The Relationship Between Discrimination and Missed HIV Care Appointments Among Women Living with HIV

被引：0
作者：
Andrew E. Cressman
Chanelle J. Howe
Amy S. Nunn
Adaora A. Adimora
David R. Williams
Mirjam-Colette Kempf
Aruna Chandran
Eryka L. Wentz
Oni J. Blackstock
Seble G. Kassaye
Jennifer Cohen
Mardge H. Cohen
Gina M. Wingood
Lisa R. Metsch
Tracey E. Wilson
机构：
[1] Brown University School of Public Health,Department of Epidemiology, Centers for Epidemiology and Environmental Health
[2] Brown University School of Public Health,Department of Behavioral and Social Sciences, Center for Health Equity Research
[3] University of North Carolina at Chapel Hill,School of Medicine and UNC Gillings School of Global Public Health
[4] Harvard T.H. Chan School of Public Health,Department of Social and Behavioral Sciences
[5] Harvard University,Department of African and African American Studies
[6] University of Alabama at Birmingham,Schools of Nursing, Public Health, Medicine
[7] Johns Hopkins University,Department of Epidemiology, Bloomberg School of Public Health
[8] Montefiore and Albert Einstein College of Medicine,Department of Medicine
[9] Georgetown University,Department of Clinical Pharmacy
[10] University of California,Departments of Medicine
[11] Stroger Hospital and Rush University,Department of Sociomedical Sciences, Mailman School of Public Health
[12] Columbia University,Lerner Center for Public Health Promotion, Mailman School of Public Health
[13] Columbia University,Department of Community Health Sciences, School of Public Health
[14] State University of New York Downstate Medical Center,undefined
来源：
AIDS and Behavior | 2020年 / 24卷
关键词：
HIV; Social discrimination; Outpatient care; Women; Health status disparities;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Receiving regular HIV care is crucial for maintaining good health among persons with HIV. However, racial and gender disparities in HIV care receipt exist. Discrimination and its impact may vary by race/ethnicity and gender, contributing to disparities. Data from 1578 women in the Women’s Interagency HIV Study ascertained from 10/1/2012 to 9/30/2016 were used to: (1) estimate the relationship between discrimination and missing any scheduled HIV care appointments and (2) assess whether this relationship is effect measure modified by race/ethnicity. Self-reported measures captured discrimination and the primary outcome of missing any HIV care appointments in the last 6 months. Log-binomial models accounting for measured sources of confounding and selection bias were fit. For the primary outcome analyses, women experiencing discrimination typically had a higher prevalence of missing an HIV care appointment. Moreover, there was no statistically significant evidence for effect measure modification by race/ethnicity. Interventions to minimize discrimination or its impact may improve HIV care engagement among women.
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页码：151 / 164
页数：13
相关论文
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