HIV Treatment in African American Women-Care That Makes a Difference

Overview

Journal J Racial Ethn Health Disparities

Specialties Public Health
Social Sciences

Date 2016 May 1

PMID 27129853

Citations 2

Authors

Olihe Okoro

Folakemi Odedina

Affiliations

Soon will be listed here.

Abstract

African American women bear a disproportionate burden of HIV disease. Socioeconomic and psycho-social factors while adding to the vulnerability of this population also contribute to non-adherence and consequently poor outcomes. The provider-patient relationship has the potential to enhance HIV medication adherence in this population. Using in-depth interviews, patient and provider perspectives are explored to identify specific elements of the provider-patient interaction that enhance patient satisfaction with care and consequently improve HIV medication adherence. Themes associated with provider attitudes and actions perceived as positively impacting care in this patient group include (1) physical touch, (2) treating (the patient) "as a person", (3) actively listening to the patient, (4) showing empathy, (5) being non-judgmental, and (6) being readily accessible. These findings suggest that the demonstration of care and commitment from the provider as perceived by the patient is important to African American women living with HIV and may significantly influence adherence behavior and enhance treatment outcomes in this population.

Citing Articles

Effective Messages to Reduce Stigma among People Newly Diagnosed with HIV during Rapid ART Initiation.

Campbell C, Koester K, Erguera X, Moran L, LeTourneau N, Broussard J Int J Environ Res Public Health. 2024; 21(9).

PMID: 39338016 PMC: 11431257. DOI: 10.3390/ijerph21091133.

What Matters Most? The Power of Kafka's Metamorphosis to Advance Understandings of HIV Stigma and Inform Empathy in Medical Health Education.

Sprague C J Med Humanit. 2022; 43(4):561-584.

PMID: 35188615 PMC: 8858723. DOI: 10.1007/s10912-022-09729-2.

References

Helman C . Disease versus illness in general practice. J R Coll Gen Pract. 1981; 31(230):548-52. PMC: 1972172. View

Carr A, Donovan J . Why doctors and patients disagree. Br J Rheumatol. 1998; 37(1):1-4. DOI: 10.1093/rheumatology/37.1.1a. View

Johnson M, Chesney M, Goldstein R, Remien R, Catz S, Gore-Felton C . Positive provider interactions, adherence self-efficacy, and adherence to antiretroviral medications among HIV-infected adults: A mediation model. AIDS Patient Care STDS. 2006; 20(4):258-68. PMC: 2432422. DOI: 10.1089/apc.2006.20.258. View

Saha S, Jacobs E, Moore R, Beach M . Trust in physicians and racial disparities in HIV care. AIDS Patient Care STDS. 2010; 24(7):415-20. PMC: 3472674. DOI: 10.1089/apc.2009.0288. View

Thrasher A, Earp J, Golin C, Zimmer C . Discrimination, distrust, and racial/ethnic disparities in antiretroviral therapy adherence among a national sample of HIV-infected patients. J Acquir Immune Defic Syndr. 2008; 49(1):84-93. DOI: 10.1097/QAI.0b013e3181845589. View

Kinsler J, Wong M, Sayles J, Davis C, Cunningham W . The effect of perceived stigma from a health care provider on access to care among a low-income HIV-positive population. AIDS Patient Care STDS. 2007; 21(8):584-92. DOI: 10.1089/apc.2006.0202. View

Okoro O, Odedina F . Improving medication adherence in African-American women living with HIV/AIDS: Leveraging the provider role and peer involvement. AIDS Care. 2015; 28(2):179-85. DOI: 10.1080/09540121.2015.1071771. View

Quinn S . AIDS and the African American woman: the triple burden of race, class, and gender. Health Educ Q. 1993; 20(3):305-20; discussion 321-6. DOI: 10.1177/109019819302000303. View

Green A, Carrillo J, Betancourt J . Why the disease-based model of medicine fails our patients. West J Med. 2002; 176(2):141-3. PMC: 1071693. View

10.

Sullivan L, Stein M, Savetsky J, Samet J . The doctor-patient relationship and HIV-infected patients' satisfaction with primary care physicians. J Gen Intern Med. 2000; 15(7):462-9. PMC: 1495486. DOI: 10.1046/j.1525-1497.2000.03359.x. View

11.

Brion J . The patient-provider relationship as experienced by a diverse sample of highly adherent HIV-infected people. J Assoc Nurses AIDS Care. 2013; 25(2):123-34. DOI: 10.1016/j.jana.2013.01.006. View

12.

Connor A, Howett M . A conceptual model of intentional comfort touch. J Holist Nurs. 2009; 27(2):127-35. DOI: 10.1177/0898010109333337. View

13.

Dang B, Westbrook R, Black W, Rodriguez-Barradas M, Giordano T . Examining the link between patient satisfaction and adherence to HIV care: a structural equation model. PLoS One. 2013; 8(1):e54729. PMC: 3559888. DOI: 10.1371/journal.pone.0054729. View

14.

BUTTS J, Janes S . Transcending the latex barrier: the therapeutics of comfort touch in patients with acquired immunodeficiency syndrome. Holist Nurs Pract. 1995; 10(1):61-7. DOI: 10.1097/00004650-199510000-00010. View

15.

Schuster M, Collins R, Cunningham W, Morton S, Zierler S, Wong M . Perceived discrimination in clinical care in a nationally representative sample of HIV-infected adults receiving health care. J Gen Intern Med. 2005; 20(9):807-13. PMC: 1490199. DOI: 10.1111/j.1525-1497.2005.05049.x. View

16.

Robertson K . Active listening: more than just paying attention. Aust Fam Physician. 2005; 34(12):1053-5. View

17.

Flickinger T, Saha S, Roter D, Korthuis P, Sharp V, Cohn J . Clinician empathy is associated with differences in patient-clinician communication behaviors and higher medication self-efficacy in HIV care. Patient Educ Couns. 2015; 99(2):220-6. PMC: 5610904. DOI: 10.1016/j.pec.2015.09.001. View

18.

Henry S, Fuhrel-Forbis A, Rogers M, Eggly S . Association between nonverbal communication during clinical interactions and outcomes: a systematic review and meta-analysis. Patient Educ Couns. 2011; 86(3):297-315. DOI: 10.1016/j.pec.2011.07.006. View

19.

Apollo A, Golub S, Wainberg M, Indyk D . Patient-provider relationships, HIV, and adherence: requisites for a partnership. Soc Work Health Care. 2006; 42(3-4):209-24. DOI: 10.1300/J010v42n03_13. View

20.

Beach M, Saha S, Korthuis P, Sharp V, Cohn J, Wilson I . Patient-provider communication differs for black compared to white HIV-infected patients. AIDS Behav. 2010; 15(4):805-11. PMC: 2944011. DOI: 10.1007/s10461-009-9664-5. View