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Multilevel Stigma and Its Associations with Medical Care Ratings Among Men Who Have Sex With Men in HPTN 078.

Publication ,  Journal Article
Maragh-Bass, AC; Hucks-Ortiz, C; Beyrer, C; Remien, RH; Mayer, K; Del Rio, C; Batey, DS; Farley, JE; Gamble, T; Tolley, EE
Published in: J Prim Care Community Health
2023

INTRODUCTION: Our research assessed associations between stigma-related variables and medical care ratings among clients with HIV in HIV Prevention Trials Network (HPTN) 078 who were men who have sex with men (MSM). METHODS: Logistic regression explored care ratings, stigma, socio-demographics (N = 637). Qualitative thematic coding and themes explored stigmatizing experiences in different settings (N = 111). RESULTS: Whites were twice as likely as African-Americans to report high care ratings (P < .05). Clients who reported familial exclusion due to having sex with men were 40% less likely to report high medical care ratings (P < .05). Clients who agreed healthcare providers think people with HIV "sleep around" were half as likely to report high care ratings (P < .08). Stigmatization included "treating me like they'll catch HIV from my hand," and care avoidance so others didn't "know I was having sex with men". CONCLUSIONS: Providers can promote African American MSM client retention with more affirming healthcare provision, namely minimizing assumptions and addressing identities and client needs beyond just HIV care.

Duke Scholars

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Published In

J Prim Care Community Health

DOI

EISSN

2150-1327

Publication Date

2023

Volume

14

Start / End Page

21501319231175362

Location

United States

Related Subject Headings

  • Social Stigma
  • Sexual and Gender Minorities
  • Male
  • Humans
  • Homosexuality, Male
  • HIV Infections
  • HIV
  • Female
  • 4206 Public health
  • 4205 Nursing
 

Citation

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Chicago
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MLA
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Maragh-Bass, A. C., Hucks-Ortiz, C., Beyrer, C., Remien, R. H., Mayer, K., Del Rio, C., … Tolley, E. E. (2023). Multilevel Stigma and Its Associations with Medical Care Ratings Among Men Who Have Sex With Men in HPTN 078. J Prim Care Community Health, 14, 21501319231175360. https://doi.org/10.1177/21501319231175362
Maragh-Bass, Allysha C., Christopher Hucks-Ortiz, Chris Beyrer, Robert H. Remien, Kenneth Mayer, Carlos Del Rio, D Scott Batey, Jason E. Farley, Theresa Gamble, and Elizabeth E. Tolley. “Multilevel Stigma and Its Associations with Medical Care Ratings Among Men Who Have Sex With Men in HPTN 078.J Prim Care Community Health 14 (2023): 21501319231175360. https://doi.org/10.1177/21501319231175362.
Maragh-Bass AC, Hucks-Ortiz C, Beyrer C, Remien RH, Mayer K, Del Rio C, et al. Multilevel Stigma and Its Associations with Medical Care Ratings Among Men Who Have Sex With Men in HPTN 078. J Prim Care Community Health. 2023;14:21501319231175360.
Maragh-Bass, Allysha C., et al. “Multilevel Stigma and Its Associations with Medical Care Ratings Among Men Who Have Sex With Men in HPTN 078.J Prim Care Community Health, vol. 14, 2023, p. 21501319231175360. Pubmed, doi:10.1177/21501319231175362.
Maragh-Bass AC, Hucks-Ortiz C, Beyrer C, Remien RH, Mayer K, Del Rio C, Batey DS, Farley JE, Gamble T, Tolley EE. Multilevel Stigma and Its Associations with Medical Care Ratings Among Men Who Have Sex With Men in HPTN 078. J Prim Care Community Health. 2023;14:21501319231175360.
Journal cover image

Published In

J Prim Care Community Health

DOI

EISSN

2150-1327

Publication Date

2023

Volume

14

Start / End Page

21501319231175362

Location

United States

Related Subject Headings

  • Social Stigma
  • Sexual and Gender Minorities
  • Male
  • Humans
  • Homosexuality, Male
  • HIV Infections
  • HIV
  • Female
  • 4206 Public health
  • 4205 Nursing