ArticleCulture, health & sexuality2016
Structural community factors and sub-optimal engagement in HIV care among low-income women in the Deep South of the USA.
Article in Culture, health & sexuality, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 6 of them syntheses that pooled it.
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Who cites it
43 citing papers in PubMed, 6 syntheses or guidelines pooled it, 76 citations in OpenAlex.
- Systematic Review of Neighborhood Factors Impacting HIV Care Continuum Participation in the United States.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Pooled it
- A Systematic Review of the Impact of HIV-Related Stigma and Serostatus Disclosure on Retention in Care and Antiretroviral Therapy Adherence Among Women with HIV in the United States/Canada.AIDS patient care and STDs · 2024Pooled it
- Interventions to reengage people living with HIV who are lost to follow-up from HIV treatment programs: A systematic review and meta-analysis.PLoS medicine · 2022Pooled it
- HIV-Related Stigma by Healthcare Providers in the United States: A Systematic Review.AIDS patient care and STDs · 2018Pooled it
- Social and structural determinants of HIV treatment and care among black women living with HIV infection: a systematic review: 2005-2016.AIDS care · 2018Pooled it
- The State of Adherence to HIV Care in Black Women.The Journal of the Association of Nurses in AIDS Care : JANACPooled it
- Predictors for Poor Linkage to Care Among Hospitalized Persons Living with HIV and Co-Occurring Substance Use Disorder.AIDS research and human retroviruses · 2020Trial
- Exploring the role of motherhood in healthcare engagement for women living with HIV in the USA.Culture, health & sexuality · 2025Article
- Transactional sex among adults accessing sexual health services in Alabama, 2008-2022: Prevalence, associated risk factors, and associations with HIV, HCV, and STI diagnosis.Annals of epidemiology · 2024Article
- Article
- Examining Concordance Between Self-Report and Biomedical HIV Viral Load Data: A Scoping Review.AIDS and behavior · 2024Article
- Perceptions of healthcare accessibility and medical mistrust among Black women living with HIV in the USA.Culture, health & sexuality · 2023Article
- Article
- [Stigmatization of people living with HIV in health care services in Togo].Medecine tropicale et sante internationale · 2023Article
- "Take care of their hierarchy of needs first": strategies used by data-to-care staff to address barriers to HIV care engagement.AIDS care · 2023Article
- Exploring the dynamics of the quality of HIV care experienced by female sex workers living in the Dominican Republic.PLOS global public health · 2023Article
- Socio-Structural Factors and HIV Care Engagement among People Living with HIV during the COVID-19 Pandemic: A Qualitative Study in the United States.Tropical medicine and infectious disease · 2022Article
- Examining Barriers to Medication Adherence and Retention in Care among Women Living with HIV in the Face of Homelessness and Unstable Housing.International journal of environmental research and public health · 2022Article
- Material Security Scale as a Measurement of Poverty among Key Populations At-Risk for HIV/AIDS in Malaysia: An Implication for People Who Use Drugs and Transgender People during the COVID-19 Pandemic.International journal of environmental research and public health · 2022Article
- The intersection of welfare stigma, state contexts and health among mothers receiving public assistance benefits.SSM - population health · 2022Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
This study describes the ways in which poverty and other structural factors create a risk environment for sub-optimal engagement in HIV care among low-income women living with HIV in the Southern USA, contributing to existing health disparities. We conducted a qualitative study in 2012, involving in-depth interviews with 14 stakeholders (service providers and representatives of community-based organisations) and 7 focus-group discussions with 46 women living with HIV (89% African American). A thematic approach in the context of the social ecological model guided data analysis. Data were coded and analysed using NVivo qualitative software. The findings suggested that structural community factors, such as poverty, poor employment opportunities, limited access to healthcare resources, stigma, transportation challenges and access to illicit substances, may work independently and in synergy to impact women's health seeking behaviour and decision-making, thereby influencing their ability to engage in HIV care. Interventions designed to improve engagement in HIV care should address structural factors to bolster low-income women's ability to engage in care.
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Registered trials
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