Mammography Screening Among Women Living With HIV in the United States: A Quantitative Analysis of the Role of Health Care Empowerment
As women living with HIV (WWH) age, screening for common comorbid conditions is increasingly important. However, gaps exist in how best to support mammography adherence among WWH. To examine relationships between health care empowerment (HCE) and mammography adherence, we analyzed data from the Women's Interagency HIV Study. HCE is defined as (a) being informed, committed, collaborative, and engaged in one's health care and (b) tolerant of uncertainties in treatment outcomes. Of 846 WWH, 68.7% reported mammogram receipt over a 2-year period following HCE scale completion. Multiple logistic regression analysis found that women reporting mammograms had higher informed, committed, collaborative, and engaged in one's health care scores than those who did not (adjusted odds ratio = 1.10, 95% confidence interval = 1.02-1.20, p = .02), adjusting for model covariates. Being tolerant of uncertainties in treatment outcomes was not associated with mammogram receipt. These findings expand research on modifiable determinants of mammography screening, the role of HCE, and can inform interventions to improve health outcomes among WWH.
Authors
- María L. Alcaide (ORCID: https://orcid.org/0000-0003-4648-0145)
- Rachael Farah-Abraham (ORCID: https://orcid.org/0000-0002-7378-5748)
- Rose Calixte (ORCID: https://orcid.org/0000-0002-2020-5906)
- Daniel Merenstein (ORCID: https://orcid.org/0000-0002-8808-6907)
- Elizabeth T. Golub (ORCID: https://orcid.org/0000-0001-5860-4913)
- Catalina Ramirez (ORCID: https://orcid.org/0000-0002-0872-0307)
- Tracey E. Wilson (ORCID: https://orcid.org/0000-0002-2087-8545)
- Denise M. Bruno (ORCID: https://orcid.org/0000-0003-1221-5757)
- Kathleen M. Weber (ORCID: https://orcid.org/0009-0006-8988-6929)
- Deborah J. Konkle‐Parker (ORCID: https://orcid.org/0000-0002-3319-8442)
- Mallory O. Johnson (ORCID: https://orcid.org/0000-0003-0480-2804)
- Anjali Sharma (ORCID: https://orcid.org/0000-0003-3717-025X)
- Susan Holman
Institutions
- University of North Carolina at Chapel Hill (US)
- Albert Einstein College of Medicine (US)
- Johns Hopkins University (US)
- University of Miami (US)
- Emory University (US)
- University of California, San Francisco (US)
- SUNY Downstate Health Sciences University (US)
- Georgetown University (US)
- University of Mississippi Medical Center (US)
- Hektoen Institute (US)
Publication Details
- Journal
- Journal of the Association of Nurses in AIDS Care
- Published
- 2025-06-06
- DOI
- https://doi.org/10.1097/jnc.0000000000000563
- Citations
- 1
- Primary Topic
- Global Cancer Incidence and Screening
- Type
- article
- Field-Weighted Citation Impact
- 1.05
Funders
- Georgia Clinical and Translational Science Alliance
- National Institutes of Health
- University of California, San Francisco
- Center for AIDS Research, University of Alabama at Birmingham
- National Institute on Alcohol Abuse and Alcoholism
- National Institute on Aging
- National Heart, Lung, and Blood Institute
- National Institute of Mental Health
- National Institute on Drug Abuse
- National Cancer Institute
- National Institute on Deafness and Other Communication Disorders
- National Institute of Nursing Research
- National Institute of Allergy and Infectious Diseases
- National Institute of Diabetes and Digestive and Kidney Diseases
- National Institute of Neurological Disorders and Stroke
- National Institute of Dental and Craniofacial Research
- National Institute on Minority Health and Health Disparities
- Center for AIDS Research, University of North Carolina at Chapel Hill