Till Death Do Us Part: Lived Experiences of HIV-Positive Married African American Women

By Edwards, Lorece V.; Irving, Shalon M. et al. | The Qualitative Report, September 2011 | Go to article overview

Till Death Do Us Part: Lived Experiences of HIV-Positive Married African American Women


Edwards, Lorece V., Irving, Shalon M., Hawkins, Anita S., The Qualitative Report


The HIV/AIDS epidemic continues to take its toll throughout the U.S., particularly within the African American community (Centers for Disease Control and Prevention [CDC], 2008b). A prime example of the HIV/AIDS devastation would be the nation's capital, Washington D.C. It is now estimated that three percent of all residents in the District of Columbia are living with HIV/AIDS; the highest burden of disease is found among African American males at a rate of 6.5% (District of Columbia, Department of Health, 2008). Moreover, the estimates of HIV prevalence among African Americans are strikingly similar to, and in some cases exceed, population-based estimates of HIV seroprevalence among adults, ages 15-49 years, reported by several countries in sub-Sahara African, Asia, and the Caribbean (UNAIDS & World Health Organization [WHO], 2007). At the end of 2006, there were approximately 1.1 million people living with HIV infection in the United States, of which 46% were African American (CDC, 2008b).

Recent U.S. incidence data show that the rate of HIV infection is seven times higher among African Americans than it is among Whites (Hall et al., 2008). HIV/AIDS have hit the African American community the hardest and longest. Although African Americans only accounted for about 13% of the U.S. population in 2006, they accounted for 46% of new infections that year alone (Sutton et al., 2009). African American men and women bear the disproportionate burden of new HIV/AIDS cases.

Despite advances in prevention and treatment of HIV/AIDS, women continue to suffer from this disease at increasingly alarming rates (Armistead, Morse, Forehand, Morse, & Clark, 1999). In the U.S. in 2006, African American women had an incidence rate that was 15 times higher than that of White women and nearly four times higher than that of Hispanic women (CDC, 2008a).

African American women continue to be disproportionately affected by the HIV and AIDS epidemic over time and across circumstances. This disparity has been observed throughout the course of the U.S. epidemic (Hader, Smith, Moore, & Holmberg, 2001). Recent data suggest that African American women represent a disproportionate number (65%) of the total number of women currently living with HIV/AIDS (The Henry J. Kaiser Family Foundation, 2009). In general, women between the ages of 18-44 years constitute the fastest growing group of people infected with HIV/AIDS in the United States (O'Leary & Wingood, 2000).

There is a growing concern about morbidity and mortality associated with HIV/AIDS among African American women across the life span. El-Sadr Mayer, and Hodder (2010) note that more than a quarter of new HIV infections in the United States occur in predominantly Black or Hispanic women. However, one in 30 African American women is estimated to be diagnosed with HIV in their lifetime (Sutton et al., 2009) which is commonly transmitted through heterosexual behavior. Although only 12% of the women in the U.S. are African Americans, 67% of the U.S. women diagnosed with AIDS in 2004 were African American (CDC, 2005). The estimated rates continue to be alarming. Recent research proffers that HIV was the third leading cause of death for African American women between 25 and 34 years of age (National Alliance of State and Territorial AIDS Directors, 2008).

The lives of HIV-positive African American women are complex and unique. HIV/AIDS forces women to incorporate their diagnosis, treatment, and psychosocial factors into their day-to-day life responsibilities as well as experiences. As such, women are often the gatekeepers of care in a family. HIV/AIDS has significantly increased the burden of care for many women. Lack of social support combined with HIV/AIDS has turned the care burden for HIV-positive women into a crisis with far reaching health, economic and social consequences. It is critical to understand the influence of social support on marriage and its relations to medication adherence for married HIV-positive African American women. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

Till Death Do Us Part: Lived Experiences of HIV-Positive Married African American Women
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Author Advanced search

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.