Stigmatization of AIDS patients by physicians.
Open accessAbstract
A randomly selected sample of physicians in three large cities was asked to read one of four vignettes describing a patient. They then completed a set of objective attitude measures eliciting their reactions to the patient described in the vignette. The vignettes were identical except that the patient's illness was identified as either acquired immunodeficiency syndrome (AIDS) or leukemia and the patient's sexual preference as either heterosexual or homosexual. Harsh attitude judgements were associated with the AIDS portrayals, as well as much less willingness to interact even in routine conversation when the patient's illness was identified as AIDS. Increasing numbers of AIDS patients will be seeking medical attention from physicians in all areas of the country and it will be important for health care professions to develop programs which counter unreasonable stigma and prejudicial attitudes that may be associated with this illness.
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Health care providers hold stereotypes based on patient race, class, sex, and other characteristics that influence their interpretation of behaviors and symptoms and their clinical decisions.
“There is significant evidence that (1) health care providers hold stereotypes—based on patient race, class, sex, and other characteristics4–17—that influence their interpretation of behaviors and symptoms, and their clinical decisions17–25”
From Reducing Racial Bias Among Health Care Providers: Lessons from Social-Cognitive Psychology (2007) · cites this paper as [9]
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Malamuth, N. M., Haber, S., & Feshbach, S. (1980) · Journal of Research in Personality · doi:10.1016/0092-6566(80)90045-8 · Cited by 247 · see citing works
Kelly, J. A., Kern, J. M., Kirkley, B. G., et al. (1980) · Behavior Therapy · doi:10.1016/s0005-7894(80)80006-2 · Cited by 93 · see citing works
Self-citationBlacks' Perceptions of Assertive Behavior
Keane, T. M., Lawrence, J. S. S., Himadi, W. G., et al. (1983) · Behavior Modification · doi:10.1177/01454455830071007 · Cited by 25 · see citing works
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Reducing Racial Bias Among Health Care Providers: Lessons from Social-Cognitive Psychology
Burgess, D., van Ryn, M., Dovidio, J., & Saha, S. (2007) · Journal of General Internal Medicine · doi:10.1007/s11606-007-0160-1 · Cited by 495 · see citing works
Why do providers contribute to disparities and what can be done about it?
Burgess, D. J., Fu, S. S., & Ryn, M. (2004) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2004.30227.x · Cited by 310 · see citing works
- Authors
- Kelly, J. A., St Lawrence, J. S., Smith, S., Hood, H. V., & Cook, D. J.
- Affiliations
- University of Mississippi Medical Center (US)
- ORCID
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 1987-07
- Volume
- 77
- Issue
- 7
- Pages
- 789-791
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- OpenAlex
- W2101606743
- Cited by
- 331
- References
- 3
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2023: 3 · 2022: 4 · 2021: 6 · 2020: 3 · 2019: 3 · 2018: 3 · 2017: 5 · 2016: 5 · 2015: 3 · 2014: 4 · 2013: 3 · 2012: 7
- FWCI
- 24.02
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- American Journal of Public Health (publishedVersion)
- PubMed (publishedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- AIDS, physician attitudes, stigma, prejudice, homophobia, sexual orientation, leukemia, patient-physician interaction, health care discrimination
- MeSH terms
- Acquired Immunodeficiency Syndrome, Adult, Aged, Attitude of Health Personnel, Female, Homosexuality, Humans, Interpersonal Relations, Leukemia, Male, Middle Aged, Physician-Patient Relations, Prejudice, Surveys and Questionnaires
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