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Stigma and resilience have emerged as factors in CVD development and management. Women with HIV (WWH) have higher CVD rates than women without HIV. To improve cardiovascular health for WWH, a comprehensive understanding of how these factors interact, the understanding about individual awareness and willingness to engage in risk-reduction interventions are needed. Methods: As part of a study examining CVD risk among WWH aged &gt;35 years old, 90-min focus groups were conducted (May 2022) in the English language. Focus groups aimed to elicit participants\u2019 CVD risk knowledge and potential prevention strategies. Transcripts underwent a qualitative analysis. Results: Nineteen WWH participated in three focus groups. Participants experienced the following: (a) enacted stigma related to their HIV diagnosis (e.g., family, church member, healthcare staff); (b) a recent event (e.g., hospitalization of self\/family, death in family, chest pain) triggered both heart health-promoting lifestyle changes and suboptimal health behaviors (e.g., COVID-19 pandemic: unhealthy snacking). Participants wanted to obtain more knowledge (\u201con a mission\u201d) about CVD risk. In total, 100% expressed willingness to take medication or embark on other lifestyle changes to prevent future CVD events. Although participants identified preventative heart health behaviors (e.g., eating healthy foods; exercising; limiting stress, substances, and smoking), misconceptions were also identified (e.g., \u201ccatching\u201d heart disease). Conclusions: Understanding the interplay of the different factors related to heart health is needed both at the provider and the patient level to inform interventions that reduce CVD risk amongst racial\/ethnic minoritized women with HIV, living in the Southern region of the US.<\/jats:p>","DOI":"10.3390\/ijerph21091149","type":"journal-article","created":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T11:33:37Z","timestamp":1724931217000},"page":"1149","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["What Women with HIV Know about Heart Health and Cardiovascular Risk and Intervention Preferences"],"prefix":"10.3390","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9003-3257","authenticated-orcid":false,"given":"Lunthita M.","family":"Duthely","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Gynecology & Reproductive Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA"},{"name":"Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjana","family":"Satish","sequence":"additional","affiliation":[{"name":"Medical Education, University of Miami Miller School of Medicine, Miami, FL 33136, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sapna A.","family":"Kedia","sequence":"additional","affiliation":[{"name":"Medical Education, University of Miami Miller School of Medicine, Miami, FL 33136, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lilliana","family":"Vilchez","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Priscilla T.","family":"Valls","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Medicine, University of Miami Miller School of Medicine, Miami, FL 33136, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michaela E.","family":"Larson","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4736-9667","authenticated-orcid":false,"given":"Carolina Cruzval","family":"O\u2019Reilly","sequence":"additional","affiliation":[{"name":"School of Medicine, Universidad Central del Caribe, Bayamon 00956, Puerto Rico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa","family":"Hurtado","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Disease, University of South Florida, Tampa, FL 33606, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Camila","family":"Bernal","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Baptist Health Medical Group, Miami, FL 33143, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6156-3869","authenticated-orcid":false,"given":"Karla","family":"Inestroza","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Mayo Clinic, Rochester, MN 55905, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas F.","family":"Nogueira","sequence":"additional","affiliation":[{"name":"Medical Education, University of Miami Miller School of Medicine, Miami, FL 33136, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tiffany R.","family":"Glynn","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Brigham and Women\u2019s Hospital, Boston, MA 02115, 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