National Healthcare Quality and Disparities Report
Latest available findings on quality of and access to health care
Data
- Data Infographics
- Data Visualizations
- Data Tools
- Data Innovations
- All-Payer Claims Database
- Healthcare Cost and Utilization Project (HCUP)
- Medical Expenditure Panel Survey (MEPS)
- AHRQ Quality Indicator Tools for Data Analytics
- State Snapshots
- United States Health Information Knowledgebase (USHIK)
- Data Sources Available from AHRQ
Search All Research Studies
Topics
- Behavioral Health (3)
- Communication (1)
- Depression (3)
- Diagnostic Safety and Quality (1)
- Disparities (1)
- Education: Patient and Caregiver (1)
- Health Promotion (1)
- (-) Human Immunodeficiency Virus (HIV) (6)
- Medication (1)
- Patient Adherence/Compliance (1)
- Prevention (2)
- Public Health (1)
- (-) Racial and Ethnic Minorities (6)
- (-) Social Stigma (6)
- Women (3)
AHRQ Research Studies
Sign up: AHRQ Research Studies Email updates
Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 6 of 6 Research Studies DisplayedLipira L, Williams EC, Huh D
HIV-related stigma and viral suppression among African-American women: exploring the mediating roles of depression and ART nonadherence.
Investigators recruited a sample of African-American women living with HIV to participate in a stigma-reduction intervention. The women lived in Chicago and Birmingham from 2013 to 2015. The relationship between HIV-related stigma and viral suppression was evaluated and the role of depression and nonadherence to antiretroviral therapy (ART) was assessed. Among 100 women who participated 95% reported some level of HIV-related stigma. Those who reported higher levels of stigma did have lower odds of being virally suppressed. The indirect effects of depression and ART nonadherence were not statistically significant.
AHRQ-funded; HS013853.
Citation: Lipira L, Williams EC, Huh D .
HIV-related stigma and viral suppression among African-American women: exploring the mediating roles of depression and ART nonadherence.
AIDS Behav 2019 Aug;23(8):2025-36. doi: 10.1007/s10461-018-2301-4..
Keywords: Depression, Human Immunodeficiency Virus (HIV), Medication, Behavioral Health, Patient Adherence/Compliance, Racial and Ethnic Minorities, Social Stigma, Women
Lipira L, Williams EC, Nevin PE
Religiosity, social support, and ethnic identity: exploring "resilience resources" for African-American women experiencing HIV-related stigma.
The objective of this study was to evaluate whether religiosity, social support, and ethnic identity moderate the effects of HIV-related stigma on depression among African-American women living with HIV. Results showed that the protective effects of religiosity may be leveraged in interventions for African-American women living with HIV struggling with HIV-related stigma.
AHRQ-funded; HS013853.
Citation: Lipira L, Williams EC, Nevin PE .
Religiosity, social support, and ethnic identity: exploring "resilience resources" for African-American women experiencing HIV-related stigma.
J Acquir Immune Defic Syndr 2019 Jun;81(2):175-83. doi: 10.1097/qai.0000000000002006..
Keywords: Human Immunodeficiency Virus (HIV), Racial and Ethnic Minorities, Social Stigma, Women, Depression, Behavioral Health
Lipira L, Nevin PE, Frey S
The positive living program: development and pilot evaluation of a multimedia behavioral intervention to address HIV-related stigma and depression among African-immigrant people living with HIV in a large, Northwestern U.S. metropolitan area.
The purpose of thisstudy was to implement the first three steps (information gathering, preliminary design, preliminary testing) in the development of a culturally-adapted multimedia behavioral intervention to reduce HIV-related stigma among African-immigrant PLWH. The investigators concluded that input from key stakeholders and observed decreases in depressive symptoms post-intervention indicated that a multimedia behavioral intervention such as The Positive Living Program could be an effective way to address poor psychosocial outcomes associated with HIV-related stigma among African-immigrant PLWH.
AHRQ-funded; HS013853.
Citation: Lipira L, Nevin PE, Frey S .
The positive living program: development and pilot evaluation of a multimedia behavioral intervention to address HIV-related stigma and depression among African-immigrant people living with HIV in a large, Northwestern U.S. metropolitan area.
J Assoc Nurses AIDS Care 2019 Mar-Apr;30(2):224-31. doi: 10.1097/jnc.0000000000000037..
Keywords: Human Immunodeficiency Virus (HIV), Social Stigma, Depression, Behavioral Health, Racial and Ethnic Minorities
Payan DD, Florez KR, Bogart LM
Promoting health from the pulpit: a process evaluation of HIV sermons to reduce HIV stigma and promote testing in African American and Latino churches.
This study explored implementation of an HIV sermon as part of a multi-component intervention in three churches (Latino Catholic, Latino Pentecostal, and African American Baptist) in high HIV prevalence areas of Los Angeles County, California. The investigators found large variation in fidelity to communicating key HIV messages from the sermon guide. They concluded that structured training of clergy may be necessary to implement the more theoretically driven stigma reduction cues included in the sermon guide.
AHRQ-funded; HS000046.
Citation: Payan DD, Florez KR, Bogart LM .
Promoting health from the pulpit: a process evaluation of HIV sermons to reduce HIV stigma and promote testing in African American and Latino churches.
Health Commun 2019 Jan;34(1):11-20. doi: 10.1080/10410236.2017.1384352..
Keywords: Human Immunodeficiency Virus (HIV), Social Stigma, Racial and Ethnic Minorities, Diagnostic Safety and Quality, Health Promotion, Education: Patient and Caregiver, Communication, Prevention
Rice WS, Logie CH, Napoles TM
Perceptions of intersectional stigma among diverse women living with HIV in the United States.
This study conducted 76 interviews with diverse women with HIV from varied socioeconomic backgrounds in Birmingham AL, Jackson MI, Atlanta GA, and San Francisco CA, who were enrolled in the Women's Interagency HIV Study (WIHS). The purpose was to examine perceptions of intersectional stigma among women living with HIV. The women interviewed shared their perceptions of the various forms of stigma and discrimination they had experienced, most commonly related to gender, race, income level, as well as their incarceration histories and weight. The study’s findings highlight the complexity of the social processes of marginalization, and the need for public health strategies to promote wellbeing among women living with HIV and to reduce social structural and health disparities.
AHRQ-funded; HS013852.
Citation: Rice WS, Logie CH, Napoles TM .
Perceptions of intersectional stigma among diverse women living with HIV in the United States.
Soc Sci Med 2018 Jul;208:9-17. doi: 10.1016/j.socscimed.2018.05.001..
Keywords: Disparities, Human Immunodeficiency Virus (HIV), Racial and Ethnic Minorities, Social Stigma, Women
Calabrese SK, Underhill K, Earnshaw VA
Framing HIV Pre-Exposure Prophylaxis (PrEP) for the general public: How inclusive messaging may prevent prejudice from diminishing public support.
The authors examined how public attitudes toward HIV pre-exposure prophylaxis (PrEP) differed based on the social group PrEP was described as benefiting and the moderating effect of prejudice. They found a disparity in support that was stronger among participants reporting greater prejudice and concluded that inclusive framing of PrEP in public discourse may prevent prejudice from undermining implementation efforts.
AHRQ-funded; HS022986.
Citation: Calabrese SK, Underhill K, Earnshaw VA .
Framing HIV Pre-Exposure Prophylaxis (PrEP) for the general public: How inclusive messaging may prevent prejudice from diminishing public support.
AIDS Behav 2016 Jul;20(7):1499-513. doi: 10.1007/s10461-016-1318-9.
.
.
Keywords: Human Immunodeficiency Virus (HIV), Prevention, Public Health, Racial and Ethnic Minorities, Social Stigma