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The Impact of Perceptions of Community Stigma on Utilization of HIV Care Services.
Green, Helena Danielle; Weeks, Margaret R; Berman, Marcie; Salvi, Apoorva; Gonzalez, Rosely; Rohena, Lucy; Ferguson, Alice; Li, Jianghong.
Afiliación
  • Green HD; Institute for Community Research, 2 Hartford Sq. W., Ste. 100, Hartford, CT, 06106, USA. danielle.green@icrweb.org.
  • Weeks MR; Institute for Community Research, 2 Hartford Sq. W., Ste. 100, Hartford, CT, 06106, USA.
  • Berman M; Institute for Community Research, 2 Hartford Sq. W., Ste. 100, Hartford, CT, 06106, USA.
  • Salvi A; Institute for Community Research, 2 Hartford Sq. W., Ste. 100, Hartford, CT, 06106, USA.
  • Gonzalez R; Institute for Community Research, 2 Hartford Sq. W., Ste. 100, Hartford, CT, 06106, USA.
  • Rohena L; Institute for Community Research, 2 Hartford Sq. W., Ste. 100, Hartford, CT, 06106, USA.
  • Ferguson A; HRA of New Britain, Inc., New Britain, CT, USA.
  • Li J; Institute for Community Research, 2 Hartford Sq. W., Ste. 100, Hartford, CT, 06106, USA.
J Racial Ethn Health Disparities ; 7(2): 383-391, 2020 04.
Article en En | MEDLINE | ID: mdl-31808137
The relationship between perceived community stigma and treatment adherence has been established in previous literature. Yet, less is known about explicit circumstances in which perceived community stigma deters people living with HIV (PLWH) from maintaining care. This research examines the impact of perceived community stigma against PLWH on self-reported barriers and supports to remain in HIV care services. We used survey data from a 3-year study of the HIV test and treat (T&T) continuum of services in Hartford, CT, surveying 200 PLWH. Logistic regression was used to determine if perceived community stigma had a statistically significant effect on the willingness of PLWH to utilize HIV care services. Results revealed that an increase in perceived stigma predicted willingness to see a doctor in 6 months for those who 'had a fear of poor treatment' (χ2(6) = 21.995, p < 0.001) and 'were concerned about privacy' (χ2(6) = 16.670, p < 0.01). An increase in perceived stigma was also a significant factor in the belief that supportive case managers helped with accessing HIV care services (χ2(1) = 6.817, p < 0.01). Our findings suggest that having a high degree of perceived community stigma is impactful in instances where individuals anticipate stigma or discrimination.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aceptación de la Atención de Salud / Infecciones por VIH / Estigma Social Tipo de estudio: Diagnostic_studies / Prognostic_studies / Qualitative_research Aspecto: Implementation_research Límite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Racial Ethn Health Disparities Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aceptación de la Atención de Salud / Infecciones por VIH / Estigma Social Tipo de estudio: Diagnostic_studies / Prognostic_studies / Qualitative_research Aspecto: Implementation_research Límite: Adolescent / Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Racial Ethn Health Disparities Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza