Significant health disparities exist in both infection rates and outcomes for those with HIV, 19% of whom are women, the majority in their reproductive years of life and African American. Utilizing Husserlian phenomenological methodology, the purpose of this study was to understand the experiences of women living with HIV and their reproductive decision making, as well as the power dynamics within their relationship and if or how these dynamics shape their reproductive decision-making. Data from in-depth interviews from nine participants were analyzed utilizing The Listening Guide. Three major themes emerged: I Have My Tribe; I Have the Power; and I am HIV-Positive, but I am Normal, and I am Informed. Although these women experienced personal betrayals and stigma, they were still capable of disclosing their HIV status to their significant others, demonstrating personal power which led to positive power dynamics between the women and their partners especially in terms of sexual and reproductive decision-making. Efforts must continue to support HIV-positive women in retaining their personal power if we are to reduce health disparities.

中文翻译：

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通过了解感染艾滋病毒的女性在亲密关系权力和生殖决策方面的生活经历来减少健康差异

艾滋病病毒感染者的感染率和结果存在显着的健康差异，其中 19% 是女性，大多数处于生育年龄和非裔美国人。利用胡塞尔现象学方法，本研究的目的是了解艾滋病毒感染妇女的经历及其生殖决策，以及她们关系中的权力动态，以及这些动态是否或如何影响她们的生殖决策。使用听力指南分析了来自九名参与者的深度访谈的数据。出现了三大主题：我有我的部落；我有力量; 我是 HIV 阳性，但我是正常人，我是知情的。尽管这些女性经历了个人背叛和耻辱，但她们仍然能够向重要的其他人透露自己的艾滋病毒状况，展示个人权力，从而在妇女及其伴侣之间产生积极的权力动态，特别是在性和生殖决策方面。如果我们要缩小健康差距，就必须继续努力支持 HIV 阳性女性保留她们的个人权力。