Publication:
Examining the relationships between experienced and anticipated stigma in health care settings, patient-provider race concordance, and trust in providers among women living with HIV

dc.contributor.coauthorBudhwani, Henna
dc.contributor.coauthorYigit, Ibrahim
dc.contributor.coauthorOfotokun, Igho
dc.contributor.coauthorKonkle-Parker, Deborah J.
dc.contributor.coauthorCohen, Mardge H.
dc.contributor.coauthorWingood, Gina M
dc.contributor.coauthorMetsch, Lisa R.
dc.contributor.coauthorAdimora, Adaora A.
dc.contributor.coauthorTaylor, Tonya N.
dc.contributor.coauthorWilson, Tracey E.
dc.contributor.coauthorWeiser, Sheri D.
dc.contributor.coauthorKempf, Mirjam-Colette
dc.contributor.coauthorSosanya, Oluwakemi
dc.contributor.coauthorGange, Stephen
dc.contributor.coauthorKassaye, Seble
dc.contributor.coauthorTuran, Janet M.
dc.contributor.departmentDepartment of Psychology
dc.contributor.kuauthorTuran, Bülent
dc.contributor.schoolcollegeinstituteCollege of Social Sciences and Humanities
dc.date.accessioned2024-11-09T23:51:26Z
dc.date.issued2021
dc.description.abstractStigma in health care settings can have negative consequences on women living with HIV, such as increasing the likelihood of missed visits and reducing trust in their clinical providers. Informed by prior stigma research and considering knowledge gaps related to the effect of patient-provider race concordance, we conducted this study to assess if patient-provider race concordance moderates the expected association between HIV-related stigma in health care settings and patients' trust in their providers. Moderation analyses were conducted using Women's Interagency HIV Study data (N = 931). We found significant main effects for patient-provider race concordance. Higher experienced stigma was associated with lower trust in providers in all patient-provider race combinations [White-White: B =-0.89, standard error (SE) = 0.14, p = 0.000, 95% confidence interval, CI (-1.161 to-0.624); Black patient-White provider: B =-0.19, SE = 0.06, p = 0.003, 95% CI (-0.309 to-0.062); and Black-Black: B =-0.30, SE = 0.14, p = 0.037, 95% CI (-0.575 to-0.017)]. Higher anticipated stigma was also associated with lower trust in providers [White-White: B =-0.42, SE = 0.07, p = 0.000, 95% CI (-0.552 to-0.289); Black patient-White provider: B =-0.17, SE = 0.03, p = 0.000, 95% CI (-0.232 to-0.106); and Black-Black: B =-0.18, SE = 0.06, p = 0.002, 95% CI (-0.293 to-0.066)]. Significant interaction effects indicated that the negative associations between experienced and anticipated HIV-related stigma and trust in providers were stronger for the White-White combination compared with the others. Thus, we found that significant relationships between HIV-related experienced and anticipated stigma in health care settings and trust in providers exist and that these associations vary across different patient-provider race combinations. Given that reduced trust in providers is associated with antiretroviral medication nonadherence and higher rates of missed clinical visits, interventions to address HIV-related stigma in health care settings may improve continuum of care outcomes.
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.indexedbyWOS
dc.description.issue11
dc.description.openaccessYES
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.sponsorshipThe MWCCS is funded primarily by the National Heart, Lung, and Blood Institute (NHLBI), with additional co-funding from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institute on Aging (NIA), National Institute of Dental and Craniofacial Research (NIDCR), National Institute of Allergy and Infectious Diseases (NIAID), National Institute of Neurological Disorders and Stroke (NINDS), National Institute of Mental Health (NIMH), National Institute on Drug Abuse (NIDA), National Institute of Nursing Research (NINR), National Cancer Institute (NCI), National Institute on Alcohol Abuse and Alcoholism (NIAAA), National Institute on Deafness and Other Communication Disorders (NIDCD), National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), and National Institute on Minority Health and Health Disparities (NIMHD), and in coordination and alignment with the research priorities of the National Institutes of Health, Office of AIDS Research (OAR). MWCCS data collection is also supported by UL1-TR000004 (UCSF CTSA), UL1-TR003098 ( JHU ICTR), UL1-TR001881 (UCLA CTSI), P30-AI-050409 (Atlanta CFAR), P30-AI-073961 (Miami CFAR), P30-AI-050410 (UNC CFAR), P30-AI-027767 (UAB CFAR), and P30-MH-116867 (Miami CHARM). Article development was supported by K01MH116737 (NIMH).
dc.description.volume35
dc.identifier.doi10.1089/apc.2021.0096
dc.identifier.issn1087-2914
dc.identifier.scopus2-s2.0-85118937639
dc.identifier.urihttps://doi.org/10.1089/apc.2021.0096
dc.identifier.urihttps://hdl.handle.net/20.500.14288/14707
dc.identifier.wos974975900004
dc.keywordsHealth equity
dc.keywordsHIV
dc.keywordsModeration analysis
dc.keywordsRace
dc.keywordsWIHS
dc.keywordsWomen living with HIV adult
dc.keywordsArticle
dc.keywordsFemale
dc.keywordsHealth equity
dc.keywordsHuman
dc.keywordsHuman immunodeficiency virus infected patient
dc.keywordsMajor clinical study
dc.keywordsStigma
dc.keywordsTrust
dc.keywordsHuman immunodeficiency virus infection
dc.keywordsMedication compliance
dc.keywordsSocial stigma
dc.keywordsAntiretrovirus agent
dc.keywordsAnti-Retroviral Agents
dc.keywordsFemale
dc.keywordsHIV Infections
dc.keywordsHumans
dc.keywordsMedication adherence
dc.keywordsSocial stigma
dc.language.isoeng
dc.publisherMary Ann Liebert Inc.
dc.relation.ispartofAIDS Patient Care and STDs
dc.subjectPublic health
dc.subjectIndustrial hygiene
dc.subjectInfection
dc.titleExamining the relationships between experienced and anticipated stigma in health care settings, patient-provider race concordance, and trust in providers among women living with HIV
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorTuran, Bülent
local.publication.orgunit1College of Social Sciences and Humanities
local.publication.orgunit2Department of Psychology
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relation.isOrgUnitOfPublication.latestForDiscoveryd5fc0361-3a0a-4b96-bf2e-5cd6b2b0b08c
relation.isParentOrgUnitOfPublication3f7621e3-0d26-42c2-af64-58a329522794
relation.isParentOrgUnitOfPublication.latestForDiscovery3f7621e3-0d26-42c2-af64-58a329522794

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