Evidence map›Paper›PMID 31730568›Full record

ArticleMedical care2019

Is Perceived Stigma in Clinical Settings Associated With Poor Health Status Among New York City's Residents of Color?

Prabal De, Alexis Pozen, Henna Budhwani

Open access · greenAbstract read
In one paragraph

Article in Medical care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Prabal DeColin Powell School at City College and The Graduate Center, City University of New York.
Alexis PozenDepartment of Health Policy and Management, CUNY Graduate School of Public Health and Health Policy, New York, NY.
Henna BudhwaniDepartment of Health Care Organization and Policy, University of Alabama at Birmingham, Birmingham, AL.
City College · USThe Graduate Center, CUNY · USUniversity of Alabama at Birmingham · US

Funding

COVID-19 Administrative Supplement to K01: Adapting, Pilot Testing a Behavioral Intervention to Incorporate Advances in HIV Prevention for Black Young MSM in AlabamaK01MH116737 · NIMH · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BUDHWANI, HENNA · 2019 to 2023
$899k
NIMH NIH HHS K01 MH116737
6 · The paper itself

Abstract

objectivesOur objectives were to assess rates of perceived stigma in health care (clinical) settings reported by racially diverse New York City residents and to examine if this perceived stigma is associated with poorer physical and mental health outcomes.

methodsWe analyzed data from the 2016 New York City Community Health Survey. We applied bivariable and multivariable methods to assess rates of perceived stigma, and perceived stigma's statistical relationship with health care access, physical health status, and mental health status controlling for sociodemographics and health insurance status.

resultsPerceived stigma was associated with poorer health care access [odds ratio (OR)=7.07, confidence interval (CI)=5.32-9.41), depression (OR=3.80, CI=2.66-5.43), diabetes (OR=1.86, CI=1.36-2.54), and poor overall general health (OR=0.43, CI=0.33-0.57). Hispanic respondents reported the highest rate of perceived stigma among racial and ethnic minority groups (mean=0.07, CI=0.05-0.08).

conclusionsWe found that perceived stigma in health care settings was a potential barrier to good health. Prior studies have illustrated that negative health outcomes are common for patients who avoid or delay care; thus, the unfortunate conclusion is that even in a diverse, heterogeneous community, stigma persists and may negatively affect well-being. Therefore, eliminating stigma in clinical settings should be a top priority for health care providers and public health professionals seeking to improve health equity.

Indexed as

Health Services AccessibilityHealth StatusSocial StigmaAdolescentAdultAgedAttitude of Health PersonnelDepressionDiabetes MellitusFemaleHumansMaleMental HealthMiddle AgedNew York CityPatient Acceptance of Health Care

Identifiers

PMID31730568
PMCPMC6859955
OpenAlexW2972571799

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.