The State of Adherence to HIV Care in Black Women

The Journal of the Association of Nurses in AIDS Care : JANAC
Crystal Chapman LambertBarbara J Guthrie

Abstract

The purpose of this systematic review was to assess the state of adherence to HIV care such as HIV medication and appointment adherence among Black women in the United States. After a systematic search of CINAHL, PubMed, EMBASE, and clinicialtrials.gov, 26 studies and two ongoing trials met inclusion criteria. Psychosocial factors such as intersectional stigmas and depression were among the salient factors associated with adherence-to-care behaviors in women living with HIV (WLWH). In addition, interpersonal factors such as social support and the patient-provider relationship were frequently associated with adherence-to-care behaviors. No culturally relevant interventions for Black WLWH were found in the literature, but one ongoing trial that was developed specifically for Black WLWH seemed promising. Considering the dearth of tailored interventions, more gender-specific and culturally relevant interventions are urgently needed to improve adherence-to-care behaviors and optimize health outcomes for Black WLWH.

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Citations

Apr 2, 2019·AIDS Patient Care and STDs·Sannisha K DaleSteven A Safren
May 7, 2020·Psychology & Health·Clarice J Hampton, Tameka L Gillum
Aug 28, 2019·Journal of Racial and Ethnic Health Disparities·Katrin FabianDeepa Rao
May 1, 2021·The Journal of the Association of Nurses in AIDS Care : JANAC·Keosha T BondSchenita D Randolph
May 12, 2021·Journal of Immigrant and Minority Health·Amanda NaceElizabeth Eastwood
Jun 22, 2021·Current HIV/AIDS Reports·Laura B WhiteleyLarry K Brown

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