Perceived Discrimination in Clinical Care in a Nationally Representative Sample of HIV-Infected Adults Receiving Health Care

摘要: BACKGROUND: Perceived discrimination in clinical settings could discourage HIV-infected people from seeking health care, adhering to treatment regimens, or returning for follow-up. OBJECTIVES: This study aims determine whether perceive that physicians and other care providers have discriminated against them. DESIGN, PARTICIPANTS: Cross-sectional data (1996 1997) the HIV Cost Services Utilization Study (HCSUS), which conducted in-person interviews with a nationally representative probability sample of 2,466 adults receiving within contiguous U.S. MEASUREMENTS: Reports been uncomfortable respondent, treated respondent as an inferior, preferred avoid refused service. Questions also covered types who engaged these behaviors. RESULTS: Twenty-six percent reported experiencing at least 1 4 perceived by provider since becoming infected HIV, including 8% had White respondents (32%) were more likely than others (27%) Latinos (21%) nearly twice African Americans (17%) report (P<.001). Respondents whose first positive test was longer ago attributed it (54%), nurses staff (39%), dentists (32%), hospital (31%), case managers social workers (8%). CONCLUSIONS: Many believe their clinicians Clinicians should make efforts address circumstances lead patients discrimination, real imagined.