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Exploring Resilience Among Black Women Living With HIV in the Southern United States: Findings From a Qualitative
Amie Koch1, Tiarney D Ritchwood, Donald E Bailey
1Amie Koch, DNP, FNP-C, RN, ACHPN, is an Assistant Professor, Duke University School of Nursing, and a Palliative Care and Hospice Family Nurse Practitioner at Transitions LifeCare, and is a COVID Nurse Practitioner, Lincoln Community Health Clinic, Durham, North Carolina, USA. Tiarney D. Ritchwood, PhD, is an Assistant Professor, Department of Family Medicine and Community Health, Duke University School of Medicine, Durham, North Carolina, USA. Donald E. Bailey, Jr., PhD, RN, FAAN, is an Associate Professor, Duke University School of Nursing, Durham, North Carolina, USA. Courtney Ellis Caiola, PhD, MPH, RN, CNE, is an Assistant Professor, East Carolina University, School of Nursing, Greenville, North Carolina, USA. Adaora A. Adimora, MD, MPH, is a Sarah Graham Kenan Distinguished Professor of Medicine, School of Medicine and a Professor of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. Catalina Ramirez, MPH, CCRP, is a Clinical Research Director, School of Medicine, and is a Project Director for the Women's Interagency HIV Study, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. Lauren Holt, MSN, RN, is a PhD Student, Duke University School of Nursing, Durham, North Carolina, USA. Ragan Johnson, DNP, FNP-BC, CNE, is an Assistant Professor, Duke University School of Nursing, Durham, North Carolina, USA. Kara McGee, DMS, MSPH, PA-C, AAHIVS, is an Assistant Professor, Duke University School of Nursing, Durham, North Carolina, USA. Jacquelyn M. McMillian-Bohler, PhD, CNM, CNE, is an Assistant Professor, Duke University School of Nursing, Durham, North Carolina, USA. Schenita D. Randolph, PhD, MPH, RN, CNE, is an Associate Professor, Duke University School of Nursing, Durham, North Carolina, USA. Michael V. Relf, PhD, RN, AACRN, ACNS-BC, ANEF, FAAN, is the Associate Dean for Global and Community Health Affairs, Duke University School of Nursing and Associate Research Professor, Duke Global Health Institute, Durham, North Carolina, USA.
Abstract:
Black women living with HIV (WLWH) face individual and sociostructural challenges. Despite these challenges, many exemplify remarkable levels of resilience and coping. Yet, research on resilience and coping in this population is limited. Twenty Black WLWH in the Southern United States completed semi-structured interviews that explored challenges facing WLWH. We identified six themes related to resilience and coping: self-acceptance, disclosure, self-compassion, social support, will to live, and service. Of these, social support was a driving protective element and an essential component to building and sustaining resilience and coping. Women who experienced positive support often expressed a will to live as well as a desire to support other WLWH. Resilience and social support were characterized by patterns of reciprocity, in that they were mutually sustaining, stabilizing, and strengthening.
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