Heath Corliss D, Tucker Cynthia, Goodwin Mo
Corliss D. Heath is with the HIV/AIDS Bureau, Health Resources and Services Administration, Rockville, MD. Cynthia Tucker is with the AIDS Foundation of Chicago, Chicago, IL. Mo Goodwin is with the AIDS Care Group, Chester, PA.
Am J Public Health. 2025 Apr;115(S1):S38-S45. doi: 10.2105/AJPH.2024.307930.
Black women have higher rates of HIV than do White and Latina women. Additionally, numerous Black women face intersecting issues, such as intimate partner violence, trauma, homelessness, and mental health disorders. Gaps still exist in implementing culturally relevant or tailored interventions for Black women with HIV. Culturally relevant bundled intervention approaches are needed that address social determinants of health, link Black women with HIV to care, engage and retain them in care, and improve outcomes and quality of life. Central to this is building community partnerships, meaningfully involving Black women with lived experiences in decision-making regarding their care and treatment, and implementing intervention strategies. We show how Black authoritative knowledge centers Black women's experiences and needs and promotes confidence to advocate for, empower, and inform others about their lives and health and how it becomes the basis of decision-making. We describe the use of authoritative knowledge in adapting and implementing strategies to uptake bundled evidence-informed interventions funded by the Minority HIV/AIDS Fund and the Health Resources and Services Administration's HIV/AIDS Bureau Ryan White HIV/AIDS Program Special Projects of National Significance to help promote, shift, reimagine, and transform equitable HIV care for Black women. (. 2025;115(S1):S38-S45. https://doi.org/10.2105/AJPH.2024.307930).
黑人女性感染艾滋病毒的比例高于白人和拉丁裔女性。此外,许多黑人女性面临着诸如亲密伴侣暴力、创伤、无家可归和精神健康障碍等交叉问题。在为感染艾滋病毒的黑人女性实施具有文化相关性或针对性的干预措施方面,仍然存在差距。需要有与文化相关的综合干预方法,以解决健康的社会决定因素,将感染艾滋病毒的黑人女性与护理联系起来,使她们参与并持续接受护理,并改善治疗结果和生活质量。关键在于建立社区伙伴关系,让有实际生活经历的黑人女性有意义地参与到关于她们护理和治疗的决策中,并实施干预策略。我们展示了黑人权威知识如何以黑人女性的经历和需求为核心,增强她们为自己的生活和健康进行倡导、赋能及向他人宣传的信心,以及它如何成为决策的基础。我们描述了如何利用权威知识来调整和实施策略,以采用由少数族裔艾滋病毒/艾滋病基金以及卫生资源和服务管理局的艾滋病毒/艾滋病局瑞安·怀特艾滋病毒/艾滋病项目国家重大意义特别项目资助的综合循证干预措施,来帮助促进、转变、重新构想和改变为黑人女性提供的公平艾滋病毒护理。(. 2025;115(S1):S38 - S45. https://doi.org/10.2105/AJPH.2024.307930)