Discrimination in healthcare settings among adults with recent HIV diagnoses

Details

• Alternative Title:
  AIDS Care
• Personal Author:
  Baugher, Amy R. ; Beer, Linda ; Fagan, Jennifer L. ; Mattson, Christine L.
• Corporate Authors:
  for the Medical Monitoring Project
• Description:
  The prevalence of discrimination in healthcare settings among HIV patients in the United States is unknown. The Medical Monitoring Project (MMP) is a complex sample survey of adults receiving HIV medical care in the United States. We analyzed nationally representative MMP data collected 2011-2015. We assessed the prevalence of self-reported healthcare discrimination, perceived reasons for discrimination, and factors associated with discrimination among persons with HIV diagnoses ≤5 years before interview (| = 3,770). Overall, 14.1% of patients living with HIV (PLWH) experienced discrimination, of whom 82.2% attributed the discrimination to HIV. PLWH reporting poverty, homelessness, or attending a non-Ryan White HIV/AIDS Program (RWHAP) facility were more likely to report discrimination compared with other groups. Of patients attending non-RWHAP facilities, discrimination was higher among those in poverty (27.5%) vs. not in poverty (15.1%). Discrimination was associated with homelessness regardless of facility type, and was highest among homeless persons attending non-RWHAP facilities. Healthcare discrimination was commonly reported among PLWH, and was most often attributed to HIV status. Discrimination was higher among those reporting poverty or homelessness, particularly those attending non-RWHAP facilities. Incorporating practices, such as anti-discrimination training, in facilities may reduce healthcare discrimination.
• Keywords:
  Adolescent Adult Attitude Of Health Personnel Discrimination Female HIV/AIDS HIV Infections Humans Ill-Housed Persons Male Middle Aged Poverty Prejudice Ryan White United States Young Adult

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• Source:
  AIDS Care. :1-6
• Pubmed ID:
  30431313
• Pubmed Central ID:
  PMC6520212
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:0b43f456696c15d3ed986535929f6b3749ddec666fb7a05bfffc7b66ba82b50d
• Download URL:
  https://stacks.cdc.gov/view/cdc/78535/cdc_78535_DS1.pdf
• File Type:
  [PDF - 86.18 KB ]