Dissertation
Examining the effects of satisfaction with healthcare providers on the sexual risk behaviors of African American women living with HIV/AIDS
Doctor of Public Health (Dr.P.H.), Drexel University
May 2009
DOI:
https://doi.org/10.17918/etd-3092
Abstract
African American women are disproportionately affected by HIV/AIDS andaccount for 64% of women living with HIV/AIDS in the United States (CDC, 2005a). Unsafe sexual practices of HIV positive women can put them at increased risk ofinfection with sexually transmitted infections (STIs) that can intensify their HIV relatedsymptoms and put partners at risk for secondary transmission. National policies havesought the assistance of healthcare providers (HCPs) to engage HIV positive patients inreducing their risky sexual behaviors since HCPs have proven to have success inreducing risk behaviors of HIV positive patients. Further, satisfaction with healthcareproviders (HCPs) has proven to be a predictor of behavior and health outcomes amongHIV positive patients (Burke-Miller et al., 2006). To date, virtually no studies haveexamined the influence of HIV positive patients' satisfaction with HCPs on sexual riskbehaviors. Given the disparities of HIV/AIDS among African American women, it isimportant to know the impact of their satisfaction with their HCPs on reducing riskysexual behaviors. Thus, this dissertation conducted a secondary data analysis to examine the effectof satisfaction with HCPs on condom use behaviors of African American women livingwith HIV/AIDS. This study analyzed quantitative data from a predominantly lowincome sample of 157 African American women with HIV/AIDS who ranged in agefrom 20 to 70 (M = 39.85; SD = 8.72) who participated in Protect and Respect, a sexualrisk reduction program for women with HIV/AIDS. This study sought to test thefollowing hypotheses: (1) participant characteristics (e.g. communication with HCPs,CD4 count, viral load, etc.) had an impact on satisfaction with HCPs and (2) satisfactionwith HCPs had an influence on condom use behaviors. The study found high levels ofsatisfaction with their HCPs among the sample. The study also found that participantsreported communication with their HCPs about very personal and stigmatized topicsincluding sex, condom use, and transmission of HIV. However, the study did not find anysignificant relationships between participant characteristics and satisfaction with HCPs(p>.05). The study also did not find significant relationships between satisfaction withHCPs and condom use (p>.05).
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Details
- Title
- Examining the effects of satisfaction with healthcare providers on the sexual risk behaviors of African American women living with HIV/AIDS
- Creators
- Jillian Lucas Baker - DU
- Contributors
- Lisa Bowleg (Advisor) - DU
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Public Health (Dr.P.H.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- School of Public Health (2002-2015); Drexel University
- Other Identifier
- 3092; 991014632609804721