TY - JOUR
T1 - Resilience takes a village
T2 - black women utilize support from their community to foster resilience against multiple adversities
AU - Dale, Sannisha K.
AU - Safren, Steven A.
N1 - Funding Information:
The research reported in this publication and the principal investigator (Dr. Sannisha Dale) were funded by [grant number 1K23MH108439] from the National Institute of Mental Health and Harvard University Center for AIDS Research?s National Institute of Health/National Institute of Allergy and Infectious Diseases fund [grant number 2P30AI060354-11]. Steven Safren was funded by [grant number K24 DA040489]. The content of this publication is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Publisher Copyright:
© 2019, © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2018/8/23
Y1 - 2018/8/23
N2 - Black women living with HIV (BWLWH) represent the highest percentage of women with HIV in the U.S. and experience worse health outcomes than other women living with HIV, in part due to experiences of trauma, racism, HIV-stigma, and stressors they face as women. However, their own stories of resilience in the face of multiple adversities and insights of community stakeholders may inform our field on how to best empower this population to strive despite adversities. Thirty BWLWH in the U.S. and fifteen community stakeholders were interviewed about women’s experiences and adaptive coping strategies used to cope with trauma, racism, HIV-stigma, and gender-related stressors. Interviews were coded using thematic content analysis. A major theme that spanned across interviews with BWLWH and community stakeholders was that resilience was fostered by members of their “village”. In the midst of or following adverse experiences BWLWH used social support from their children, grandchildren, other family members, friends/peers, and caring providers in order to overcome their adversities and focus on their health and well-being. Promoting resilience among BWLWH requires an understanding of the most adaptive strategies utilized to “bounce back” following or in the face of adversities. Our findings highlight that both BWLWH and community stakeholders recognize social support from their “village” as an importance resilience resource. Research and applied efforts need to be geared at strengthening both BWLWH and their “village” in order to promote resilience and reduce health disparities.
AB - Black women living with HIV (BWLWH) represent the highest percentage of women with HIV in the U.S. and experience worse health outcomes than other women living with HIV, in part due to experiences of trauma, racism, HIV-stigma, and stressors they face as women. However, their own stories of resilience in the face of multiple adversities and insights of community stakeholders may inform our field on how to best empower this population to strive despite adversities. Thirty BWLWH in the U.S. and fifteen community stakeholders were interviewed about women’s experiences and adaptive coping strategies used to cope with trauma, racism, HIV-stigma, and gender-related stressors. Interviews were coded using thematic content analysis. A major theme that spanned across interviews with BWLWH and community stakeholders was that resilience was fostered by members of their “village”. In the midst of or following adverse experiences BWLWH used social support from their children, grandchildren, other family members, friends/peers, and caring providers in order to overcome their adversities and focus on their health and well-being. Promoting resilience among BWLWH requires an understanding of the most adaptive strategies utilized to “bounce back” following or in the face of adversities. Our findings highlight that both BWLWH and community stakeholders recognize social support from their “village” as an importance resilience resource. Research and applied efforts need to be geared at strengthening both BWLWH and their “village” in order to promote resilience and reduce health disparities.
KW - Black women
KW - HIV
KW - Resilience
KW - social support
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U2 - 10.1080/09540121.2018.1503225
DO - 10.1080/09540121.2018.1503225
M3 - Article
C2 - 30628458
AN - SCOPUS:85059880200
VL - 30
SP - S18-S26
JO - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
JF - AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
SN - 0954-0121
IS - sup5
ER -