Exploring Resilience Among Black Women Living With HIV in the Southern United States: Findings From a Qualitative Study.
Amie Koch, Tiarney D Ritchwood, Donald E Bailey and 9 others
PMID 35195613WHAT IT FOUND
Black women living with HIV described resilience as self-acceptance, self-compassion, disclosure, social support, a will to live, and helping others.
They linked support from other women and providers to less shame and more confidence.
Key findings
01Analysis produced six themes about coping and resilience among Black women living with HIV: self-acceptance, disclosure, social support, self-compassion, will to live, and service.
02Women described disclosure as difficult because of stigma and fear, but also as a route to self-acceptance, self-compassion, social support, and resilience.
03Support from other women and health care providers was described as reducing shame and strengthening self-acceptance, self-compassion, and resilience.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was a secondary analysis of data collected for another study. Resilience and social support were not originally the focus of the qualitative study. Only 20 Black women from one North Carolina site of a larger cohort were analysed, so findings may not apply to women in other regions or to women of other racial or ethnic groups. Interviews were completed during a 4-month period, so the findings are a point-in-time account rather than a description of how resilience changes over time. The study did not measure how long participants had lived with HIV, so it cannot describe how these experiences change across the illness trajectory. The interview guide did not specifically ask about service or advocacy, so not all participants reported on those activities. The interviewer was a White man, and the authors noted a possible power difference that may have influenced responses.
Declared interests
The authors reported no real or perceived conflicts of interest. The article is listed as supported by NIH extramural research.
The easy way to misread this
Do not read these themes as proof that disclosure, support groups, or provider kindness improve HIV outcomes. The study was qualitative and secondary, and it did not test whether these experiences caused greater resilience or better care.