How Can the Experiences of Black Women Living With HIV Inform Equitable and Respectful Reproductive Health Care Delivery?

Faith E Fletcher; Ndidiamaka Amutah-Onukagha; Julie Attys; Whitney S Rice

doi:10.1001/amajethics.2021.156

How Can the Experiences of Black Women Living With HIV Inform Equitable and Respectful Reproductive Health Care Delivery?

AMA J Ethics. 2021 Feb 1;23(2):E156-165. doi: 10.1001/amajethics.2021.156.

Authors

Faith E Fletcher¹, Ndidiamaka Amutah-Onukagha², Julie Attys³, Whitney S Rice⁴

Affiliations

¹ Assistant professor in the Department of Health Behavior at the University of Alabama at Birmingham School of Public Health.
² Associate professor in the Department of Public Health and Community Medicine at Tufts University School of Medicine in Boston.
³ Case investigator at Partners in Health.
⁴ Assistant professor of behavioral, social, and health education sciences at the Rollins School of Public Health at Emory University in Atlanta, Georgia.

PMID: 33635196
DOI: 10.1001/amajethics.2021.156

Abstract

Black women living with HIV (BWLWH) contend with injuries of injustice, which manifest in restricted reproductive autonomy and decision-making power in social and medical settings. Mitigating threats to reproductive autonomy calls for innovations that consider patients' needs and offer insights on how historically situated marginalization influences today's institutional, political, and economic systems and shapes reproductive decision making. In addition to cross-disciplinary expertise and collaboration, integrating structural competency into reproductive health care requires demonstrating respect for the autonomy, lived experiences, and preferences of BWLWH.

MeSH terms

Black or African American*
Delivery of Health Care
Female
HIV Infections*
Humans
Reproduction
Reproductive Health