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 |
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Rok vydání: | 2019 |
Předmět: |
Adult
Sexism Social Stigma Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause Health Services Accessibility Young Adult 03 medical and health sciences Racism 0302 clinical medicine medicine Humans 030212 general & internal medicine Aged Black women 030505 public health business.industry Public Health Environmental and Occupational Health virus diseases Middle Aged Southeastern United States United States Black or African American Cross-Sectional Studies Infectious Diseases Behavioral and Psychosocial Research Female 0305 other medical science business Demography |
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 |
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