Attitudes toward women living with HIV/AIDS by African immigrant women in North Carolina

Background: In North Carolina, the HIV infection rate for black women is 14 times that for white women. While efforts to reduce transmission rates among this group are increasing, a new population of at-risk black women is emerging. Since 1990 African women have been arriving in Central North Carolina due to economic devastation, political conflicts and war. Many may be at risk for HIV after arrival. Culturally, African women living with HIV bear a heavier burden of social stigma and as a result experience income loss, isolation and powerlessness to protect against HIV. These transnational issues may prevent new at-risk African immigrant women from accessing U.S. based HIV prevention services.

Objective: This study explores attitudes towards African women living with HIV/AIDS by African immigrant women.

Methods: We will conduct focus group discussions and follow-up interviews with African immigrant women living in Central North Carolina to assess 1) cultural expectations of African women, 2) community attitudes towards women living with HIV/AIDS, and 3) how service providers should address social stigma issues and culturally respond to HIV/AIDS prevention needs of African immigrant women. We will conduct a thematic analysis of transcribed discussions and interviews.

Results: We will report findings in terms of identified role and perceived effects of social stigma on immigrant women at risk for HIV/AIDS. Results will be discussed within the PEN-3 cultural empowerment framework.

Conclusion: Implications for culturally sensitive (e.g. “African centered”) strategies for social stigma reduction and increased support for prevention will be presented.