Association of experienced stigma in healthcare settings with health outcomes among Black women living with HIV: Mediating roles of internalized stigma, anticipated stigma, and trust in HIV care

Ibrahim Yigit, Tracey E. Wilson, Tonya N. Taylor, Seble G. Kassaye, Sheri D. Weiser, Mardge H. Cohen, Stephen Gange, Brian W. Pence, Igho Ofotokun, Gina M. Wingood, Lisa R. Metsch, Janet Brown-Friday, Michelle Floris-Moore, Mirjam-Colette Kempf, Janet M. Turan and Bulent Turan

Social Science & Medicine, 2025, vol. 366, issue C

Abstract: Black women living with HIV (WLHIV) often have suboptimal ART adherence due to a multitude of social and structural barriers, including HIV-related stigma. Trust in healthcare providers plays a significant role in adhering to ART and is likely lower among Black WLHIV compared to their White counterparts. This study examined the relationship between experienced stigma in healthcare settings and ART adherence and viral suppression through anticipated stigma in healthcare settings, internalized stigma, and medical mistrust.

Keywords: HIV; Experienced stigma; Internalized stigma; Trust; Health outcomes (search for similar items in EconPapers)
Date: 2025
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Persistent link: https://EconPapers.repec.org/RePEc:eee:socmed:v:366:y:2025:i:c:s0277953625000280

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DOI: 10.1016/j.socscimed.2025.117699

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