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Volume 21
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Brief Report

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

by
Lunthita M. Duthely
1,2,*,
Sanjana Satish
3,
Sapna A. Kedia
3,
Lilliana Vilchez
2,
Priscilla T. Valls
4,
Michaela E. Larson
2,
Carolina Cruzval O’Reilly
5,
Vanessa Hurtado
6,
Maria Camila Bernal
7,
Karla Inestroza
8,
Nicholas F. Nogueira
3,
Tiffany R. Glynn
9,10,11,
Mariano J. Kanamori
2 and
Claudia A. Martinez
4
1
Department of Obstetrics, Gynecology & Reproductive Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA
2
Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA
3
Medical Education, University of Miami Miller School of Medicine, Miami, FL 33136, USA
4
Division of Cardiovascular Medicine, University of Miami Miller School of Medicine, Miami, FL 33136, USA
5
School of Medicine, Universidad Central del Caribe, Bayamon 00956, Puerto Rico
6
Department of Cardiovascular Disease, University of South Florida, Tampa, FL 33606, USA
7
Department of Family Medicine, Baptist Health Medical Group, Miami, FL 33143, USA
8
Department of Cardiology, Mayo Clinic, Rochester, MN 55905, USA
9
Department of Emergency Medicine, Brigham and Women’s Hospital, Boston, MA 02115, USA
10
Department of Psychiatry, Massachusetts General Hospital, Boston, MA 02114, USA
11
School of Medicine, Harvard University, Boston, MA 02115, USA
 
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Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2024, 21(9), 1149; https://doi.org/10.3390/ijerph21091149
Submission received: 23 July 2024 / Revised: 5 August 2024 / Accepted: 16 August 2024 / Published: 29 August 2024
(This article belongs to the Special Issue Women Living with HIV)
Versions Notes

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.
Keywords: HIV; women; cardiovascular disease; qualitative HIV; women; cardiovascular disease; qualitative

Correction Statement

This article has been republished with a minor correction of the information included in the Institutional Review Board Statement. This change does not affect the scientific content of the article.

Share and Cite

MDPI and ACS Style

Duthely, L.M.; Satish, S.; Kedia, S.A.; Vilchez, L.; Valls, P.T.; Larson, M.E.; O’Reilly, C.C.; Hurtado, V.; Bernal, M.C.; Inestroza, K.; et al. What Women with HIV Know about Heart Health and Cardiovascular Risk and Intervention Preferences. Int. J. Environ. Res. Public Health 2024, 21, 1149. https://doi.org/10.3390/ijerph21091149

AMA Style

Duthely LM, Satish S, Kedia SA, Vilchez L, Valls PT, Larson ME, O’Reilly CC, Hurtado V, Bernal MC, Inestroza K, et al. What Women with HIV Know about Heart Health and Cardiovascular Risk and Intervention Preferences. International Journal of Environmental Research and Public Health. 2024; 21(9):1149. https://doi.org/10.3390/ijerph21091149

Chicago/Turabian Style

Duthely, Lunthita M., Sanjana Satish, Sapna A. Kedia, Lilliana Vilchez, Priscilla T. Valls, Michaela E. Larson, Carolina Cruzval O’Reilly, Vanessa Hurtado, Maria Camila Bernal, Karla Inestroza, and et al. 2024. "What Women with HIV Know about Heart Health and Cardiovascular Risk and Intervention Preferences" International Journal of Environmental Research and Public Health 21, no. 9: 1149. https://doi.org/10.3390/ijerph21091149

APA Style

Duthely, L. M., Satish, S., Kedia, S. A., Vilchez, L., Valls, P. T., Larson, M. E., O’Reilly, C. C., Hurtado, V., Bernal, M. C., Inestroza, K., Nogueira, N. F., Glynn, T. R., Kanamori, M. J., & Martinez, C. A. (2024). What Women with HIV Know about Heart Health and Cardiovascular Risk and Intervention Preferences. International Journal of Environmental Research and Public Health, 21(9), 1149. https://doi.org/10.3390/ijerph21091149

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