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Published on: October 6, 2016
Enhancing Cardiovascular Health in Southeastern United States for Underrepresented Racial and Ethnic Minorities With
Charles Muiruri1, Carrie Dombeck, Amy Corneli
1Charles Muiruri, PhD, MPH, is a Health Services Researcher, Assistant Professor, Duke Department of Population Health Sciences and Duke Global Health Institute, Durham, North Carolina, USA. Carrie Dombeck, MA, is a Project Leader and Qualitative Research Analyst, Department of Population Health Sciences, Durham, North Carolina, USA. Amy Corneli, PhD, MPH, is a Social Scientist and Professor, Duke Department of Population Health Sciences and Duke Global Health Institute, Durham, North Carolina, USA. April C. Pettit, MD, MPH, is an Associate Professor of Medicine, Divisions of Infectious Diseases and Epidemiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA. Nwora Lance Okeke, MD, MPH, is an Infectious Diseases Physician Scientist and Associate Professor, Duke Department of Medicine, Durham, North Carolina, USA. Chris T. Longenecker, MD, is a Non-invasive Cardiologist and Associate Professor, Division of Cardiology and Department of Global Health, University of Washington School of Medicine, Seattle, Washington, USA. Eric G. Meissner, MD, PhD, is an Infectious Diseases Physician Scientist and Associate Professor, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA. Sarah Gonzales, BA, is a Clinical Research Coordinator, Duke Department of Population Health Sciences, Duke University, Durham, North Carolina, USA. Shamea Gray, is a Community Advisory Member, Durham, North Carolina, USA. Joseph Vicini, BA, MDiv, is a Community Advisory Member, Nashville, Tennessee, USA. Morgan Lima, MSN, RN, AC, RN, is a Clinical Nurse, Vanderbilt University Medical Center, Nashville, Tennessee, USA. Mersedes Brown, MPH, is a Clinical Research Coordinator, Department of Population Health Sciences, Durham, North Carolina, USA. Mary C. Hill, is an undergraduate student, Duke University, Durham, North Carolina, USA. Joshua Kwawuvi, MPH, is a graduate student, Duke University, Durham, North Carolina, USA. Jules Iradukunda, MD, MSc, is a graduate student, Duke University, Durham, North Carolina, USA. Gerald S. Bloomfield, MD, MPH, is a Non-invasive Cardiologist and Associate Professor, Duke Division of Cardiology, Department of Medicine and Duke Global Health Institute, Duke University, Durham, North Carolina, USA.
People with HIV from minority groups face higher cardiovascular disease (CVD) risks. Interventions must address individual beliefs and systemic barriers for equitable care.
Area of Science:
- Public Health
- Cardiovascular Medicine
- Health Disparities
Background:
- Individuals with HIV from underrepresented racial and ethnic minority (URM) groups experience elevated cardiovascular disease (CVD) risk.
- Existing research indicates a need to understand the specific challenges faced by this population.
Purpose of the Study:
- To explore the perceptions and experiences of URM individuals living with HIV regarding CVD risk and care.
- To identify individual beliefs and systemic barriers influencing CVD management in this population.
Main Methods:
- In-depth interviews were conducted with 27 URM participants with HIV and established CVD or risk factors.
- The study was guided by the health belief model and employed applied thematic analysis.
- Data collection occurred at three academic medical centers in the Southern United States.
Main Results:
- Participants perceived their HIV status as increasing the severity of CVD.
- Identified barriers included lack of access to specialists and affordability issues.
- Findings highlight both individual challenges and systemic inequities impacting CVD care.
Conclusions:
- Equitable CVD care for URM individuals with HIV requires interventions addressing both personal beliefs and systemic obstacles.
- Integrating these findings can enhance preventive strategies and improve cardiovascular health outcomes.
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