Still I rise: The need for self-validation and self-care in the Midst of adversities faced by black women with HIV

Sannisha K. Dale, Catherine Pierre-Louis, Laura M. Bogart, Conall O'Cleirigh, Steven A. Safren

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

Objectives: Psychosocial factors of trauma and abuse, racial discrimination, HIV stigma, and genderrelated stressors (e.g., prioritizing others' needs) have been associated with antiretroviral treatment (ART) nonadherence and poor viral suppression among Black women living with HIV (BWLWH). To inform the development of an intervention addressing these psychosocial factors to improve ART adherence, the authors sought the insight of BWLWH. Method: Qualitative semistructured interviews were conducted with 30 BWLWH to gather information on their experiences with trauma, racism, HIV stigma, gender-related stressors, ART adherence, and coping strategies, and their insights on the proposed intervention. Participants' interviews were audio-recorded, transcribed, and coded using thematic content analysis and grounded theory. Results: Participants shared (a) their experiences with trauma/abuse, racism, HIV-stigma, gender-related stress, and medication adherence; (b) coping strategies they use (e.g., social support, awareness [acknowledging systemic racism], assertiveness, selective disclosure of HIV status, and prioritizing the self); (c) how each of these adversities relate to their medication adherence and how they found ways to self-validate and practice self-primacy and self-care, including medication adherence in spite of adversities; and (d) enthusiasm for the proposed intervention. Conclusions: Culturally adapted interventions are needed to improve the health of BWLWH by enhancing coping strategies for the multiple adversities they face and promoting self-validation, selfprimacy, and self-care in spite of adversities.

Original languageEnglish (US)
Pages (from-to)15-25
Number of pages11
JournalCultural Diversity and Ethnic Minority Psychology
Volume24
Issue number1
DOIs
StatePublished - Jan 2018

Keywords

  • Black women
  • Coping strategies
  • HIV
  • Medication adherence
  • Trauma

ASJC Scopus subject areas

  • Social Psychology
  • Sociology and Political Science

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