Results from a secondary data analysis regarding satisfaction with health care among African American women living with HIV/AIDS

J Obstet Gynecol Neonatal Nurs. 2014 Sep-Oct;43(5):664-676. doi: 10.1111/1552-6909.12491. Epub 2014 Aug 19.

Abstract

Objective: To analyze satisfaction with health care among African American women living with HIV/AIDS.

Design: Secondary analysis of baseline data of African American women who participated in Protect and Respect, a sexual risk reduction program for women living with HIV/AIDS SETTING: HIV Care Clinic in an urban city in the northeast United States.

Participants: One hundred fifty-seven (157) African American women living with HIV/AIDS.

Methods: Regression analyses were used to examine the relationships between demographic variables, self-reported health characteristics, communication with health care providers, and satisfaction with health care provider.

Results: A majority of women reported satisfaction with medical services (88%, n = 140). Communication with health care providers, detectable viral load, education, income, self-reported health status, and sexual orientation were significantly bivariately associated with satisfaction with healthcare (all ps < .05). In the multivariate models, no variables significantly predicted satisfaction with healthcare.

Conclusion: Because satisfaction with health care can influence the quality of care received, health outcomes, and adherence to provider recommendations among patients living with HIV/AIDS, health care providers' ability to elicit satisfaction from their patients is just as important as the services they provide. This project is one of the first studies to find high rates of satisfaction with health care among African American women living with HIV/AIDS. Further examination of satisfaction with health care among African American women living HIV/AIDS may help in narrowing health care disparities and negative treatment outcomes.

Keywords: AIDS; African American; HIV; health care; patient satisfaction; providers; quantitative; women.

Publication types

  • Evaluation Study

MeSH terms

  • Acquired Immunodeficiency Syndrome / diagnosis
  • Acquired Immunodeficiency Syndrome / ethnology
  • Acquired Immunodeficiency Syndrome / therapy
  • Adult
  • Ambulatory Care Facilities
  • Black or African American / statistics & numerical data*
  • Databases, Factual
  • Female
  • HIV Infections / diagnosis
  • HIV Infections / ethnology
  • HIV Infections / therapy*
  • Health Care Surveys
  • Humans
  • Middle Aged
  • Multivariate Analysis
  • Patient Outcome Assessment*
  • Patient Satisfaction / statistics & numerical data*
  • Regression Analysis
  • United States
  • Urban Population
  • Women's Health Services / organization & administration
  • Young Adult