Details:

Alternative Title:
J Health Dispar Res Pract
Personal Author:
Edwards, Arlene E. ; Collins, Charles B.
Edwards, Arlene E. ; Collins, Charles B. Less -
Description:
When seeking to prevent HIV/AIDS in women, attending to aspects of their lived experience provides opportunities to address the presence of social determinants in prevention strategies. According to the CDC, in 2010, the rate of new HIV infections among Black women was 20 times that of White women, while among Hispanic/Latino women it was 4 times the rate of White women. Additionally, 86% of HIV infections in women were attributed to heterosexual contact and 14% to injection drug use. The WHO indicates that worldwide, 49% of individuals infected by HIV are women, with a predominant source of infection tied to heterosexual transmission. This paper presents social determinants as influential factors in terms of women's sexual behavior decision-making, along with suggested structural interventions to address the social determinants of their HIV risks. Secondary analysis was conducted on data from an earlier study (Abdul-Quader and Collins, 2011) which used concept-mapping to examine the feasibility, evaluability, and sustainability of structural interventions for HIV prevention. The current analysis focused on structural interventions applicable to women and their HIV prevention needs. Three themes emerged: economic interventions, responses to violence against women, and integrated health service delivery strategies. The themes provide a foundation for next steps regarding research, policy planning, and intervention implementation that is inclusive of women's lived experience. The paper concludes with suggestions such as attention to innovative projects and a paradigm shift regarding policy planning as key next steps towards HIV prevention that reflects the contextual complexity of women's lived experiences.
Subjects:
[+]
Article Context Of Vulnerability Contextual Factors Lived Experience Social Determinants Structural Factors Structural Interventions
Source:
J Health Dispar Res Pract. 7(SI2):141-155.
Pubmed ID:
27134801
Pubmed Central ID:
PMC4848455
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:f53190759b38ad09a15ed485278b570c034304d953da964a7af67bcaab69145c
Download URL:
https://stacks.cdc.gov/view/cdc/39433/cdc_39433_DS1.pdf
File Type:

Supporting Files

• nihms772820.nxml

  bin

More +