What Women with HIV Know about Heart Health and Cardiovascular Risk and Intervention Preferences

Datos Bibliográficos

ID15511706
AutoresLunthita Duthely (0000-0002-9003-3257, University of Miami, autor de correspondencia), Sanjana Satish (0000-0002-2968-2266, University of Miami), Sapna Kedia (0000-0003-1388-1882, University of Miami), Sapna A Kedia (Medical Education, University of Miami Miller School of Medicine, Miami, FL 33136, USA), Lilliana Vilchez (University of Miami), Priscilla Valls (University of Miami), Priscilla T Valls (Division of Cardiovascular Medicine, University of Miami Miller School of Medicine, Miami, FL 33136, USA), Michaela E Larson (0000-0003-1821-1239, University of Miami), Carolina Cruzval O’Reilly (0009-0006-4736-9667, Central University of the Caribbean), Vanessa Hurtado (0009-0003-6008-1519, University of South Florida), Maria Camila Bernal (Baptist Hospital of Miami), Karla Inestroza (0009-0007-6156-3869, Mayo Clinic), Nicholas Fonseca Nogueira (University of Miami), Tiffany R Glynn (0000-0002-0305-1976, Brigham and Women's Hospital), Mariano J Kanamori (0000-0003-2260-3307, University of Miami), Claudia Martínez (0000-0002-2489-6193, University of Miami)
Año2024
Volumen21
Número9
Páginas1149-1149
Fecha de publicación2024-08-29
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores de la revistaISSN: 1661-7827 • E-ISSN: 1660-4601
EditorialMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph21091149
PMID39338032
OpenAlexW4401995664
IdiomaEN
Referencias citadas25

Cardiovascular disease (CVD) is a significant health concern influenced by various determinants. Stigma and resilience have emerged as factors in CVD development and management. Women with HIV (WWH) have higher CVD rates than women without HIV. To improve cardiovascular health for WWH, a comprehensive understanding of how these factors interact, the understanding about individual awareness and willingness to engage in risk-reduction interventions are needed. Methods: As part of a study examining CVD risk among WWH aged >35 years old, 90-min focus groups were conducted (May 2022) in the English language. Focus groups aimed to elicit participants' CVD risk knowledge and potential prevention strategies. Transcripts underwent a qualitative analysis. Results: Nineteen WWH participated in three focus groups. Participants experienced the following: (a) enacted stigma related to their HIV diagnosis (e.g., family, church member, healthcare staff); (b) a recent event (e.g., hospitalization of self/family, death in family, chest pain) triggered both heart health-promoting lifestyle changes and suboptimal health behaviors (e.g., COVID-19 pandemic: unhealthy snacking). Participants wanted to obtain more knowledge ("on a mission") about CVD risk. In total, 100% expressed willingness to take medication or embark on other lifestyle changes to prevent future CVD events. Although participants identified preventative heart health behaviors (e.g., eating healthy foods; exercising; limiting stress, substances, and smoking), misconceptions were also identified (e.g., "catching" heart disease). Conclusions: Understanding the interplay of the different factors related to heart health is needed both at the provider and the patient level to inform interventions that reduce CVD risk amongst racial/ethnic minoritized women with HIV, living in the Southern region of the US

Cardiovascular health · Disease · Environmental health · Family medicine · Human immunodeficiency virus (HIV · Intervention (counseling · Psychiatry · HIV-related health complications and treatments · HIV/AIDS Research and Interventions · Lipoproteins and Cardiovascular Health · Medicine · Gerontology · Internal Medicine