Details:

Alternative Title:
J Acquir Immune Defic Syndr
Publisher's site:
http://dx.doi.org/10.1097/QAI.0000000000002788
Personal Author:
Hubbard, Donna ; Beer, Linda ; Jeffries, William L. ; Tie, Yunfeng ; Fagan, Jennifer ; ... More +
Hubbard, Donna ; Beer, Linda ; Jeffries, William L. ; Tie, Yunfeng ; Fagan, Jennifer ; Crim, Stacy M. Less -
Description:
Background:

HIV-related discrimination in health care settings is associated with negative health outcomes among persons with HIV (PWH). This paper describes and compares differences in the prevalence of self-reported experiences with discrimination in health care settings by sociodemographic and clinical care factors among persons with diagnosed HIV in the United States.

Methods:

We analyzed interview and medical record data collected 6/2018–5/2019 from 3850 PWH who had received HIV care in the past 12 months. We calculated weighted percentages and associated 95% confidence intervals and assessed the association between any experience of discrimination and selected sociodemographic and clinical characteristics using prevalence ratios with predicted marginal means.

Results:

About 25% of PWH who had an HIV care visit in the past 12 months reported experiencing any discrimination. Experiences with discrimination were significantly more prevalent among persons 18–29 years (34%); transgender persons (41%); persons of gay (25%), bisexual (31%), or other (40%) sexual orientations; and persons who did not have a regular provider (39%), lived at/below poverty level (28%), were homeless (39%) or incarcerated (37%) in the past 12 months. PWH who experienced discrimination were more likely to have missed at least one HIV care visit, not be taking ART, and have missed ART doses. Recent and sustained viral suppression were not significantly associated with experiencing any discrimination.

Conclusions:

Interventions that address the sociocultural and structural factors associated with discrimination in all health care settings are needed to improve health outcomes among PWH and end the HIV epidemic in the United States.


Subjects:
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Adolescent Adult Attitude Of Health Personnel Delivery Of Health Care Discrimination, Psychological Female Health Services Accessibility HIV Infections Humans Male Middle Aged Self Report Sexual Behavior Social Determinants Of Health Social Stigma Sustained Virologic Response Viral Load
Source:
J Acquir Immune Defic Syndr. 88(5):457-464
Pubmed ID:
34446678
Pubmed Central ID:
PMC8585688
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHSUnited States/
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:6d01b10957e90e0091426ea22dfba1b39de7291457aad800aa26da9de7b8a47d
Download URL:
https://stacks.cdc.gov/view/cdc/111703/cdc_111703_DS1.pdf
File Type:

Supporting Files

• nihms-1734538.nxml

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