Microaggressions and Discrimination Relate to Barriers to Care Among Black Women Living with HIV

Autor: Rachelle Reid, Ratanpriya Sharma, Steven A. Safren, Taquesha Dean, Sannisha K. Dale, Sherene Saunders
Rok vydání: 2019
Předmět:
Zdroj: AIDS Patient Care and STDs. 33:175-183
ISSN: 1557-7449
1087-2914
DOI: 10.1089/apc.2018.0258
Popis: In the United States, black women living with HIV (BWLWH) represent the highest proportion of women living with HIV and dying from HIV-related illnesses when compared with women of other racial/ethnic groups. These disparities may be linked to social and structural factors faced by BWLWH, including race- and HIV-related discrimination, and gendered racial microaggressions (GRMs). GRMs are everyday insults that black women experience due to being both black and female (e.g., comments about their body). Commonly assessed barriers to HIV-related care (e.g., transportation, finance, community stigma) do not include personal experiences of race- and HIV-related discrimination and GRM. We present the cross-sectional associations between racial discrimination, HIV-related discrimination, GRM, and barriers to care. One hundred BWLWH in a large city in the Southeast United States completed baseline assessments as part of an intervention development study. At baseline assessments BWLWH completed measures on racial discrimination, HIV-related discrimination, GRM (frequency and appraisal), and barriers to care. Hierarchical multiple linear regressions controlling for age, education, and income indicated that higher race-related discrimination (β = 0.23, p
Databáze: OpenAIRE