How Can the Experiences of Black Women Living With HIV Inform Equitable and Respectful Reproductive Health Care Delivery?

AMA J Ethics. 2021 Feb 1;23(2):E156-165. doi: 10.1001/amajethics.2021.156.


Black women living with HIV (BWLWH) contend with injuries of injustice, which manifest in restricted reproductive autonomy and decision-making power in social and medical settings. Mitigating threats to reproductive autonomy calls for innovations that consider patients' needs and offer insights on how historically situated marginalization influences today's institutional, political, and economic systems and shapes reproductive decision making. In addition to cross-disciplinary expertise and collaboration, integrating structural competency into reproductive health care requires demonstrating respect for the autonomy, lived experiences, and preferences of BWLWH.

MeSH terms

  • Black or African American*
  • Delivery of Health Care
  • Female
  • HIV Infections*
  • Humans
  • Reproduction
  • Reproductive Health