دورية أكاديمية
HIV Knowledge among African Americans Living with HIV in the Rural South: Implications for Improving HIV Prevention and Care Outcomes.
العنوان: | HIV Knowledge among African Americans Living with HIV in the Rural South: Implications for Improving HIV Prevention and Care Outcomes. |
---|---|
المؤلفون: | Aduloju-Ajijola N; Vitalera Integrated Consults, Abuja, Nigeria., Oyerinde IA; Department of Community Medicine and Population Health Sciences, University of Alabama, Tuscaloosa, AL, USA., Gaul ZJ; Social & Scientific Systems, Silver Spring, MD, USA., Gaskins S; Capstone College of Nursing, University of Alabama, Tuscaloosa, AL, USA., Sutton MY; Department of Obstetrics and Gynecology, Morehouse School of Medicine, Atlanta, GA, USA., Cody SL; Capstone College of Nursing, The University of Alabama, Tuscaloosa, AL, USA., Johnson K; School of Social Work, The University of Alabama, Tuscaloosa, AL, USA., Mugoya GCT; College of Human Environmental Sciences, The University of Alabama, Tuscaloosa, AL, USA., Payne-Foster P; Department of Community Medicine and Population Health Sciences, University of Alabama, Tuscaloosa, AL, USA. pfoster@ua.edu.; Department of Community Medicine and Population Health Sciences, The University of Alabama, Tuscaloosa Campus, 211 Peter Bryce Blvd, Tuscaloosa, AL, USA. pfoster@ua.edu. |
المصدر: | Journal of racial and ethnic health disparities [J Racial Ethn Health Disparities] 2024 Feb; Vol. 11 (1), pp. 364-370. Date of Electronic Publication: 2023 Feb 01. |
نوع المنشور: | Review; Journal Article; Research Support, U.S. Gov't, P.H.S. |
اللغة: | English |
بيانات الدورية: | Publisher: Springer International Publishing Country of Publication: Switzerland NLM ID: 101628476 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2196-8837 (Electronic) Linking ISSN: 21968837 NLM ISO Abbreviation: J Racial Ethn Health Disparities Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: [Cham] : Springer International Publishing |
مواضيع طبية MeSH: | Black or African American* , HIV Infections*/epidemiology , Health Knowledge, Attitudes, Practice*, Female ; Humans ; Male ; Cross-Sectional Studies ; Social Stigma ; Middle Aged ; Rural Population |
مستخلص: | Purpose: This study examines the HIV knowledge of people living with HIV (PLWH) and its implications for improved healthcare outcomes. Methods: The study design was a descriptive cross-sectional study, and a total of 41 PLWH were recruited from a larger faith-based anti-stigma study. Data was collected using a semi-structured self-administered questionnaire and analyzed using SAS. In addition, a literature review was conducted using search engines to gauge existing literature from 2013 to 2022 in areas of HIV knowledge and healthcare outcomes among PLWH. Results: The 41 PLWH enrolled consisted of 51% males and 49% females. Sixteen (39%) were aged ≥ 51 years, 17 (41%) had been living with HIV for > 10 years, 15 (37%) had < high school diploma, and 100% were currently in HIV care. HIV knowledge scores were below average for 20 (49%) of the PLWH. Substantial knowledge deficits were noted in areas of HIV transmission and risk reduction strategies. Lower scores were not significantly associated with the participant's gender, education level, or length of time being HIV-infected. The results of the literature review showed limited research in this area. Conclusions: The study and literature review results show that HIV knowledge and health literacy may contribute to racial disparities in retention in care leading to poor health outcomes. Healthcare providers and health facilities in rural areas should be equipped with culturally tailored HIV educational tools to strengthen ongoing care for PLWH, foster patient-provider relationships, and eliminate internalized stigma detrimental to improved healthcare outcomes among PLWH. (© 2023. W. Montague Cobb-NMA Health Institute.) |
References: | Reif SS, Whetten K, Wilson ER, et al. HIV/AIDS in the Southern USA: a disproportionate epidemic. AIDS Care Psychological and Socio-medical Aspects of AIDS/HIV. 2013;26(3):351–9. https://doi.org/10.1080/09540121.2013.824535 . (PMID: 10.1080/09540121.2013.824535) Centers for Disease Control and Prevention. Diagnoses of HIV infection in the United States and dependent areas, vol. 2014: HIV Surveillance Report. 2015. Available from https://www.cdc.gov/hiv/library/reports/surveillance/. Centers for Disease Control and Prevention. Estimated HIV incidence and prevalence in the United States, 2010–2016. HIV Surveillance Supplemental Report. 2019;24(1). https://www.cdc.gov/hiv/library/reports/hiv-surveillance.html . United States Census Bureau. Annual estimates of the resident population by sex, race, and Hispanic origin for the United States, states, and counties: April 1, 2010 to July 1, 2013. 2014. Available from: www.census.gov/ . Alabama Department of Public Health. Brief facts on African Americans and HIV in Alabama. 2019. Available from: https://www.alabamapublichealth.gov/hiv/assets/brieffactsonafricanamericansandhiv.pdf . Alabama Department of Public Health. State of Alabama HIV Surveillance Annual Report. 2019. Available from: https://www.alabamapublichealth.gov/hiv/assets/hivsurveillanceannualreport_2019.pdf . Sullivan PS, Woodyatt C, Koski C, et al. A data visualization and dissemination resource to support HIV prevention and care at the local level: analysis and uses of the AIDSVu public data resource. J Med Internet Res. 2020;22(10):e23173. https://doi.org/10.2196/23173 . (PMID: 10.2196/23173330951777654504) Alabama Department of Public Health. HIV cases among persons residing in Alabama preliminary 2022- 1 January 1– March 31 Quarterly reports (Data prepared 03/31/2022) Available from: https://www.alabamapublichealth.gov/hiv/ . Centers for Disease Control and Prevention. HIV in the Southern United States. 2019. https://www.cdc.gov/hiv/ . Accessed June 2022. Centers for Disease Control and Prevention. Diagnoses of HIV infection in the United States and dependent areas, 2020, vol. 33. HIV Surveillance Report. 2021. Katherine H, Jacob L, Andrew H. The Joint United Nations Programme on HIV/AIDS 95–95–95 targets: worldwide clinical and cost benefits of generic manufacture. AIDS. 2021;35(Issue Supplement 2):S197–203. https://doi.org/10.1097/QAD.0000000000002983 . (PMID: 10.1097/QAD.0000000000002983) Sprague C, Simon SE. Understanding HIV care delays in the U.S. South and the role of the social-level in HIV care engagement/retention: a qualitative study. Int J Equity Health. 2014;13(28). Roberts KJ. Barriers to and facilitators of HIV-positive patients’ adherence to antiretroviral treatment regimens. AIDS Patient Care STDs. 2004;14(3):155–68. https://doi.org/10.1089/108729100317948 . (PMID: 10.1089/108729100317948) Wolf MS, Davis TC, Cross JT, Marin E, Green K, Bennett CL. Health literacy and patient knowledge in a Southern US HIV clinic. Int J STD AIDS. 2004;15(11):747–52. https://doi.org/10.1258/0956462042395131 . (PMID: 10.1258/095646204239513115537462) Swenson RR, Rizzo CJ, Brown LK, Vanable PA, Carey MP, Valois RF, DiClemente RJ, Romer D. Hiv knowledge and its contribution to sexual health behaviors of low-income African American adolescents. J Natl Med Assoc. 2010;102(12):1173–82. https://doi.org/10.1016/S0027-9684(15)30772-0 . (PMID: 10.1016/S0027-9684(15)30772-021287898) Banagi Yathiraj A, Unnikrishnan B, Ramapuram JT, et al. HIV-related knowledge among PLWHA attending a tertiary care hospital at coastal South India—a facility-based study. J Int Assoc Provid AIDS Care. 2017;16(6):615–9. https://doi.org/10.1177/2325957417742671 . (PMID: 10.1177/232595741774267129187077) Persell SD, Osborn CY, Richard R, Skripkauskas S, Wolf MS. Limited health literacy is a barrier to medication reconciliation in ambulatory care. J Gen Intern Med. 2007;22(11):1523–6. https://doi.org/10.1007/s11606-007-0334-x . (PMID: 10.1007/s11606-007-0334-x177865212219798) Pichon LC, Powell TW, Stubbs AW, et al. An exploration of U.S. Southern faith leaders’ perspectives of HIV prevention, sexuality, and sexual health teachings. Int J Environ Res Public Health. 2020;17(16):1–13. https://doi.org/10.3390/ijerph17165734 . (PMID: 10.3390/ijerph17165734) Reif S, Wilson E, McAllaster C, et al. The relationship of HIV-related stigma and health care outcomes in the U.S. Deep South. AIDS Behav. 2019;23:242–50. https://doi.org/10.1007/s10461-019-02595-5 . (PMID: 10.1007/s10461-019-02595-531317363) Centers for Disease Control and Prevention. HIV surveillance report, 2019; vol.32. Available from https://www.cdc.gov/hiv/library/reports/hiv-surveillance.html Published May 2021. Accessed [June 2022]. Anderson AN, Haardörfer R, Holstad MM, et al. Predictors of disparities in retention in care among African Americans living with HIV. AIDS Care: Psychological and Socio-medical Aspects of AIDS/HIV. 2021;33(1):54–62. https://doi.org/10.1080/09540121.2020.1717423 . (PMID: 10.1080/09540121.2020.1717423) USAID. HIV/AIDS survey indicators database. 2012. Available from: http://hivdata.measuredhs.com/start.cfm . Accessed June 2022. Hicks G, Barragan M, Franco-Paredes C, Williams MV, del Rio C. Health literacy is a predictor of HIV/AIDS knowledge. Health Serv Res. 2006;38(10):717–23. Kalichman SC, Benotsch E, Suarez T, Catz S, Miller J, & Rompa D. Health literacy and health-related knowledge among persons living with HIV/AIDS. Am J Prev Med., 2000;18(4), 325-331 . (PMID: 10.1016/S0749-3797(00)00121-510788736) USAID. HIV-related knowledge and behaviors among people living with HIV in eight high HIV prevalence countries in sub-Saharan Africa. DHA analytical studies 29. 2012b. Available from: https://www.dhsprogram.com/ . Jung M, Arya M, Viswanath K. Effect of media use on HIV/AIDS-related knowledge and condom use in sub-Saharan Africa: a cross-sectional study. PLoS One. 2013;8(7):68359. https://doi.org/10.1371/journal.pone.0068359 . (PMID: 10.1371/journal.pone.0068359) McCall J, Wilson C. Promoting health literacy in an HIV-infected population: creating staff awareness. J Assoc Nurses AIDS Care. 2015;26(4):498502. https://doi.org/10.1016/j.jana.2014.11.003 . (PMID: 10.1016/j.jana.2014.11.003) |
معلومات مُعتمدة: | PS11-003; 5U01PS003320. Centers for Disease Control and Prevention, |
فهرسة مساهمة: | Keywords: African American; HIV/AIDS; Healthcare outcomes; Knowledge; PLWH; Rural |
تواريخ الأحداث: | Date Created: 20230201 Date Completed: 20240111 Latest Revision: 20240521 |
رمز التحديث: | 20240521 |
DOI: | 10.1007/s40615-023-01524-6 |
PMID: | 36725808 |
قاعدة البيانات: | MEDLINE |
كن أول من يترك تعليقا!