ArticleHealth education & behavior : the official publication of the Society for Public Health Education2022
Structural Barriers to HIV Prevention and Services: Perspectives of African American Women in Low-Income Communities.
Article in Health education & behavior : the official publication of the Society for Public Health Education, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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The trial behind it
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Who cites it
22 citing papers in PubMed, 32 citations in OpenAlex.
- Exploring Participant Perspectives on Implementation and Sustainment of Taking It to the Pews: A Faith-Based HIV Intervention With African American Churches.AIDS education and prevention : official publication of the International Society for AIDS Education · 2026Trial
- Effectiveness of a culturally tailored HIV intervention in promoting PrEP among black women who use drugs in community supervision programs in New York City: a randomized clinical trial.Addiction science & clinical practice · 2024Trial
- Assessing Differences in mHealth Usability and App Experiences Among Young African American Women: Secondary Analysis of a Randomized Controlled Trial.JMIR human factors · 2024Trial
- Assessing the Feasibility and Acceptability of a Mobile Medical Unit Program-(IFE4Her) to Enhance PrEP Awareness and Access Among Cis-gender Women in Low-Income Southeastern Communities: A Pilot Study.AIDS and behavior · 2026Article
- Exploring Condom Use Among Adult Cisgender Black Women in Texas: a Qualitative Analysis.Journal of racial and ethnic health disparities · 2026Article
- HIV/STI Prevention Strategies During COVID-19 Among PrEP-Eligible Cisgender Women in New York State: A Qualitative Analysis.International journal of environmental research and public health · 2026Article
- Beyond Neighbors: Social Capital and Self-Empowerment Among Older Adults Diagnosed with HIV Late.AIDS and behavior · 2026Article
- Navigating the syndemic: a socio-psychological approach to food security and responsible consumption in low-income populations.Frontiers in nutrition · 2026Article
- Discrimination and Mental Health Among Black and Latino People Living with HIV: Understanding the Role of Religion and Spirituality.AIDS and behavior · 2025Article
- Exploring HIV Risk Among Sexual Minority Women by Identity and Behavior in a Population-Based Sample of Low-Income Heterosexually Active Women.LGBT health · 2025Article
- The Use of HIV Prevention Strategies and Services Reported by Black Women with a Risk for and with HIV in the United States.AIDS and behavior · 2025Article
- A scoping review: Forced/coerced sterilization as a socio-cultural risk factor for sexually transmitted HIV for older Black women.Journal of health psychology · 2025Article
- PrEP knowledge and perceptions among women living in North Carolina public housing communities.PloS one · 2025Article
- Qualitative evaluation of the Mentor Mothers' programme in Nigerian military hospitals: the path to meeting PMTCT targets.BMJ public health · 2025Article
- Empowerment in prevention: a qualitative inquiry into Black girl-centred strategies for reducing HIV/STI and drug misuse risk.Sexual and reproductive health matters · 2024Article
- Could Provider Bias Play a Role in Gynecological Health, Sexual Health and Gynecological Cancer Disparities Observed Among a Cohort of Non-English-Speaking Women with HIV living in Southern Florida?Medical research archives · 2024Article
- A network analysis of positive psychosocial factors and indication of suboptimal HIV care outcomes among Black women living with HIV.AIDS care · 2024Article
- Examination of multidimensional geographic mobility and sexual behaviour among Black cisgender sexually minoritized men in Chicago.Geospatial health · 2024Article
- Stigma and fear of getting sick in the care of people living with HIV: an exploratory systematic review.Le infezioni in medicina · 2024Review
- Exploring the Impact of an Integrated Trauma-Informed HIV and Vocational Intervention for Black/African American Women Living with HIV.International journal of environmental research and public health · 2023Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundAfrican American women are at a disproportionate HIV risk compared with other U.S. women. Studies show that complex structural and social determinants, rather than individual behaviors, place African American women at greater risk of HIV infection; however, little is known about women's views of what puts them at risk.
aimsThis study sought to comprehend the perceptions of African American women living in low-income housing regarding the factors that influence both their personal sexual health behaviors and use of HIV prevention services.
methodsWe conducted seven focus groups with 48 African American women from 10 public housing communities in a small city in the southeastern United States. We analyzed the focus group transcripts using thematic data analysis to identify salient themes and points of interest related to the study aim.
resultsWomen identified factors related to the health care system (trustworthiness of the health care system), the external environment (racism, classism, patriarchal structures, and violence/crime), as well as predisposing (health beliefs, stigma, and gender norms), enabling (agency to negotiate gendered power), and need (perceived HIV risk and perceptions of partner characteristics) features of individuals in the population.
conclusionAfrican American women living in public housing are especially vulnerable to HIV infection due to intersectional discrimination based on racism, classism, gender power dynamics, and community conditions. Our findings confirm the need to develop HIV intervention programming addressing intersectional identities of those making up the communities they plan to address, and being informed by those living in the communities they plan to act on.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.