HIV Knowledge among African Americans Living with HIV in the Rural South: Implications for Improving HIV Prevention and Care Outcomes

HIV Knowledge among African Americans Living with HIV in the Rural South: Implications for Improving HIV Prevention and Care Outcomes

Purpose This study examines the HIV knowledge of people living with HIV (PLWH) and its implications for improved healthcare outcomes. Methods The study design was a descriptive cross-sectional study, and a total of 41 PLWH were recruited from a larger faith-based anti-stigma study. Data was collecte...

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Bibliographic Details
Published in:Journal of racial and ethnic health disparities Vol. 11; no. 1; pp. 364 - 370
Main Authors: Aduloju-Ajijola, Natasha, Oyerinde, Ifeoluwa Abosede, Gaul, Zaneta J., Gaskins, Susan, Sutton, Madeline Y., Cody, Shameka L., Johnson, Karen, Mugoya, George C.T., Payne-Foster, Pamela
Format: Journal Article
Language:English
Published: Cham Springer International Publishing 01-02-2024
Subjects:
Black or African American
Cross-Sectional Studies
Epidemiology
Female
Health Knowledge, Attitudes, Practice
HIV Infections - epidemiology
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Quality of Life Research
Rural Population
Social Inequality
Social Stigma
Social Structure
HIV/AIDS
Rural
PLWH
Healthcare outcomes
Knowledge
African American
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Summary:Purpose This study examines the HIV knowledge of people living with HIV (PLWH) and its implications for improved healthcare outcomes. Methods The study design was a descriptive cross-sectional study, and a total of 41 PLWH were recruited from a larger faith-based anti-stigma study. Data was collected using a semi-structured self-administered questionnaire and analyzed using SAS. In addition, a literature review was conducted using search engines to gauge existing literature from 2013 to 2022 in areas of HIV knowledge and healthcare outcomes among PLWH. Results The 41 PLWH enrolled consisted of 51% males and 49% females. Sixteen (39%) were aged ≥ 51 years, 17 (41%) had been living with HIV for > 10 years, 15 (37%) had < high school diploma, and 100% were currently in HIV care. HIV knowledge scores were below average for 20 (49%) of the PLWH. Substantial knowledge deficits were noted in areas of HIV transmission and risk reduction strategies. Lower scores were not significantly associated with the participant’s gender, education level, or length of time being HIV-infected. The results of the literature review showed limited research in this area. Conclusions The study and literature review results show that HIV knowledge and health literacy may contribute to racial disparities in retention in care leading to poor health outcomes. Healthcare providers and health facilities in rural areas should be equipped with culturally tailored HIV educational tools to strengthen ongoing care for PLWH, foster patient-provider relationships, and eliminate internalized stigma detrimental to improved healthcare outcomes among PLWH.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ISSN:2197-3792
2196-8837
DOI:10.1007/s40615-023-01524-6