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What Women with HIV Know about Heart Health and Cardiovascular Risk and Intervention Preferences

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Listed:
  • Lunthita M. Duthely

    (Department of Obstetrics, Gynecology & Reproductive Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA
    Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA)

  • Sanjana Satish

    (Medical Education, University of Miami Miller School of Medicine, Miami, FL 33136, USA)

  • Sapna A. Kedia

    (Medical Education, University of Miami Miller School of Medicine, Miami, FL 33136, USA)

  • Lilliana Vilchez

    (Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA)

  • Priscilla T. Valls

    (Division of Cardiovascular Medicine, University of Miami Miller School of Medicine, Miami, FL 33136, USA)

  • Michaela E. Larson

    (Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA)

  • Carolina Cruzval O’Reilly

    (School of Medicine, Universidad Central del Caribe, Bayamon 00956, Puerto Rico)

  • Vanessa Hurtado

    (Department of Cardiovascular Disease, University of South Florida, Tampa, FL 33606, USA)

  • Maria Camila Bernal

    (Department of Family Medicine, Baptist Health Medical Group, Miami, FL 33143, USA)

  • Karla Inestroza

    (Department of Cardiology, Mayo Clinic, Rochester, MN 55905, USA)

  • Nicholas F. Nogueira

    (Medical Education, University of Miami Miller School of Medicine, Miami, FL 33136, USA)

  • Tiffany R. Glynn

    (Department of Emergency Medicine, Brigham and Women’s Hospital, Boston, MA 02115, USA
    Department of Psychiatry, Massachusetts General Hospital, Boston, MA 02114, USA
    School of Medicine, Harvard University, Boston, MA 02115, USA)

  • Mariano J. Kanamori

    (Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA)

  • Claudia A. Martinez

    (Division of Cardiovascular Medicine, University of Miami Miller School of Medicine, Miami, FL 33136, USA)

Abstract

Cardiovascular disease (CVD) is a significant health concern influenced by various determinants. Stigma and resilience have emerged as factors in CVD development and management. Women with HIV (WWH) have higher CVD rates than women without HIV. To improve cardiovascular health for WWH, a comprehensive understanding of how these factors interact, the understanding about individual awareness and willingness to engage in risk-reduction interventions are needed. Methods: As part of a study examining CVD risk among WWH aged >35 years old, 90-min focus groups were conducted (May 2022) in the English language. Focus groups aimed to elicit participants’ CVD risk knowledge and potential prevention strategies. Transcripts underwent a qualitative analysis. Results: Nineteen WWH participated in three focus groups. Participants experienced the following: (a) enacted stigma related to their HIV diagnosis (e.g., family, church member, healthcare staff); (b) a recent event (e.g., hospitalization of self/family, death in family, chest pain) triggered both heart health-promoting lifestyle changes and suboptimal health behaviors (e.g., COVID-19 pandemic: unhealthy snacking). Participants wanted to obtain more knowledge (“on a mission”) about CVD risk. In total, 100% expressed willingness to take medication or embark on other lifestyle changes to prevent future CVD events. Although participants identified preventative heart health behaviors (e.g., eating healthy foods; exercising; limiting stress, substances, and smoking), misconceptions were also identified (e.g., “catching” heart disease). Conclusions: Understanding the interplay of the different factors related to heart health is needed both at the provider and the patient level to inform interventions that reduce CVD risk amongst racial/ethnic minoritized women with HIV, living in the Southern region of the US.

Suggested Citation

  • Lunthita M. Duthely & Sanjana Satish & Sapna A. Kedia & Lilliana Vilchez & Priscilla T. Valls & Michaela E. Larson & Carolina Cruzval O’Reilly & Vanessa Hurtado & Maria Camila Bernal & Karla Inestroza, 2024. "What Women with HIV Know about Heart Health and Cardiovascular Risk and Intervention Preferences," IJERPH, MDPI, vol. 21(9), pages 1-11, August.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:9:p:1149-:d:1467256
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    References listed on IDEAS

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    1. Rice, Whitney S. & Logie, Carmen H. & Napoles, Tessa M. & Walcott, Melonie & Batchelder, Abigail W. & Kempf, Mirjam-Colette & Wingood, Gina M. & Konkle-Parker, Deborah J. & Turan, Bulent & Wilson, Tra, 2018. "Perceptions of intersectional stigma among diverse women living with HIV in the United States," Social Science & Medicine, Elsevier, vol. 208(C), pages 9-17.
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