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

Overview

Journal AIDS Behav

Specialty Infectious Diseases

Date 2019 May 4

PMID 31049811

Citations 7

Authors

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

Affiliations

Soon will be listed here.

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.

Citing Articles

Factors associated with self-reported suboptimal antiretroviral adherence and limited retention in care among people living with HIV who attend a large ART clinic in Panama City, Panama.

Gabster A, Diaz Fernandez F, Pascale J, Orillac A, Moreno-Wynter S, Hall C PLoS One. 2024; 19(11):e0311048.

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A network analysis of positive psychosocial factors and indication of suboptimal HIV care outcomes among Black women living with HIV.

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Peer advice for women living with HIV in the Southern USA.

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Barriers and facilitators to engagement in care and medication adherence for women living with HIV in the Southern United States.

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