HIV Providers' Perceptions of and Attitudes Toward Female Versus Male Patients

Blackstock, Oni J.; Beach, Mary Catherine; Korthuis, P. Todd; Cohn, Jonathan; Sharp, Victoria L.; Moore, Richard D.; Saha, Somnath

doi:10.1089/apc.2012.0159

Cited by 13 publications

(10 citation statements)

References 33 publications

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“…20 A small survey of 37 HIV providers reported more ''frustration'' with women patients compared with men and rated women as less educated, rational, responsible, compliant, independent, and direct compared with male patients. 21 The generalizability of these findings is unknown, but failure to recognize key information needs of women and having more frustrating interactions with women may reduce opportunities to provide relatedness support in the clinical setting. Low levels of relatedness support may help explain why women are less likely to effectively engage in HIV care than men, which would be consistent with Self-Determination Theory.…”

Section: Introductionmentioning

confidence: 99%

Experiences with HIV Testing, Entry, and Engagement in Care by HIV-Infected Women of Color, and the Need for Autonomy, Competency, and Relatedness

Quinlivan

Messer

Adimora

et al. 2013

AIDS Patient Care and STDs

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Self-determination theory examines the needs of people adopting new behaviors but has not been applied to the adoption of HIV healthcare behaviors. The current study applied self-determination theory to descriptions of healthcare behaviors adopted by ethnic minority women after an HIV diagnosis. Women of color were asked to describe their experiences with HIV testing, entry, and engagement-in-care in qualitative interviews and focus groups. Participants were mostly African-American (88%), over 40 years old (70%), had been diagnosed for more than 6 years (87%) and had disclosed their HIV infection to more than 3 people (73%). Women described unmet self-determination needs at different time points along the HIV Continuum of Care. Women experienced a significant loss of autonomy at the time of HIV diagnosis. Meeting competency and relatedness needs assisted women in entry and engagement-in-care. However, re-establishing autonomy was a key element for long-term engagement-in-care. Interventions that satisfy these needs at the optimal time point in care could improve diagnosis, entry-to-care, and retention-in-care for women living with HIV.

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Section: Introductionmentioning

confidence: 99%

Experiences with HIV Testing, Entry, and Engagement in Care by HIV-Infected Women of Color, and the Need for Autonomy, Competency, and Relatedness

Quinlivan

Messer

Adimora

et al. 2013

AIDS Patient Care and STDs

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show abstract

“…A potential confounding factor may be HIV care providers' negative perceptions of female versus male patients, resulting in gender disparities in HIV care. 18 This may potentially lead to lower adherence rates in women compared with men. Although the survey respondents overall represented the participants in the GRACE trial, there were some small differences.…”

mentioning

confidence: 99%

Insights on GRACE (Gender, Race, And Clinical Experience) from the Patient's Perspective: GRACE Participant Survey

Squires

Feinberg

Bridge³

et al. 2013

AIDS Patient Care and STDs

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The Gender, Race And Clinical Experience (GRACE) study was conducted between October 2006 and December 2008 to evaluate sex-and race-based differences in outcomes after treatment with a darunavir/ritonavir-based antiretroviral regimen. Between June 2010 and June 2011, former participants of the GRACE trial at participating sites were asked to complete a 40-item questionnaire as part of the GRACE Participant Survey study, with a primary objective of assessing patients' characteristics, experiences, and opinions about participation in GRACE. Of 243 potential survey respondents, 151 (62%) completed the survey. Respondents were representative of the overall GRACE population and were predominantly female (64%); fewer were black, and more reported recreational drug use compared with nonrespondents (55% vs. 62% and 17% vs. 10%, respectively). Access to treatment (41%) and too many blood draws (26%) were reported as the best and worst part of GRACE, respectively. Support from study site staff was reported as the most important factor in completing the study (47%). Factors associated with nonadherence, study discontinuation, and poor virologic response in univariate analyses were being the primary caregiver for children, unemployment, and transportation difficulties, respectively. Patients with these characteristics may be at risk of poor study outcomes and may benefit from additional adherence and retention strategies in future studies and routine clinical care.

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“…Adherence to HCV therapy is an important predictor of SVR (McHutchison et al, 2002). A study examining health disparities in HIV, demonstrated that women were less likely to be high school educated and employed compared with men (Blackstock et al, 2012). Less education and decreased financial support negatively impacted treatment success.…”

Section: Discussionmentioning

confidence: 99%

Effect of Gender on the Response to Hepatitis C Treatment in an Inner-City Population

Simoes

Asaad

Abed

et al. 2015

Women's Health Issues

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HIV Providers' Perceptions of and Attitudes Toward Female Versus Male Patients

Abstract: As a first step in understanding the role that health care

Cited by 13 publications

References 33 publications

Experiences with HIV Testing, Entry, and Engagement in Care by HIV-Infected Women of Color, and the Need for Autonomy, Competency, and Relatedness

Experiences with HIV Testing, Entry, and Engagement in Care by HIV-Infected Women of Color, and the Need for Autonomy, Competency, and Relatedness

Insights on GRACE (Gender, Race, And Clinical Experience) from the Patient's Perspective: GRACE Participant Survey

Effect of Gender on the Response to Hepatitis C Treatment in an Inner-City Population

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