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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

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  • Yigit, Ibrahim
  • Wilson, Tracey E.
  • Taylor, Tonya N.
  • Kassaye, Seble G.
  • Weiser, Sheri D.
  • Cohen, Mardge H.
  • Gange, Stephen
  • Pence, Brian W.
  • Ofotokun, Igho
  • Wingood, Gina M.
  • Metsch, Lisa R.
  • Brown-Friday, Janet
  • Floris-Moore, Michelle
  • Kempf, Mirjam-Colette
  • Turan, Janet M.
  • Turan, Bulent

Abstract

Black women living with HIV (WLHIV) often have suboptimal ART adherence due to a multitude of social and structural barriers, including HIV-related stigma. Trust in healthcare providers plays a significant role in adhering to ART and is likely lower among Black WLHIV compared to their White counterparts. This study examined the relationship between experienced stigma in healthcare settings and ART adherence and viral suppression through anticipated stigma in healthcare settings, internalized stigma, and medical mistrust.

Suggested Citation

  • Yigit, Ibrahim & Wilson, Tracey E. & Taylor, Tonya N. & Kassaye, Seble G. & Weiser, Sheri D. & Cohen, Mardge H. & Gange, Stephen & Pence, Brian W. & Ofotokun, Igho & Wingood, Gina M. & Metsch, Lisa R., 2025. "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, Elsevier, vol. 366(C).
    • Handle: RePEc:eee:socmed:v:366:y:2025:i:c:s0277953625000280
    DOI: 10.1016/j.socscimed.2025.117699
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    References listed on IDEAS

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    1. repec:aph:ajpbhl:10.2105/ajph.2017.303744_4 is not listed on IDEAS
    2. Whetten, K. & Leserman, J. & Whetten, R. & Ostermann, J. & Thielman, N. & Swartz, M. & Stangl, D., 2006. "Exploring lack of trust in care providers and the government as a barrier to health service use," American Journal of Public Health, American Public Health Association, vol. 96(4), pages 716-721.
    3. Mechanic, David & Meyer, Sharon, 2000. "Concepts of trust among patients with serious illness," Social Science & Medicine, Elsevier, vol. 51(5), pages 657-668, September.
    4. Turan, B. & Hatcher, A.M. & Weiser, S.D. & Johnson, M.O. & Rice, W.S. & Turan, J.M., 2017. "Framing mechanisms linking HIV-related stigma, adherence to treatment, and health outcomes," American Journal of Public Health, American Public Health Association, vol. 107(6), pages 863-869.
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