ArticleJournal of general internal medicine2013
Primary care provider cultural competence and racial disparities in HIV care and outcomes.
Article in Journal of general internal medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 5 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
59 citing papers in PubMed, 5 syntheses or guidelines pooled it, 121 citations in OpenAlex.
- Assessing and improving communication strategies among healthcare providers and African American individuals with systemic lupus: a scoping review.BMC rheumatology · 2026Pooled it
- A Review of Medical Mistrust Across the Cancer Continuum of Care and Current Interventions.Journal of community health · 2025Pooled it
- Key Themes in the Care of Inflammatory Bowel Diseases Among Immigrant Populations: A Systematic Review.Digestive diseases and sciences · 2025Pooled it
- Medical mistrust as a barrier to HIV prevention and care.Journal of behavioral medicine · 2023Pooled it
- Pooled it
- Dialysis facility staff perceptions of racial, gender, and age disparities in access to renal transplantation.BMC nephrology · 2018Trial
- Healthcare Acceptability and Delayed Care Among Older People Living with HIV in the All of Us Program.AIDS and behavior · 2026Article
- Real-world experience of barriers to diagnosis, early detection and disease management among migrants living with HIV in Spain: a qualitative study.Annals of medicine · 2025Article
- Systemic inequities, dignity, and trust in the context of HIV care: a qualitative analysis.International journal for equity in health · 2025Article
- Multicultural ideology among Chilean municipal workers: the role of prejudice and intercultural sensitivity.Frontiers in psychology · 2025Article
- Bridging the gap: a cross-cultural examination of PCIT training experiences across Black, White, Asian, and Multiracial clinicians.Frontiers in child and adolescent psychiatry · 2025Article
- Cultural Competence and Nursing Work Environment: Impact on Culturally Congruent Care in Portuguese Multicultural Healthcare Units.Healthcare (Basel, Switzerland) · 2024Article
- The Association between Residential Segregation and Access to Kidney Transplantation: Evidence from a Multistate Cohort Study.Clinical journal of the American Society of Nephrology : CJASN · 2024Article
- Strategies to Close the PrEP Uptake Gap Among Transgender People and Men Who Have Sex with Men in Tshwane, South Africa: Perspectives from the Community.AIDS and behavior · 2024Article
- Evaluation of an HIV homecare program for lost-to-follow-up populations: a mixed methods study in Detroit, Michigan.AIDS research and therapy · 2024Article
- Factors influencing medication adherence in multi-ethnic Asian patients with chronic diseases in Singapore: A qualitative study.Frontiers in pharmacology · 2023Article
- Protocol for the pilot quasi-experimental controlled trial of a gender-responsive implementation strategy with providers to improve HIV outcomes in Uganda.Pilot and feasibility studies · 2022Article
- Engaging Black men who have sex with men (MSM) in the South in identifying strategies to increase PrEP uptake.BMC health services research · 2022Article
- Article
- Exploring the Impact of Religion, Superstition, and Professional Cultural Competence on Access to HIV and Mental Health Treatment Among Black Sub-Sahara African Communities in the English City of Birmingham.Journal of religion and health · 2022Article
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundHealth professional organizations have advocated for increasing the "cultural competence" (CC) of healthcare providers, to reduce racial and ethnic disparities in patient care. It is unclear whether provider CC is associated with more equitable care.
objectiveTo evaluate whether provider CC is associated with quality of care and outcomes for patients with HIV/AIDS. DESIGN AND
participantsSurvey of 45 providers and 437 patients at four urban HIV clinics in the U.S. MAIN MEASURES: Providers' self-rated CC was measured using a novel, 20-item instrument. Outcome measures included patients' receipt of antiretroviral (ARV) therapy, self-efficacy in managing medication regimens, complete 3-day ARV adherence, and viral suppression. KEY
resultsProviders' mean age was 44 years; 56 % were women, and 64 % were white. Patients' mean age was 45; 67 % were men, and 77 % were nonwhite. Minority patients whose providers scored in the middle or highest third on self-rated CC were more likely than those with providers in the lowest third to be on ARVs, have high self-efficacy, and report complete ARV adherence. Racial disparities were observed in receipt of ARVs (adjusted OR, 95 % CI for white vs. nonwhite: 6.21, 1.50-25.7), self-efficacy (3.77, 1.24-11.4), and viral suppression (13.0, 3.43-49.0) among patients of low CC providers, but not among patients of moderate and high CC providers (receipt of ARVs: 0.71, 0.32-1.61; self-efficacy: 1.14, 0.59-2.22; viral suppression: 1.20, 0.60-2.42).
conclusionsProvider CC was associated with the quality and equity of HIV care. These findings suggest that enhancing provider CC may reduce racial disparities in healthcare quality and outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.