ArticleJournal of the International Association of Providers of AIDS Care
Perspectives of Local Health Departments Among People Receiving HIV Services in a Southern "Ending the HIV Epidemic" Region: A Qualitative Study.
Article in Journal of the International Association of Providers of AIDS Care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
10 authors.
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Abstract
IntroductionPublic health departments (HDs) are central to HIV prevention and care, yet client perspectives remain understudied. Before implementing a social network strategy within a HD, we examined how prior experiences with HDs influence engagement.MethodsWe conducted 17 in-depth interviews with Black sexual and gender minority individuals in Charlotte, North Carolina, to explore experiences with HDs.ResultsParticipants described emotional and navigational support during critical health encounters, including compassionate linkage to care and HIV/STI testing. Identity-affirming interactions and shared cultural backgrounds fostered trust and comfort. However, stigma, concerns about privacy, and intrusive exposure notifications created barriers and, in some cases, distrust of HDs.ConclusionsFindings underscore the importance of identity-concordant care and transparent communication. Tailoring partner services to address confidentiality and affirm identity is essential for public health approaches that build trust, reduce stigma, and meet the needs of underserved communities, ultimately improving engagement in HIV prevention and care.
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