Online Program

African American women's perceptions of HIV prevention communication with their reproductive health providers

Tuesday, November 3, 2015

Valerie Burge-Hall, MA, CHES, Health Dept. , Health Professions Division, Thomas Nelson Community College, Hampton, VA
Joann T. Richardson, PhD, Department of Kinesiology and Health Sciences, Virginia Commonwealth University, Richmond, VA
Despite a decline in HIV incidence among African American women, they still bear the most significant disease burden among U.S. women.  Numerous studies offer plausible explanations for the disparity, such as the impact of poverty, limited healthcare access, low literacy, and living in areas with high HIV rates.  Additionally, many studies provide insight regarding prevention strategies.  However, this study shares the unique perspective of urban, underserved African American women aged 20 to 44 years, regarding their perceptions about HIV prevention communication with their reproductive health providers (RHPs).  In this study, 20 African American women with unknown HIV status participated in face-to-face interviews designed to explore their perceptions about HIV prevention communication with their RHPs.  Audio-taped interviews were transcribed verbatim and coded using NVivo10 software.  Guided by constructs of the Health Belief Model, inductive and deductive coding yielded four key themes: (1) lack of expectation to receive information; (2) failure of RHPs to initiate and offer information; (3) lack of desire to receive information due to fear and stigma associated with HIV and confirming partner infidelity; and (4) recommendations regarding their preferred methods to receive HIV prevention communication.  Findings indicated that RHPs missed prime opportunities to initiate and offer HIV prevention information during visits for contraception and pregnancy or STI testing with women at greatest risk.  These findings will be useful to inform best practices in designing, implementing and evaluating patient education protocols to facilitate RHPs seizing the opportunities to address HIV prevention in this highly vulnerable population.

Learning Areas:

Assessment of individual and community needs for health education
Public health or related education

Learning Objectives:
List two recommendations to reproductive health providers regarding HIV prevention communication with urban, underserved African American women. Identify reasons why urban, underserved African American women do not desire to receive HIV prevention from their reproductive health provider. Discuss urban, underserved African American women’s perceptions of HIV prevention communication with their reproductive health provider.

Keyword(s): African American, Women and HIV/AIDS

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a health educator for 22 years serving underserved populations for most of those years. Over the years, my work focused on minority health, women's reproductive health and community health. For the last seven years, I have served as an assistant professor of health. Currently, I am completing my dissertation which explores African American women's perceptions about HIV prevention communication with their reproductive providers.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.