Multilevel Stigma and Its Associations with Medical Care Ratings Among Men Who Have Sex With Men in HPTN 078-Reference-Cited by-同舟云学术

Multilevel Stigma and Its Associations with Medical Care Ratings Among Men Who Have Sex With Men in HPTN 078

Published:2023-01 Issue: Volume:14 Page:215013192311753
ISSN:2150-1319
Container-title:Journal of Primary Care & Community Health
language:en
Short-container-title:J Prim Care Community Health

Author:

Maragh-Bass Allysha C.¹,Hucks-Ortiz Christopher²³,Beyrer Chris⁴,Remien Robert H.⁵,Mayer Kenneth⁶,del Rio Carlos⁷,Batey D. Scott⁸^ORCID,Farley Jason E.⁹,Gamble Theresa¹,Tolley Elizabeth E.¹

Affiliation:

1. FHI 360, Durham, NC, USA

2. Black AIDS Institute, Los Angeles, CA, USA

3. HIV Prevention Trials Network Black Caucus, Los Angeles, CA, USA

4. Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

5. Columbia University, New York, NY, USA

6. The Fenway Institute and Harvard Medical School, Boston, MA, USA

7. Ponce de Leon Center, Atlanta, GA, USA

8. Tulane University, New Orleans, LA, USA

9. Johns Hopkins University, Baltimore, MD, USA

Abstract

Introduction:Our research assessed associations between stigma-related variables and medical care ratings among clients with HIV in HIV Prevention Trials Network (HPTN) 078 who were men who have sex with men (MSM).Methods:Logistic regression explored care ratings, stigma, socio-demographics (N = 637). Qualitative thematic coding and themes explored stigmatizing experiences in different settings (N = 111).Results:Whites were twice as likely as African-Americans to report high care ratings ( P < .05). Clients who reported familial exclusion due to having sex with men were 40% less likely to report high medical care ratings ( P < .05). Clients who agreed healthcare providers think people with HIV “sleep around” were half as likely to report high care ratings ( P < .08). Stigmatization included “treating me like they’ll catch HIV from my hand,” and care avoidance so others didn’t “know I was having sex with men”.Conclusions:Providers can promote African American MSM client retention with more affirming healthcare provision, namely minimizing assumptions and addressing identities and client needs beyond just HIV care.

Funder

National Institute of Mental Health

National Institute of Allergy and Infectious Diseases

National Institute on Drug Abuse

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health,Community and Home Care

Link

http://journals.sagepub.com/doi/pdf/10.1177/21501319231175362

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