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.
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Author
Budhwani, HennaYigit, Ibrahim
Ofotokun, Igho
Konkle-Parker, Deborah J
Cohen, Mardge H
Wingood, Gina M
Metsch, Lisa R
Adimora, Adaora A
Taylor, Tonya N
Wilson, Tracey E
Weiser, Sheri D
Kempf, Mirjam-Colette
Sosanya, Oluwakemi
Gange, Stephen
Kassaye, Seble
Turan, Bulent
Turan, Janet M
Journal title
AIDS patient care and STDsDate Published
2021-11Publication Volume
35Publication Issue
11Publication Begin page
441Publication End page
448
Metadata
Show full item recordAbstract
Stigma 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 ( = 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: = -0.89, standard error (SE) = 0.14, = 0.000, 95% confidence interval, CI (-1.161 to -0.624); Black patient-White provider: = -0.19, SE = 0.06, = 0.003, 95% CI (-0.309 to -0.062); and Black-Black: = -0.30, SE = 0.14, = 0.037, 95% CI (-0.575 to -0.017)]. Higher stigma was also associated with lower trust in providers [White-White: = -0.42, SE = 0.07, = 0.000, 95% CI (-0.552 to -0.289); Black patient-White provider: = -0.17, SE = 0.03, = 0.000, 95% CI (-0.232 to -0.106); and Black-Black: = -0.18, SE = 0.06, = 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.Citation
Budhwani H, Yigit I, Ofotokun I, Konkle-Parker DJ, Cohen MH, Wingood GM, Metsch LR, Adimora AA, Taylor TN, Wilson TE, Weiser SD, Kempf MC, Sosanya O, Gange S, Kassaye S, Turan B, Turan JM. 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. AIDS Patient Care STDS. 2021 Nov;35(11):441-448. doi: 10.1089/apc.2021.0096. PMID: 34739336; PMCID: PMC8817693.DOI
10.1089/apc.2021.0096ae974a485f413a2113503eed53cd6c53
10.1089/apc.2021.0096
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- Creative Commons
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 International
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