Muiruri Charles, Dombeck Carrie, Corneli Amy, Pettit April C, Okeke Nwora Lance, Longenecker Chris T, Meissner Eric G, Gonzales Sarah, Gray Shamea, Vicini Joseph, Lima Morgan, Brown Mersedes, Hill Mary C, Kwawuvi Joshua, Iradukunda Jules, Bloomfield Gerald S
Charles Muiruri, PhD, MPH, is a Health Services Researcher, Assistant Professor, Duke Department of Population Health Sciences and Duke Global Health Institute, Durham, North Carolina, USA. Carrie Dombeck, MA, is a Project Leader and Qualitative Research Analyst, Department of Population Health Sciences, Durham, North Carolina, USA. Amy Corneli, PhD, MPH, is a Social Scientist and Professor, Duke Department of Population Health Sciences and Duke Global Health Institute, Durham, North Carolina, USA. April C. Pettit, MD, MPH, is an Associate Professor of Medicine, Divisions of Infectious Diseases and Epidemiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA. Nwora Lance Okeke, MD, MPH, is an Infectious Diseases Physician Scientist and Associate Professor, Duke Department of Medicine, Durham, North Carolina, USA. Chris T. Longenecker, MD, is a Non-invasive Cardiologist and Associate Professor, Division of Cardiology and Department of Global Health, University of Washington School of Medicine, Seattle, Washington, USA. Eric G. Meissner, MD, PhD, is an Infectious Diseases Physician Scientist and Associate Professor, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA. Sarah Gonzales, BA, is a Clinical Research Coordinator, Duke Department of Population Health Sciences, Duke University, Durham, North Carolina, USA. Shamea Gray, is a Community Advisory Member, Durham, North Carolina, USA. Joseph Vicini, BA, MDiv, is a Community Advisory Member, Nashville, Tennessee, USA. Morgan Lima, MSN, RN, AC, RN, is a Clinical Nurse, Vanderbilt University Medical Center, Nashville, Tennessee, USA. Mersedes Brown, MPH, is a Clinical Research Coordinator, Department of Population Health Sciences, Durham, North Carolina, USA. Mary C. Hill, is an undergraduate student, Duke University, Durham, North Carolina, USA. Joshua Kwawuvi, MPH, is a graduate student, Duke University, Durham, North Carolina, USA. Jules Iradukunda, MD, MSc, is a graduate student, Duke University, Durham, North Carolina, USA. Gerald S. Bloomfield, MD, MPH, is a Non-invasive Cardiologist and Associate Professor, Duke Division of Cardiology, Department of Medicine and Duke Global Health Institute, Duke University, Durham, North Carolina, USA.
J Assoc Nurses AIDS Care. 2025 Jul 29. doi: 10.1097/JNC.0000000000000576.
People with HIV from historically underrepresented racial and ethnic minority (URM) groups are at increased risk of cardiovascular disease (CVD). Guided by the health belief model, we conducted in-depth interviews with URM with HIV, established CVD, and CVD risk factors at three academic medical centers in the Southern United States between November 2019 and March 2020. We analyzed the data using applied thematic analysis. A total of 27 participants were interviewed, and most were African American. Participants described their HIV status as a contributing factor to perceived severity of CVD. Barriers, such as a lack of access to specialists and affordability found in our study, highlight both individual challenges and systemic issues affecting this population. To ensure equitable CVD care, interventions should address both individual beliefs and systemic barriers. Integrating these findings into new or existing intervention strategies has the potential to enhance preventive efforts and improve cardiovascular health outcomes in this population.
来自历史上代表性不足的种族和少数族裔群体的艾滋病毒感染者患心血管疾病（CVD）的风险增加。在健康信念模型的指导下，我们于2019年11月至2020年3月在美国南部的三个学术医疗中心对患有艾滋病毒、已确诊心血管疾病和存在心血管疾病风险因素的少数族裔进行了深入访谈。我们使用应用主题分析法对数据进行了分析。共采访了27名参与者，其中大多数是非裔美国人。参与者将他们的艾滋病毒感染状况描述为导致他们认为心血管疾病严重性的一个因素。我们研究中发现的诸如难以获得专科医生服务和费用负担不起等障碍，凸显了影响这一人群的个人挑战和系统性问题。为确保公平的心血管疾病护理，干预措施应解决个人信念和系统性障碍。将这些发现纳入新的或现有的干预策略有可能加强预防工作并改善这一人群的心血管健康结果。
