medicine in Boston.
AMA J Ethics. 2021 Feb 1;23(2):E156-165. doi: 10.1001/amajethics.2021.156.
Black women living with HIV (BWLWH) contend with injuries of injustice, which manifest in restricted reproductive autonomy and decision-making power in social and medical settings. Mitigating threats to reproductive autonomy calls for innovations that consider patients' needs and offer insights on how historically situated marginalization influences today's institutional, political, and economic systems and shapes reproductive decision making. In addition to cross-disciplinary expertise and collaboration, integrating structural competency into reproductive health care requires demonstrating respect for the autonomy, lived experiences, and preferences of BWLWH.
感染艾滋病毒的黑人女性（BWLWH）面临着不公正的伤害，这些伤害表现在社会和医疗环境中限制了她们的生殖自主权和决策能力。减轻对生殖自主权的威胁需要创新，既要考虑患者的需求，又要了解历史上的边缘化如何影响当今的制度、政治和经济体系，并影响生殖决策。除了跨学科的专业知识和合作外，将结构能力融入生殖保健还需要表现出对 BWLWH 的自主权、生活经历和偏好的尊重。
