We discuss the importance of healthcare providers engaging their middle SES Black female patients in routine discussions about sexual health and sexual risk reduction, regardless of providers’ perceptions of their potential STI/HIV risk. We recommend including SES as a variable in data collection and research in order to better understand how social class, race, and gender affect sexual health behavior and the provision of STI and HIV/AIDS prevention to diverse populations.
The findings presented in this issue brief give voice to the needs of black women in the fight against HIV infection and provide suggestions to health departments and community based organizations to better serve
this population. Both the regional forums and this issue brief provide a springboard for dialogue and action surrounding holistic approaches to
addressing the prevention, care and treatment needs of black women in the United States.
The story of a person’s health is not just a story of doctors, insurance, and pharmaceuticals; it’s also the story of that person’s community, of the environment they grew up in, the employment opportunities they have, the food they can access, and many other social determinants of health.
If we want to find answers to our health crises, researchers and care providers can’t settle for only asking questions about treatment options and personal habits. They also need to partner with communities to ask questions about issues like violence and policing, housing, green space, air quality, and locally-sourced fresh food.