Leveraging Bundled Interventions to Address Intersectional Barriers to Care for Black Women With HIV, the Black Women First Initiative, 2020

Bibliographic Data

ID11021847
AuthorsNatalie A Solomon-Brimage (0009-0005-6808-2481, Natalie A. Solomon and Tracy L. McClair are with the HIV/AIDS Bureau, Health Resources and Services Administration, Rockville, MD. Yvette P. Cuca is with the School of Nursing and Women’s HIV Program, University of California, San Francisco. Gwen Davies is with the Positive Impact Health Centers, Decatur, GA. Silvia Valadez-Tapia is with the AIDS Foundation Chicago, Chicago, IL. Harmony Harris is with the Ruth Ellis Center, Highland Park, MI. Serena Rajabiun is with the Zuckerberg College of Health Sciences), Natalie A Solomon (Centers for Disease Control and Prevention), Yvette P Cuca (0000-0002-5674-4741, Natalie A. Solomon and Tracy L. McClair are with the HIV/AIDS Bureau, Health Resources and Services Administration, Rockville, MD. Yvette P. Cuca is with the School of Nursing and Women’s HIV Program, University of California, San Francisco. Gwen Davies is with the Positive Impact Health Centers, Decatur, GA. Silvia Valadez-Tapia is with the AIDS Foundation Chicago, Chicago, IL. Harmony Harris is with the Ruth Ellis Center, Highland Park, MI. Serena Rajabiun is with the Zuckerberg College of Health Sciences), Gwen Davies (0009-0006-0806-8132, Natalie A. Solomon and Tracy L. McClair are with the HIV/AIDS Bureau, Health Resources and Services Administration, Rockville, MD. Yvette P. Cuca is with the School of Nursing and Women’s HIV Program, University of California, San Francisco. Gwen Davies is with the Positive Impact Health Centers, Decatur, GA. Silvia Valadez-Tapia is with the AIDS Foundation Chicago, Chicago, IL. Harmony Harris is with the Ruth Ellis Center, Highland Park, MI. Serena Rajabiun is with the Zuckerberg College of Health Sciences), Tracy L McClair (0000-0002-5045-7514, Natalie A. Solomon and Tracy L. McClair are with the HIV/AIDS Bureau, Health Resources and Services Administration, Rockville, MD. Yvette P. Cuca is with the School of Nursing and Women’s HIV Program, University of California, San Francisco. Gwen Davies is with the Positive Impact Health Centers, Decatur, GA. Silvia Valadez-Tapia is with the AIDS Foundation Chicago, Chicago, IL. Harmony Harris is with the Ruth Ellis Center, Highland Park, MI. Serena Rajabiun is with the Zuckerberg College of Health Sciences), Silvia Valadez-Tapia (Natalie A. Solomon and Tracy L. McClair are with the HIV/AIDS Bureau, Health Resources and Services Administration, Rockville, MD. Yvette P. Cuca is with the School of Nursing and Women’s HIV Program, University of California, San Francisco. Gwen Davies is with the Positive Impact Health Centers, Decatur, GA. Silvia Valadez-Tapia is with the AIDS Foundation Chicago, Chicago, IL. Harmony Harris is with the Ruth Ellis Center, Highland Park, MI. Serena Rajabiun is with the Zuckerberg College of Health Sciences), Harmony Harris (Natalie A. Solomon and Tracy L. McClair are with the HIV/AIDS Bureau, Health Resources and Services Administration, Rockville, MD. Yvette P. Cuca is with the School of Nursing and Women’s HIV Program, University of California, San Francisco. Gwen Davies is with the Positive Impact Health Centers, Decatur, GA. Silvia Valadez-Tapia is with the AIDS Foundation Chicago, Chicago, IL. Harmony Harris is with the Ruth Ellis Center, Highland Park, MI. Serena Rajabiun is with the Zuckerberg College of Health Sciences), Venita Ray (Natalie A. Solomon and Tracy L. McClair are with the HIV/AIDS Bureau, Health Resources and Services Administration, Rockville, MD. Yvette P. Cuca is with the School of Nursing and Women’s HIV Program, University of California, San Francisco. Gwen Davies is with the Positive Impact Health Centers, Decatur, GA. Silvia Valadez-Tapia is with the AIDS Foundation Chicago, Chicago, IL. Harmony Harris is with the Ruth Ellis Center, Highland Park, MI. Serena Rajabiun is with the Zuckerberg College of Health Sciences), Serena Rajabiun (0000-0001-8770-5764, Natalie A. Solomon and Tracy L. McClair are with the HIV/AIDS Bureau, Health Resources and Services Administration, Rockville, MD. Yvette P. Cuca is with the School of Nursing and Women’s HIV Program, University of California, San Francisco. Gwen Davies is with the Positive Impact Health Centers, Decatur, GA. Silvia Valadez-Tapia is with the AIDS Foundation Chicago, Chicago, IL. Harmony Harris is with the Ruth Ellis Center, Highland Park, MI. Serena Rajabiun is with the Zuckerberg College of Health Sciences)
Year2025
Volume115
IssueS1
PagesS68-S74
Publication date2025-04-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2025.308022
PMID40138646
OpenAlexW4408854255
LanguageEN
Citations received2
References cited22

The 2020 initiative Improving Care and Treatment Coordination: Focusing on Black Women With HIV funded by the US Department of Health and Human Services Office of the Assistant Secretary for Health’s Minority HIV/AIDS Fund and Health Resources and Services Administration’s HIV/AIDS Bureau Ryan White HIV/AIDS Program aimed to enhance health and well-being for cisgender and transgender Black women with HIV through bundled interventions at 12 US sites. The initiative’s intersectional approach involved Black women with HIV in program development and implementation. Quantitative data from 743 participants highlighted disparities in employment and housing, emphasizing the need for holistic, culturally sensitive care. In quantitative responses, participants, regardless of gender identity, reported HIV-related stigma and racial discrimination, with transgender women qualitatively reporting additional gender-based inequities that affect their HIV health outcomes and quality of life. We summarize findings from the initiative and provide recommendations to address intersectional barriers to care to improve health and well-being among Black women with HIV. Results of this initiative suggest that a flexible, responsive health care system that emphasizes a broad service delivery model reflecting the participants’ diverse identities can improve health outcomes. ( Am J Public Health. 2025;115(S1):S68–S74. https://doi.org/10.2105/AJPH.2025.308022 )

Black women · Family medicine · Health care · Health equity · Human immunodeficiency virus (HIV) · Intersectionality · Men who have sex with men · Political science · Psychiatry · Psychological intervention · Public health · Sociology · Stigma (botany) · Transgender · Transgender women · African Sexualities and LGBTQ+ Issues · Gender Studies · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Nursing · Gerontology

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