Exploring HIV concern in a population of Dominican American women midlife and older

Datos Bibliográficos

ID15372178
AutoresMichelle Odlum (0000-0001-6241-6667, Columbia University, autor de correspondencia), Danielle Piccinini Black (0000-0002-8188-1676, Columbia University), Danielle Black, Sunmoo Yoon (0000-0001-9413-8980, Columbia University Irving Medical Center), Cassidy Maher (Columbia University), Steven Lawrence (0000-0002-7595-8323, Columbia University), Jennel C Osborne (Columbia University), Jennel Osborne
Año2019
Volumen19
Número1
Fecha de publicación2019-10-31
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaBMC Public Health (JOURNAL)
Identificadores de la revistaISSN: 1471-2458 • E-ISSN: 1471-2458
EditorialBioMed Central (PUBLISHER • GB)
DOI10.1186/s12889-019-7810-1
OpenAlexW2983766259
IdiomaEN
Referencias citadas35

Background The feminization and ethnic diversification of HIV infection, has resulted in a call for gender- and culture-specific prevention strategies for at-risk groups including Latinos in the United States. The steadily changing demographic profile of the AIDS epidemic challenges prevention strategies to remain relevant and up-to-date, particularly in populations of women midlife and older where an understanding of risk remains under explored. As the CDC requests country-specific HIV risk profiles for Latino communities in the US, understanding the socio-economic, behavioral and personal risk reasons of HIV risk for older Dominican women is critical for prevention. Methods We conducted focus group discussions informed by the Theory of Gender and Power (TGP). The three constructs of the TGP: 1) Affective influences/social norms; 2) Gender-specific norms and. 3) Power and Authority guided the thematic analysis and identified themes that described the socio-cultural and contextual reasons that that contribute to perceptions of HIV risk. Results Sixty Dominican American women ages 57–73 participated in our focus group discussions. Sexual Division of Labour: 1) Economic Dependence; 2) Financial Need and 3) Education and Empowerment. Sexual Division of Power: 4) HIV Risk and 5) Relationship Dynamics. Cathexis: Affective Influences/Social Norms: 6) HIV/AIDS Knowledge and 7) Prevention and Testing. Importantly, participants were concerned about partner fidelity when visiting the Dominican Republic, as the country accounts for the second highest HIV rates in the Caribbean. Conclusions Our results confirm previous findings about perceptions of HIV risk and provide additional insight into aging-related aspects of HIV risk for Latino women midlife and older

Biostatistics · Environmental health · Family medicine · Human immunodeficiency virus (HIV · Population · Public health · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Research and Interventions · Medicine · Nursing · Poverty, Education, and Child Welfare · Epidemiology · Gerontology