Integrating Afrocentric praxis in intimate partner violence and HIV care for African, Caribbean, and Black women: Navigating disclosure and access to services.

Abstract

Objectives: This study aims to explore the intersection of intimate partner violence (IPV) and human immunodeficiency virus (HIV) among African, Caribbean, and Black women in the Greater Toronto Area (GTA). It investigates the barriers African, Caribbean, and Black women face in accessing services and examines the effectiveness of Afrocentric praxis in providing culturally informed services.

Methods: Participants included African, Caribbean, and Black women aged 18-64, IPV survivors who had experience with healthcare and social services in the GTA, and healthcare professionals and social service providers knowledgeable about IPV and HIV in African, Caribbean, and Black communities. Convenience and snowball sampling were used to recruit participants through social media, and community organizations. Six talking circles and 18 semi-structured interviews were conducted. Content analysis was applied to identify key themes and patterns related to IPV, HIV, Afrocentric approaches, and service access. Ethical guidelines, including informed consent and confidentiality, were followed.

Results: Analysis revealed several themes: systemic barriers to accessing IPV and HIV services, fear of disclosure and stigmatization, and the impact of the "Strong Black Woman" schema. The study highlighted the importance of inclusive, safe spaces and the protective role of spirituality and culturally informed therapy. Afrocentric praxis emerged as essential for effective support, emphasizing community engagement, cultural context, and collective responsibility (Ujima) in addressing IPV and HIV.

Conclusion: Addressing the intersection of IPV and HIV among African, Caribbean, and Black women requires culturally informed and empowering approaches. Integrating Afrocentric values and perspectives into care is crucial for creating supportive environments that recognize and address the unique challenges faced by African, Caribbean, and Black women.