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HIV prevention for Black women: structural barriers and opportunities.

https://arctichealth.org/en/permalink/ahliterature155856
Source
J Health Care Poor Underserved. 2008 Aug;19(3):829-41
Publication Type
Article
Date
Aug-2008
Author
Peter A Newman
Charmaine C Williams
Notisha Massaquoi
Marsha Brown
Carmen Logie
Author Affiliation
Faculty of Social Work, University of Toronto, 246 Bloor Street West, Toronto, Ontario, Canada M5S 1A1. p.newman@utoronto.ca
Source
J Health Care Poor Underserved. 2008 Aug;19(3):829-41
Date
Aug-2008
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Africa - ethnology
African Continental Ancestry Group - psychology
Aged
Attitude to Health - ethnology
Caribbean Region - ethnology
Demography
Female
Focus Groups
HIV Infections - ethnology - prevention & control
Health Knowledge, Attitudes, Practice
Healthcare Disparities
Humans
Middle Aged
Ontario - epidemiology
Prejudice
Primary Prevention - organization & administration - statistics & numerical data
Qualitative Research
Risk factors
Social Class
Socioeconomic Factors
Taboo
Women's Health Services - organization & administration - utilization
Abstract
Black women bear a disproportionate burden of HIV/AIDS in North America. The purpose of this investigation was to explore Black Canadian women's perspectives on HIV risk and prevention. Four 90-minute focus groups (n=26) and six key informant interviews were conducted in Toronto with Black women of African and Caribbean descent and low socioeconomic status. Data analysis revealed a number of potent barriers to existing HIV preventive interventions: stigma, cultural disconnections, lack of engagement of Black religious institutions, and multiple intersecting forms of discrimination. Recommended HIV prevention opportunities included the Black church, mainstreaming, health care providers, and ethno-specific agencies. HIV prevention strategies for North American Black women, rather than focusing on HIV and individual risk behaviors, may benefit from a primary focus on social and structural factors (e.g., promoting gender equality, economic opportunity, women-controlled prevention technologies and combating racism in health care) thereby integrating HIV prevention into the larger context of community health and survival.
PubMed ID
18677073 View in PubMed
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