Department of Epidemiology, Florida International University, Miami, Florida, USA.
FIU Research Center for Minority Institutions, Florida International University, Miami, Florida, USA.
Women Health. 2023 Aug 9;63(7):562-576. doi: 10.1080/03630242.2023.2238848. Epub 2023 Jul 24.
Women, particularly those from racial/ethnic minority groups, experience disparities in HIV care and treatment, and in achieving viral suppression. This study identified barriers and facilitators influencing retention in HIV care and treatment adherence among women belonging to racial/ethnic minority groups. We conducted semi-structured interviews with 74 African American, Hispanic/Latina and Haitian cisgender women receiving care from the Ryan White HIV/AIDS Program in Miami-Dade County, Florida in 2019. Data were analyzed using a thematic analysis approach. The most salient barriers faced by women were competing life priorities, mental health and substance use issues, medication-related concerns and treatment burden, negative experiences with HIV care services, transportation and parking issues and stigma and discrimination. Important facilitators identified by women included taking personal responsibility for health, social support, and patient-friendly and supportive HIV care services. Our findings suggest that HIV care could be enhanced for this population by understanding the non-HIV needs of the women in care, provide more flexible and relevant services in response to the totality of these needs, and simplify and expand access to care and supportive services.
女性，尤其是来自少数族裔群体的女性，在获得 HIV 护理和治疗以及实现病毒抑制方面存在差异。本研究确定了影响少数族裔群体女性 HIV 护理和治疗依从性保留的障碍和促进因素。我们于 2019 年在佛罗里达州迈阿密-戴德县，对 74 名接受 Ryan White HIV/AIDS 计划护理的非裔美国女性、西班牙裔/拉丁裔和海地顺性别女性进行了半结构化访谈。使用主题分析方法对数据进行了分析。女性面临的最突出障碍包括竞争激烈的生活优先事项、心理健康和药物使用问题、与药物相关的担忧和治疗负担、对 HIV 护理服务的负面体验、交通和停车问题以及耻辱和歧视。女性确定的重要促进因素包括对健康负责、社会支持以及对患者友好和支持性的 HIV 护理服务。我们的研究结果表明，通过了解护理中女性的非 HIV 需求，可以为这一人群提供更好的 HIV 护理，针对这些需求的总和提供更灵活和相关的服务，并简化和扩大获得护理和支持服务的途径。
