ArticleCulture, health & sexuality2023
Perceptions of healthcare accessibility and medical mistrust among Black women living with HIV in the USA.
Article in Culture, health & sexuality, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Women in the HIV Care Continuum: Assessing Re-linking Women to Care and Maintaining Viral Suppression Postpartum in Philadelphia from 2012 to 2023.AIDS and behavior · 2026Article
- The Association Between Healthcare Provider Trust and Healthcare Avoidance: Findings From a HIV Mixed Serostatus Cohort Study.American journal of health promotion : AJHP · 2026Article
- Beyond Mistrust: A Semi-Systematic Review of Black Women's Health Care Decision-Making.Journal of racial and ethnic health disparities · 2026Review
- An Exploration of Medical Mistrust, Trust, Perceived Discrimination and Associated Factors among Urban Arab and African American Emerging Adults.Journal of racial and ethnic health disparities · 2026Article
- Culture and Patient-Provider Trust Among People with HIV: Psychometric Properties of the HCR Trust Scale-Revised in Haitian Creole and Spanish.Journal of racial and ethnic health disparities · 2026Article
- PrEP-Related Medical, Structural and Institutional Mistrust among a Socioeconomically Diverse Sample of Black, Latine, Asian, and White Young Sexual Minority Men: Lived Experiences of Intersectional Inequity.AIDS and behavior · 2026Article
- Critical Self-reflection on Racism by Hospital Physicians in Large German Cities. A Qualitative Reconstructive Study Using Episodic Interviews.Journal of racial and ethnic health disparities · 2025Article
- Association of experienced stigma in healthcare settings with health outcomes among Black women living with HIV: Mediating roles of internalized stigma, anticipated stigma, and trust in HIV care.Social science & medicine (1982) · 2025Article
- Manifestations and Lived Experiences of Structural Racism for Racial and Ethnic Minority Communities Affected by HIV Across the United States.Health equity · 2025Article
- High and Rapid Uptake of COVID-19 Vaccine Among Chicago Women with and Without HIV.Women's health reports (New Rochelle, N.Y.) · 2025Article
- "They don't care to study it": Trust, race, and health care experiences among patient-caregiver dyads with multiple myeloma.Cancer medicine · 2024Article
- Intersectionality in nursing research: A scoping review.International journal of nursing studies advances · 2023Article
- A qualitative metasynthesis of stigma in women living with HIV in the United States.International journal for equity in health · 2023Article
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Authors and funding
3 authors.
Funding
Abstract
Black women living with HIV in the USA frequently endure structural racism, racial biases and discrimination in healthcare that affect their access to care. To explore their experiences in healthcare settings as they relate to HIV-treatment accessibility and medical mistrust we used intersectionality and structural intersectionality as guiding frameworks. Four focus groups were conducted with 20 low-income Black women living with HIV in a large urban region. Using thematic analysis, we identified four themes: (1) multilevel stigma and discrimination; (2) medical mistrust of providers across multiple settings; (3) varying responses to stigma, discrimination, and medical mistrust; and (4) preferences for patient-provider relationships. Participants described how medical providers, nurses and other healthcare staff perpetuated negative treatment, including multiple forms of discrimination and stigmatisation based on their HIV diagnosis, race, class and gender. The stigma, discrimination and resulting mistrust experienced often caused hurt feelings and decisions to disengage from treatment or remain with providers while feeling unwelcome. Participants described the strong desire to feel seen, supported and validated by healthcare providers. Narratives reveal that feelings of being discriminated against can cultivate mistrust not only towards doctors, but other provider types and settings. Findings can inform care models for low-income Black women living with HIV.
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