Minority Health Archive

Health-Related Correlates of Perceived Discrimination in HIV Care

Bird, Sheryl Thorburn and Bogart, Laura M and Delahanty, Douglas L (2004) Health-Related Correlates of Perceived Discrimination in HIV Care. AIDS Patient Care and STDs, 18 (1). pp. 19-26.

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Negative interactions with health care providers can have important implications for the health and health care of HIV-positive individuals. The purpose of this study was to examine perceptions of race-based and socioeconomic status (SES)-based discrimination during interactions with HIV treatment providers. We recruited 110 individuals (17% female, 51% white) living with HIV from an AIDS service organization in a midwestern city. Results indicated that the majority of participants had perceived discrimination in their interactions with providers when getting treatment for HIV. More specifically, 71% reported having experienced discrimination when receiving treatment for HIV based on their race or color, and 66% reported discrimination attributed to their socioeconomic status, position, or social class. However, participants indicated that they experienced discrimination infrequently. No significant racial/ethnic differences in reports of discrimination were observed. In addition, greater race-based and SES-based discrimination were each associated with greater levels of depression and posttraumatic stress symptoms, greater severity of AIDS-related symptoms, lower perceived general health, and less health care satisfaction. Greater SES-based discrimination was also related to lower adherence to antiretroviral medications. Our findings suggest that experiences with discrimination when getting treatment have important implications for the health and health care of HIV-positive individuals. It is important to note, however, that discrimination based on HIV status or sexual orientation was not assessed and may have affected the results. Studies that explore perceptions of discrimination based on other factors among HIV-positive individuals may improve understanding of the nature, extent, and consequences of discrimination in patient-provider interactions.

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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: discrimination, HIV, care, perception
Subjects: Health > Disparities
Health > Public Health
Health > Public Health > Chronic Illness & Diseases > HIV/Aids
Health > Public Health > Health Risk Factors > Stress
Related URLs:
Depositing User: Kismet Loftin-Bell
Date Deposited: 23 Jun 2006
Last Modified: 23 Jun 2011 15:10
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/494

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