Date of Conferral

2022

Degree

Doctor of Public Health (DrPH)

School

Public Health

Advisor

Wen-Hung Kuo

Abstract

African born immigrants (ABIs) face challenges associated with HIV testing. As a result, many ABIs are not tested for HIV, and this population is among some of the most diagnosed at late stages of HIV/AIDS. The purpose of this qualitative phenomenological study was to explore and seek to understand the lived experiences of ABI adults ages 25 to 49 living in Washington State. I gathered data to gain their perceptions of HIV testing through in-depth interviews. The study was informed by the health belief model, which helped to understand the complex nature of healthcare-seeking behaviors among this population and how their experiences shape their decision making related to HIV testing. Thirty one ABIs completed the interviews. Data collected from interviews were analyzed and three themes emerged: (a) barriers to HIV testing and of the acceptability of HIV, (b) lived experiences of African immigrants impact their decision to take an HIV test, and (c) impact of perceptions, attitudes, and beliefs in HIV-related stigma. The current results provide new knowledge regarding ABIs’ perceptions on HIV testing. The results indicate most ABIs embrace HIV testing; however, stigma and financial affordability of HIV-related care services remains a barrier for some ABIs. The findings of this study have potential implications for positive social change by providing an understanding of the impact of lived experiences of ABIS related to HIV testing. The consensus from the study was that there is potential for positive social change at all levels that can be achieved by implementing programs that would reduce bias, stigma, and barriers. The study may help public health programs implementers design programs that would be beneficial to ABIs through culture sensitive care.

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