Evidence map›Paper›PMID 34446678›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2021

Sociodemographic Correlates of Self-reported Discrimination in HIV Health Care Settings Among Persons With Diagnosed HIV in the United States, Medical Monitoring Project, 2018-2019.

Donna Hubbard McCree, Linda Beer, William L Jeffries, Yunfeng Tie, Jennifer Fagan, Stacy M Crim

Abstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

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10citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Use of calibration to improve the precision of estimates obtained from All of Us data.Journal of the American Medical Informatics Association : JAMIA · 2024
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Donna Hubbard McCreeDivision of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA.
Linda Beer
William L Jeffries
Yunfeng Tie
Jennifer Fagan
Stacy M Crim

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundHIV-related discrimination in health care settings is associated with negative health outcomes among persons with HIV (PWH). This article describes and compares differences in the prevalence of self-reported experiences with discrimination in health care settings by sociodemographic and clinical care factors among persons with diagnosed HIV in the United States.

methodsWe analyzed interview and medical record data collected during June 2018-May 2019 from 3850 PWH who had received HIV care in the past 12 months. We calculated weighted percentages and associated 95% confidence intervals and assessed the association between any experience of discrimination and selected sociodemographic and clinical characteristics using prevalence ratios with predicted marginal means.

resultsApproximately 25% of PWH who had an HIV care visit in the past 12 months reported experiencing any discrimination. Experiences with discrimination were significantly more prevalent among persons aged 18-29 years (34%); transgender persons (41%); persons of gay (25%), bisexual (31%), or other (40%) sexual orientations; and persons who did not have a regular provider (39%), lived at/below poverty level (28%), were homeless (39%) or incarcerated (37%) in the past 12 months. PWH who experienced discrimination were more likely to have missed at least one HIV care visit, not be taking antiretroviral therapy, and have missed antiretroviral therapy doses. Recent and sustained viral suppression were not significantly associated with experiencing any discrimination.

conclusionsInterventions that address the sociocultural and structural factors associated with discrimination in all health care settings are needed to improve health outcomes among PWH and end the HIV epidemic in the United States.

Indexed as

Attitude of Health PersonnelDiscrimination, PsychologicalSocial Determinants of HealthSustained Virologic ResponseAdolescentAdultDelivery of Health CareFemaleHealth Services AccessibilityHIV InfectionsHumansMaleMiddle AgedSelf ReportSexual BehaviorSocial Stigma

Identifiers

PMID34446678
PMCPMC8585688

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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.