Predictors and Consequences of Negative Patient-Provider Interactions Among a Sample of African American Sexual Minority Women

LGBT Health
Chien-Ching LiMaharshi Patel

Abstract

Using Andersen's Behavioral Model of Health Services Utilization, we examined the associations between negative experience in a health care setting and subsequent reductions in health care utilization among African American sexual minority women (SMW). The data were collected as part of a larger study exploring health and health care experiences of a volunteer sample of African American SMW (n=226). We examined predisposing, enabling, and need factors as predictors of a negative experience and changes in health care utilization. More than one-third of the sample reported a negative health care experience in the past 5-years. One fourth of those reporting a negative experience attributed it to discrimination including race/ethnicity (70.4%), gender (58.2%), and sexual orientation (46.2%). (The categories were not mutually exclusive). Reduction in health care utilization (i.e., didn't see a doctor next time when they were ill) following the negative experience was common (34%). Predisposing (younger age), enabling (lack of insurance, part-time employment, and no regular provider), and need factors (living with a chronic illness) predicted experiencing a negative event. In multivariate analysis, health care factors (quality of hea...Continue Reading

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Citations

Aug 23, 2016·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Madina AgénorChristina A Muzny
Sep 8, 2016·LGBT Health·Miriam R ArbeitBrian Mustanski
Sep 27, 2018·Journal of Midwifery & Women's Health·Madelyne Z GreeneTonda L Hughes
Aug 1, 2019·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Christopher W Blackwell
Jan 18, 2020·Women's Health·Marybec GriffinPerry N Halkitis
Jul 1, 2020·American Journal of Clinical Oncology·Ulrike BoehmerJennifer Potter
Mar 5, 2017·International Journal for Equity in Health·Mariam KhanKatherine Saxton
Nov 7, 2019·International Journal of Health Services : Planning, Administration, Evaluation·Cemile Hurrem Balik AyhanSevim Buzlu
Sep 6, 2020·American Journal of Clinical Oncology·Ulrike BoehmerJennifer Potter
Mar 15, 2019·Implementation Science : IS·Eva N WoodwardJoAnn E Kirchner
May 14, 2021·Culture, Health & Sexuality·Moira C McNultyJohn A Schneider
Jun 7, 2021·Implementation Science Communications·Eva N WoodwardJoAnn E Kirchner

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