The Relationship Between Discrimination and Missed HIV Care Appointments Among Women Living with HIV

Andrew E. Cressman; Chanelle J. Howe; Amy S. Nunn; Adaora A. Adimora; David R. Williams; Mirjam Colette Kempf; Aruna Chandran; Eryka L. Wentz; Oni J. Blackstock; Seble G. Kassaye; Jennifer Cohen; Mardge H. Cohen; Gina M. Wingood; Lisa R. Metsch; Tracey E. Wilson

doi:10.1007/s10461-019-02522-8

The Relationship Between Discrimination and Missed HIV Care Appointments Among Women Living with HIV

Andrew E. Cressman, Chanelle J. Howe, Amy S. Nunn, Adaora A. Adimora, David R. Williams, Mirjam Colette Kempf, Aruna Chandran, Eryka L. Wentz, Oni J. Blackstock, Seble G. Kassaye, Jennifer Cohen, Mardge H. Cohen, Gina M. Wingood, Lisa R. Metsch, Tracey E. Wilson

Bloomberg School of Public Health

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Receiving regular HIV care is crucial for maintaining good health among persons with HIV. However, racial and gender disparities in HIV care receipt exist. Discrimination and its impact may vary by race/ethnicity and gender, contributing to disparities. Data from 1578 women in the Women’s Interagency HIV Study ascertained from 10/1/2012 to 9/30/2016 were used to: (1) estimate the relationship between discrimination and missing any scheduled HIV care appointments and (2) assess whether this relationship is effect measure modified by race/ethnicity. Self-reported measures captured discrimination and the primary outcome of missing any HIV care appointments in the last 6 months. Log-binomial models accounting for measured sources of confounding and selection bias were fit. For the primary outcome analyses, women experiencing discrimination typically had a higher prevalence of missing an HIV care appointment. Moreover, there was no statistically significant evidence for effect measure modification by race/ethnicity. Interventions to minimize discrimination or its impact may improve HIV care engagement among women.

Original language	English (US)
Pages (from-to)	151-164
Number of pages	14
Journal	AIDS and behavior
Volume	24
Issue number	1
DOIs	https://doi.org/10.1007/s10461-019-02522-8
State	Published - Jan 1 2020

Keywords

HIV
Health status disparities
Outpatient care
Social discrimination
Women

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-019-02522-8

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Cressman, A. E., Howe, C. J., Nunn, A. S., Adimora, A. A., Williams, D. R., Kempf, M. C., Chandran, A., Wentz, E. L., Blackstock, O. J., Kassaye, S. G., Cohen, J., Cohen, M. H., Wingood, G. M., Metsch, L. R., & Wilson, T. E. (2020). The Relationship Between Discrimination and Missed HIV Care Appointments Among Women Living with HIV. AIDS and behavior, 24(1), 151-164. https://doi.org/10.1007/s10461-019-02522-8

Cressman, AE, Howe, CJ, Nunn, AS, Adimora, AA, Williams, DR, Kempf, MC, Chandran, A, Wentz, EL, Blackstock, OJ, Kassaye, SG, Cohen, J, Cohen, MH, Wingood, GM, Metsch, LR & Wilson, TE 2020, 'The Relationship Between Discrimination and Missed HIV Care Appointments Among Women Living with HIV', AIDS and behavior, vol. 24, no. 1, pp. 151-164. https://doi.org/10.1007/s10461-019-02522-8

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abstract = "Receiving regular HIV care is crucial for maintaining good health among persons with HIV. However, racial and gender disparities in HIV care receipt exist. Discrimination and its impact may vary by race/ethnicity and gender, contributing to disparities. Data from 1578 women in the Women{\textquoteright}s Interagency HIV Study ascertained from 10/1/2012 to 9/30/2016 were used to: (1) estimate the relationship between discrimination and missing any scheduled HIV care appointments and (2) assess whether this relationship is effect measure modified by race/ethnicity. Self-reported measures captured discrimination and the primary outcome of missing any HIV care appointments in the last 6 months. Log-binomial models accounting for measured sources of confounding and selection bias were fit. For the primary outcome analyses, women experiencing discrimination typically had a higher prevalence of missing an HIV care appointment. Moreover, there was no statistically significant evidence for effect measure modification by race/ethnicity. Interventions to minimize discrimination or its impact may improve HIV care engagement among women.",

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The Relationship Between Discrimination and Missed HIV Care Appointments Among Women Living with HIV

Abstract

Keywords

ASJC Scopus subject areas

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