دورية أكاديمية
أعرض في EDS

The Effects of Previous Experiences of Healthcare Discrimination on HIV Intervention Outcomes.

التفاصيل البيبلوغرافية
العنوان: The Effects of Previous Experiences of Healthcare Discrimination on HIV Intervention Outcomes.
المؤلفون: Chang K; Center for Health Equity Research, California State University Long Beach, 1250 Bellflower Blvd., FO5 Rm. 120, Long Beach, CA, 90840, USA. Kyle.chang@csulb.edu., D'Anna LH; Center for Health Equity Research, California State University Long Beach, 1250 Bellflower Blvd., FO5 Rm. 120, Long Beach, CA, 90840, USA., Owens J; Center for Health Equity Research, California State University Long Beach, 1250 Bellflower Blvd., FO5 Rm. 120, Long Beach, CA, 90840, USA., Wood J; Center for Health Equity Research, California State University Long Beach, 1250 Bellflower Blvd., FO5 Rm. 120, Long Beach, CA, 90840, USA.
المصدر: AIDS and behavior [AIDS Behav] 2024 May; Vol. 28 (5), pp. 1741-1751. Date of Electronic Publication: 2024 Feb 17.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 9712133 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-3254 (Electronic) Linking ISSN: 10907165 NLM ISO Abbreviation: AIDS Behav Subsets: MEDLINE
أسماء مطبوعة: Publication: 2005- : New York, NY : Springer Science + Business Media
Original Publication: New York, NY : Plenum Press, 1997-
مواضيع طبية MeSH: HIV Infections*/prevention & control , HIV Infections*/psychology , Black or African American*/psychology , Black or African American*/statistics & numerical data , Homosexuality, Male*/psychology , Homosexuality, Male*/statistics & numerical data, Humans ; Male ; Young Adult ; Adult ; United States/epidemiology ; Sexual Behavior/psychology ; Peer Group ; Adolescent ; Substance-Related Disorders/epidemiology ; HIV Testing
مستخلص: Although several healthcare interventions have been developed to address HIV among young Black/African American men who have sex with men (YBMSM), the HIV epidemic in the United States continues to disproportionately burden this population. The current study examines previous healthcare discrimination and how it affects HIV intervention delivery. One hundred seventy-two YBMSM participated in the Peer Promotion of Wellness and Enhanced Linkage to Resources (PPOWER) project, which used a short, multi-faceted, community-level intervention based on Community Peers Reaching Out and Modeling Intervention Strategies (Community PROMISE). Data were collected at baseline, a 45-day follow up, and a 90-day follow up. Generalized Estimating Equations (GEE) were used to examine the effects of previous healthcare discrimination on outcomes related to HIV testing, alcohol and drug use, and sexual behaviors. Previous healthcare discrimination was found to moderate the relationship between time and intentions to test for HIV, perceptions of sexual risk, problem marijuana use, and problem other drug use, such that those who had experienced more healthcare discrimination showed greater improvements over time compared to those who had experienced less healthcare discrimination. The results of the current study suggest that a community-level peer intervention, in combination with a component to promote cultural competency and address prior experiences of discrimination in healthcare settings, may be highly effective for people who have experienced a barrier in their continuum of care as a result of racial discrimination.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
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معلومات مُعتمدة: SP021340 United States SU SAMHSA HHS; SP021340 United States SU SAMHSA HHS
فهرسة مساهمة: Keywords: Barriers to HIV testing; Healthcare discrimination; Peer-led HIV interventions; Young black men who have sex with men
تواريخ الأحداث: Date Created: 20240217 Date Completed: 20240504 Latest Revision: 20240505
رمز التحديث: 20240505
DOI: 10.1007/s10461-024-04267-5
PMID: 38367163
قاعدة البيانات: MEDLINE
الوصف
تدمد:1573-3254
DOI:10.1007/s10461-024-04267-5