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Cited by 94LGBTQ Health, Identity, and PolicyHealth disparities and outcomesHIV/AIDS Research and Interventions

Understanding the influence of stigma and medical mistrust on engagement in routine healthcare among Black women who have sex with women.

Open access
Brenick, Alaina, Romano, Kelly, Kegler, Christopher, Eaton, Lisa A.·2017·LGBT Health
DOI 10.1089/lgbt.2016.0083PMC PMC5278794
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Abstract

PURPOSE: For Black women who have sex with women (BWSW), obtaining routine healthcare can be obstructed by a number of psychosocial barriers, including experiences of stigma, related to both sexual orientation and race, and medical mistrust, both race-based and global. Previous research demonstrates that sexual orientation and race-based stigma, as well as global and race-based medical mistrust, each have a negative impact on health outcomes and engagement in care (EIC) independently. This study addresses gaps in the literature by examining the impact of these psychosocial barriers and their interactions among BWSW, an understudied population. METHODS: Participants (256 BWSW) were surveyed at a Black Gay Pride festival. Separate generalized linear models assessed the independent and multiplicative effects of participants' self-reported sexual orientation stigma, race-based stigma, race-based medical mistrust, and global medical mistrust related to their engagement in routine physical exams and blood pressure screenings. RESULTS: Prevalence rates of both stigma measures were low, but prevalence rates of global and race-based medical mistrust were high. The results show that experiencing sexual orientation stigma or having race-based medical mistrust predicts significantly lower EIC. Furthermore, the frequencies of obtaining recent physical examinations and blood pressure screenings were significantly related to three- and two-way interactions between stigma and medical mistrust, respectively. CONCLUSION: There is an urgent need to address the intersectionality of these psychosocial barriers in an effort to increase BWSW's EIC.

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  • Both WSW and WSWM experience barriers to care, especially Black WSW and WSWM.

    “and both WSW and WSWM experience barriers to care, especially Black WSW and WSWM (289,290).”

    From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [290]

    The Discussion reports that stigma and medical mistrust are barriers to routine care among Black women who have sex with women. The Results describe participants identifying as lesbian or bisexual, but the paper does not separately establish barriers for WSW versus WSWM or show that Black women in those groups face greater barriers than others. Page numbers are unavailable in our copy. (LLM, conf=0.84)

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Research works printed but not linked: 4

  1. [2]Agency for Healthcare Research and Quality: 2014 National Healthcare Quality & Disparities Report. Rockville, MD: Agency for Healthcare Research and Quality, 2015. [AHRQ Pub. No. 15-0007] [[Google Scholar](https://scholar.google.com/scholar_lookup?title=2014%20National%20Healthcare%20Quality%20&%20Disparities%20Report&publication_year=2015&)]
  2. [10]Institute of Medicine (US) Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care; Smedley BD, Stith AY, Nelson AR, editors: Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. Washington, DC: National Academies Press, 2003, p 764. [[PubMed](https://pubmed.ncbi.nlm.nih.gov/25032386/)] [[Google Scholar](https://scholar.google.com/scholar_lookup?title=Unequal%20Treatment:%20Confronting%20Racial%20and%20Ethnic%20Disparities%20in%20Health%20Care&publication_year=2003&)]
  3. [30]Zeldow PB, Makoul G: Communicating with patients. In: Behavior & Medicine. Edited by Wedding D, Stuber ML. Boston, MA: Hogrefe & Huber Publishers, 2006. pp 201–218 [[Google Scholar](https://scholar.google.com/scholar_lookup?title=Behavior%20&%20Medicine&author=PB%20Zeldow&author=G%20Makoul&publication_year=2006&)]
  4. [34]Frost JJ: U.S. Women's Use of Sexual and Reproductive Health Services: Trends, Sources of Care and Factors Associated with Use, 1995–2010. New York: Guttmacher Institute, 2013. Available at www.guttmacher.org/pubs/sources-of-care-2013.pdf http://www.guttmacher.org/pubs/sources-of-care-2013.pdf Accessed November18, 2016 [[Google Scholar](https://scholar.google.com/scholar_lookup?title=U.S.%20Women's%20Use%20of%20Sexual%20and%20Reproductive%20Health%20Services:%20Trends,%20Sources%20of%20Care%20and%20Factors%20Associated%20with%20Use,%201995%E2%80%932010&author=JJ%20Frost&publication_year=2013&)]

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Authors
Brenick, A., Romano, K., Kegler, C., & Eaton, L. A.
Affiliations
  • University of Connecticut (US)
  • Florida State University (US)
  • Independent Scholar
Corresponding author
Eaton, Lisa A.
ORCID
Venue
LGBT Health
Publisher
SAGE Publications
Published
2017-02
Volume
4
Issue
1
Pages
4-10
ISSN
  • 2325-8292 (ISSN-L)
  • 2325-8306
DOI
10.1089/lgbt.2016.0083
PMC
PMC5278794
OpenAlex
W2579996487
Cited by
92
References
36
Citations by year
2026: 6 · 2025: 11 · 2024: 12 · 2023: 14 · 2022: 19 · 2021: 10 · 2020: 8 · 2019: 7 · 2018: 3 · 2017: 2
FWCI
7.83
Type
journal article
Language
en
Open access
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • LGBT Health (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Institute of Mental Health (R01MH094230, R01MH109409)
Topics
  • Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
  • Social Sciences › Health › Health disparities and outcomes
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Keywords
sexual orientation stigma, physical examination, blood pressure screening, intersectionality
MeSH terms
Sexual and Gender Minorities, Adult, Black or African American, Female, Humans, Health Knowledge, Attitudes, Practice, Physical Examination, Linear Models, Homosexuality, Female, Trust, Social Stigma, Self Report

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