Enhancing Cardiovascular Health in Southeastern United States for Underrepresented Racial and Ethnic Minorities With HIV: A Qualitative Inquiry Using the Health Belief Model.
| Title: | Enhancing Cardiovascular Health in Southeastern United States for Underrepresented Racial and Ethnic Minorities With HIV: A Qualitative Inquiry Using the Health Belief Model. |
|---|---|
| Authors: | Muiruri C; Charles Muiruri, PhD, MPH, is a Health Services Researcher, Assistant Professor, Duke Department of Population Health Sciences and Duke Global Health Institute, Durham, North Carolina, USA. Carrie Dombeck, MA, is a Project Leader and Qualitative Research Analyst, Department of Population Health Sciences, Durham, North Carolina, USA. Amy Corneli, PhD, MPH, is a Social Scientist and Professor, Duke Department of Population Health Sciences and Duke Global Health Institute, Durham, North Carolina, USA. April C. Pettit, MD, MPH, is an Associate Professor of Medicine, Divisions of Infectious Diseases and Epidemiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA. Nwora Lance Okeke, MD, MPH, is an Infectious Diseases Physician Scientist and Associate Professor, Duke Department of Medicine, Durham, North Carolina, USA. Chris T. Longenecker, MD, is a Non-invasive Cardiologist and Associate Professor, Division of Cardiology and Department of Global Health, University of Washington School of Medicine, Seattle, Washington, USA. Eric G. Meissner, MD, PhD, is an Infectious Diseases Physician Scientist and Associate Professor, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA. Sarah Gonzales, BA, is a Clinical Research Coordinator, Duke Department of Population Health Sciences, Duke University, Durham, North Carolina, USA. Shamea Gray, is a Community Advisory Member, Durham, North Carolina, USA. Joseph Vicini, BA, MDiv, is a Community Advisory Member, Nashville, Tennessee, USA. Morgan Lima, MSN, RN, AC, RN, is a Clinical Nurse, Vanderbilt University Medical Center, Nashville, Tennessee, USA. Mersedes Brown, MPH, is a Clinical Research Coordinator, Department of Population Health Sciences, Durham, North Carolina, USA. Mary C. Hill, is an undergraduate student, Duke University, Durham, North Carolina, USA. Joshua Kwawuvi, MPH, is a graduate student, Duke University, Durham, North Carolina, USA. Jules Iradukunda, MD, MSc, is a graduate student, Duke University, Durham, North Carolina, USA. Gerald S. Bloomfield, MD, MPH, is a Non-invasive Cardiologist and Associate Professor, Duke Division of Cardiology, Department of Medicine and Duke Global Health Institute, Duke University, Durham, North Carolina, USA.; Dombeck C; Corneli A; Pettit AC; Okeke NL; Longenecker CT; Meissner EG; Gonzales S; Gray S; Vicini J; Lima M; Brown M; Hill MC; Kwawuvi J; Iradukunda J; Bloomfield GS |
| Source: | The Journal of the Association of Nurses in AIDS Care : JANAC [J Assoc Nurses AIDS Care] 2026 Jan-Feb 01; Vol. 37 (1), pp. 107-117. Date of Electronic Publication: 2025 Jul 29. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Wolters Kluwer Health Country of Publication: United States NLM ID: 9111870 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-6917 (Electronic) Linking ISSN: 10553290 NLM ISO Abbreviation: J Assoc Nurses AIDS Care Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2019- : [Philadelphia, PA] : Wolters Kluwer Health; Original Publication: Philadelphia, PA : Nursecom, Inc., 1989- |
| MeSH Terms: | Cardiovascular Diseases*/prevention & control ; Cardiovascular Diseases*/ethnology ; Ethnicity*/statistics & numerical data ; Ethnicity*/psychology ; HIV Infections*/ethnology ; HIV Infections*/complications ; HIV Infections*/psychology ; Minority Groups*/statistics & numerical data ; Minority Groups*/psychology ; Health Belief Model*; Black or African American/statistics & numerical data ; Black or African American/psychology ; Southeastern United States/epidemiology ; Adult ; Female ; Humans ; Male ; Middle Aged ; Health Knowledge, Attitudes, Practice ; Health Services Accessibility ; Interviews as Topic ; Qualitative Research ; Risk Factors |
| Abstract: | Abstract: People with HIV from historically underrepresented racial and ethnic minority (URM) groups are at increased risk of cardiovascular disease (CVD). Guided by the health belief model, we conducted in-depth interviews with URM with HIV, established CVD, and CVD risk factors at three academic medical centers in the Southern United States between November 2019 and March 2020. We analyzed the data using applied thematic analysis. A total of 27 participants were interviewed, and most were African American. Participants described their HIV status as a contributing factor to perceived severity of CVD. Barriers, such as a lack of access to specialists and affordability found in our study, highlight both individual challenges and systemic issues affecting this population. To ensure equitable CVD care, interventions should address both individual beliefs and systemic barriers. Integrating these findings into new or existing intervention strategies has the potential to enhance preventive efforts and improve cardiovascular health outcomes in this population.; (Copyright © 2025 Association of Nurses in AIDS Care.) |
| References: | Am Heart J. 2019 Jun;212:23-35. (PMID: 30928825); J Am Coll Cardiol. 2010 Jun 29;56(1):38-46. (PMID: 20620715); JAMA Intern Med. 2013 Apr 22;173(8):614-22. (PMID: 23459863); Prog Cardiovasc Dis. 2020 Mar - Apr;63(2):79-91. (PMID: 32199901); AIDS Patient Care STDS. 2018 Oct;32(10):418-424. (PMID: 30277814); Prog Cardiovasc Dis. 2020 Mar - Apr;63(2):142-148. (PMID: 32057785); Am Heart J. 2019 Mar;209:79-87. (PMID: 30685678); Res Nurs Health. 2010 Feb;33(1):77-84. (PMID: 20014004); J Am Coll Cardiol. 2020 Dec 22;76(25):2980-2981. (PMID: 33309174); Qual Health Res. 2016 Nov;26(13):1753-1760. (PMID: 26613970); Clin Infect Dis. 2013 Mar;56(5):727-34. (PMID: 23254417); Circulation. 2005 Mar 15;111(10):1233-41. (PMID: 15769763); J Gen Intern Med. 2010 Nov;25(11):1172-7. (PMID: 20571929); PLoS One. 2018 Mar 29;13(3):e0194940. (PMID: 29596462); Diabetes Care. 2007 Jan;30(1):113-9. (PMID: 17192343); Res Nurs Health. 2000 Aug;23(4):334-40. (PMID: 10940958); Circulation. 2015 Sep 1;132(9):873-98. (PMID: 26240271); J Acquir Immune Defic Syndr. 2020 Apr 15;83(5):513-521. (PMID: 31914003); Curr HIV/AIDS Rep. 2016 Aug;13(4):218-25. (PMID: 27245605); Circulation. 2023 Feb 21;147(8):e93-e621. (PMID: 36695182); J Infect Dis. 2008 Jun 1;197(11):1490-2. (PMID: 18422454); J Racial Ethn Health Disparities. 2024 Jun;11(3):1509-1519. (PMID: 37160576); Am Heart J. 2019 Oct;216:91-101. (PMID: 31419622); J Infect Dis. 2012 Jun;205 Suppl 3:S355-61. (PMID: 22577208); Annu Rev Psychol. 1997;48:411-47. (PMID: 9046565); Am J Drug Alcohol Abuse. 2015;41(6):479-88. (PMID: 26286352); Circulation. 2018 Sep 11;138(11):1100-1112. (PMID: 29967196); Clin Infect Dis. 2021 Dec 6;73(11):2009-2022. (PMID: 34134131); JAMA. 2012 Jul 25;308(4):405-6. (PMID: 22820794); Curr Opin HIV AIDS. 2014 Jul;9(4):346-54. (PMID: 24824885); J Card Surg. 2020 Dec;35(12):3530-3538. (PMID: 32949061); J Infect Dis. 2022 Nov 11;226(10):1809-1822. (PMID: 35535576); Pathog Immun. 2020 Jun 17;5(1):143-174. (PMID: 32856008); Health Educ Q. 1984 Spring;11(1):1-47. (PMID: 6392204); Curr Cardiol Rev. 2015;11(3):238-45. (PMID: 25418513); Circ Res. 2018 Jan 19;122(2):213-230. (PMID: 29348251); Lancet HIV. 2023 May;10(5):e295-e307. (PMID: 36958365); J Int Assoc Provid AIDS Care. 2020 Jan-Dec;19:2325958220904241. (PMID: 32162997); Popul Health Manag. 2013 Jun;16(3):201-7. (PMID: 23194035) |
| Grant Information: | K01 HL159052 United States HL NHLBI NIH HHS; P30 AI064518 United States AI NIAID NIH HHS; P30 AI110527 United States AI NIAID NIH HHS; R01 MD013493 United States MD NIMHD NIH HHS |
| Contributed Indexing: | Keywords: HIV; cardiovascular diseases; ethnic and racial minorities; health belief model; qualitative research |
| Entry Date(s): | Date Created: 20250729 Date Completed: 20251224 Latest Revision: 20260405 |
| Update Code: | 20260405 |
| PubMed Central ID: | PMC12392293 |
| DOI: | 10.1097/JNC.0000000000000576 |
| PMID: | 40728223 |
| Database: | MEDLINE |
Journal Article