The expectation that men will have multiple partners increases the chances that women may be at risk of acquiring HIV due to their partners' sexual activities Cianelli et al. These services include health education, public assistance application, emergency food program, refugee and senior citizens program, legal and job assistance, and development programs. In addition, the research team placed fliers at popular gathering spots for Hispanic persons in the community e. Each of the three coders coded each line independently from the other coders. Verbal, physical, or sexual IPV are areas that health care providers may not assess or ask older women to discuss Bonomi et al.
Along with general factors that increase the vulnerability of older women to HIV, a number of specific cultural factors place OHW at particularly high risk for HIV; these factors have not often been addressed in the literature, including a intimate partner violence IPV; e. We felt this information was needed to develop or adapt an age and culturally tailored intervention to prevent HIV risk behaviors. The PI of the study listened to the focus group tapes and reviewed transcriptions for accuracy. A codebook and a coding sheet were developed to facilitate the coding process. Older women, particularly Hispanic women ages 50 years and older, are at a high risk for HIV infection, despite being the least studied minority group in the United States with regard to health and social practices or sexual behaviors. What do you know about older women having younger sexual partners? In addition, this setting has been used in previous studies with OHW. Two of the transcribers were bilingual in Spanish and English, and one was English speaking. Data Analysis We used content analysis to identify and define the major themes that emerged from the focus groups. Perimenopausal-Postmenopausal Related Biological Changes Women ages 50 and older are more vulnerable to HIV due to normal, age-related biological changes such as decreasing levels of estrogen that lead to a reduced production of vaginal lubrication and vaginal tissue thinning. These services include health education, public assistance application, emergency food program, refugee and senior citizens program, legal and job assistance, and development programs. In addition, the research team placed fliers at popular gathering spots for Hispanic persons in the community e. Final themes were decided through consensus among the research team members. What can you tell me about your experience related to sex during menopause? Method Design A mixed methods design including collection of both qualitative and quantitative data was used for our study. The institutional review board IRB from the University of Miami approved the study prior to commencement of data collection. In the face of such staggering statistics that clearly reflect a drastic increase in HIV infection among OHW, we believe there is a demanding need to better understand and address the factors that may be placing this population at increased risk in order to confront the existing health disparity. Abstract Hispanic women who are 50 years of age and older have been shown to be at increased risk of acquiring HIV infection due to age and culturally related issues. The research staff meticulously reviewed the transcriptions to verify that there were no discrepancies between the Spanish and English versions. Probes were used to stimulate discussion among the group participants. Results Demographic Characteristics of Participants The participant's mean age was What can you tell me about symptoms that you have experienced during menopause? Language provides the vehicle of communication as interpretive structure that must be read Sandelowski, The purpose of our study was to investigate factors that increase HIV risk among older Hispanic women OHW as a basis for development or adaptation of an age and culturally tailored intervention designed to prevent HIV-related risk behaviors. All groups were conducted in Spanish in accordance with participants' preferences. We were careful not to include any identifying information in the transcriptions.
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