Applying a Nursing Perspective to Address the Challenges Experienced by Cisgender Women in the HIV Status Neutral Care Continuum: A Review of the Literature.
Keosha T Bond, Rasheeta Chandler, Crystal Chapman-Lambert and 5 others
PMID 33929979WHAT IT FOUND
Most HIV prevention programs for women ignore structural racism and exclude Black women from trials.
Nurses are uniquely positioned to lead community-based interventions, but few current programs involve them. Clinicians should screen for medical mistrust and communication barriers, not just individual risk behaviors.
Key findings
01Only 2 of 33 CDC evidence-based interventions for women are nurse-led or nurse-involved, limiting interdisciplinary approaches.
02Black and Latina women account for the majority of new HIV diagnoses but are significantly underrepresented in PrEP uptake and clinical trials.
03Structural racism and poor patient-provider communication are documented barriers to care that current interventions largely fail to address.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This is a narrative review, not a systematic review, so it may not capture all relevant literature or quantify effect sizes. The analysis of CDC EBIs relies on the current compendium, which may not include emerging or pilot studies. The paper focuses on cisgender women and does not address the specific needs of transgender women or other gender-diverse populations. Recommendations for nursing practice are based on the authors' interpretation of gaps in the literature rather than direct evidence from nursing-specific trials.
Declared interests
The authors report no real or perceived vested interests related to this article.
The easy way to misread this
Do not interpret the lack of nurse-led interventions as evidence that nursing is ineffective in HIV care. The paper states that nurses are well-positioned to lead these efforts, but the current evidence base is sparse. Do not assume that standard behavioral interventions address structural racism; the review explicitly notes that no structural interventions for U.S. women exist in the CDC compendium.