{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T13:26:45Z","timestamp":1788874005297,"version":"build-2803163510"},"reference-count":45,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2021,11,1]],"date-time":"2021-11-01T00:00:00Z","timestamp":1635724800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["AIDS Patient Care and STDs"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:p>\n                    Stigma in health care settings can have negative consequences on women living with HIV, such as increasing the likelihood of missed visits and reducing trust in their clinical providers. Informed by prior stigma research and considering knowledge gaps related to the effect of patient\u2013provider race concordance, we conducted this study to assess if patient\u2013provider race concordance moderates the expected association between HIV-related stigma in health care settings and patients' trust in their providers. Moderation analyses were conducted using Women's Interagency HIV Study data (\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    \u2009=\u2009931). We found significant main effects for patient\u2013provider race concordance. Higher experienced stigma was associated with lower trust in providers in all patient\u2013provider race combinations [White\u2013White:\n                    <jats:italic toggle=\"yes\">B<\/jats:italic>\n                    \u2009=\u2009\u22120.89, standard error (SE)\u2009=\u20090.14,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.000, 95% confidence interval, CI (\u22121.161 to \u22120.624); Black patient\u2013White provider:\n                    <jats:italic toggle=\"yes\">B<\/jats:italic>\n                    \u2009=\u2009\u22120.19, SE\u2009=\u20090.06,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.003, 95% CI (\u22120.309 to \u22120.062); and Black\u2013Black:\n                    <jats:italic toggle=\"yes\">B<\/jats:italic>\n                    \u2009=\u2009\u22120.30, SE\u2009=\u20090.14,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.037, 95% CI (\u22120.575 to \u22120.017)]. Higher\n                    <jats:italic toggle=\"yes\">anticipated<\/jats:italic>\n                    stigma was also associated with lower trust in providers [White\u2013White:\n                    <jats:italic toggle=\"yes\">B<\/jats:italic>\n                    \u2009=\u2009\u22120.42, SE\u2009=\u20090.07,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.000, 95% CI (\u22120.552 to \u22120.289); Black patient\u2013White provider:\n                    <jats:italic toggle=\"yes\">B<\/jats:italic>\n                    \u2009=\u2009\u22120.17, SE\u2009=\u20090.03,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.000, 95% CI (\u22120.232 to \u22120.106); and Black\u2013Black:\n                    <jats:italic toggle=\"yes\">B<\/jats:italic>\n                    \u2009=\u2009\u22120.18, SE\u2009=\u20090.06,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.002, 95% CI (\u22120.293 to \u22120.066)]. Significant interaction effects indicated that the negative associations between experienced and anticipated HIV-related stigma and trust in providers were stronger for the White\u2013White combination compared with the others. Thus, we found that significant relationships between HIV-related experienced and anticipated stigma in health care settings and trust in providers exist and that these associations vary across different patient\u2013provider race combinations. Given that reduced trust in providers is associated with antiretroviral medication nonadherence and higher rates of missed clinical visits, interventions to address HIV-related stigma in health care settings may improve continuum of care outcomes.\n                  <\/jats:p>","DOI":"10.1089\/apc.2021.0096","type":"journal-article","created":{"date-parts":[[2021,11,5]],"date-time":"2021-11-05T15:58:41Z","timestamp":1636127921000},"page":"441-448","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":35,"title":["Examining the Relationships Between Experienced and Anticipated Stigma in Health Care Settings, Patient\u2013Provider Race Concordance, and Trust in Providers Among Women Living with HIV"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6716-9754","authenticated-orcid":false,"given":"Henna","family":"Budhwani","sequence":"first","affiliation":[{"name":"University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahim","family":"Yigit","sequence":"additional","affiliation":[{"name":"TED University, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igho","family":"Ofotokun","sequence":"additional","affiliation":[{"name":"Emory University School of Medicine, Atlanta, Georgia, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3319-8442","authenticated-orcid":false,"given":"Deborah J.","family":"Konkle-Parker","sequence":"additional","affiliation":[{"name":"University of Mississippi Medical Center (UMMC), Jackson, Mississippi, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1351-9624","authenticated-orcid":false,"given":"Mardge H.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Stroger Hospital of Cook County, Chicago, Illinois, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gina M.","family":"Wingood","sequence":"additional","affiliation":[{"name":"Columbia University, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa R.","family":"Metsch","sequence":"additional","affiliation":[{"name":"Columbia University, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adaora A.","family":"Adimora","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tonya N.","family":"Taylor","sequence":"additional","affiliation":[{"name":"Downstate Health Sciences University, Brooklyn, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracey E.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Downstate Health Sciences University, Brooklyn, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheri D.","family":"Weiser","sequence":"additional","affiliation":[{"name":"University of California, San Francisco, San Francisco, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mirjam-Colette","family":"Kempf","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oluwakemi","family":"Sosanya","sequence":"additional","affiliation":[{"name":"Montefiore Medical Center, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Gange","sequence":"additional","affiliation":[{"name":"Johns Hopkins University, Baltimore, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seble","family":"Kassaye","sequence":"additional","affiliation":[{"name":"Georgetown University, Washington, 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