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What Women with HIV Know about Heart Health and Cardiovascular Risk and Intervention Preferences
Lunthita M Duthely1,2, Sanjana Satish3, Sapna A Kedia3
1Department of Obstetrics, Gynecology & Reproductive Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
International Journal of Environmental Research and Public Health
|September 28, 2024
Summary
Women with HIV experience higher cardiovascular disease (CVD) risk. Understanding stigma and resilience is crucial for developing effective CVD prevention strategies for this population.
Area of Science:
- Public Health
- Cardiology
- Infectious Disease
Background:
- Cardiovascular disease (CVD) is a major health issue with complex determinants.
- Women with HIV (WWH) exhibit elevated CVD rates compared to the general female population.
- Stigma and resilience are increasingly recognized as significant factors in CVD development and management.
Purpose of the Study:
- To explore cardiovascular disease (CVD) risk factors and prevention strategies among women with HIV (WWH).
- To understand the interplay of stigma, resilience, and CVD risk in WWH.
- To identify knowledge gaps and willingness for CVD risk-reduction interventions in WWH.
Main Methods:
- Qualitative analysis of 90-minute focus groups conducted with 19 women with HIV (WWH) aged over 35.
- Focus groups aimed to elicit participants' knowledge of CVD risk and potential prevention strategies.
- Data collected in May 2022.
Main Results:
- Participants reported experiencing enacted stigma related to their HIV diagnosis from various social circles.
- Life events triggered both positive lifestyle changes and negative health behaviors.
- 100% of participants expressed willingness to engage in interventions like medication or lifestyle changes, despite some misconceptions about CVD.
Conclusions:
- A deeper understanding of the interplay between stigma, resilience, and CVD is essential for healthcare providers and patients.
- Interventions are needed to reduce CVD risk among racial/ethnic minority women with HIV in the Southern US.
- Addressing knowledge gaps and misconceptions is vital for effective CVD prevention in WWH.
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