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Mistreatment in health care among women in Appalachia

Bibliographic Data

ID15098942
AuthorsAmy Alspaugh (0000-0003-4427-4807, University of Tennessee at Knoxville, corresponding author), Laura E T Swan (0000-0002-1371-3582, University of Wisconsin–Madison), Samantha Auerbach (0000-0002-2855-7076, University at Buffalo, State University of New York), Samantha L Auerbach (University at Buffalo, State University of New York), Marissa Bartmess (0000-0001-5158-6601, University of Tennessee at Knoxville), Kafuli Agbemenu (0000-0001-7224-1899, University at Buffalo, State University of New York), Gretchen E Ely (0000-0002-0395-9626, University of Tennessee at Knoxville)
Year2023
Volume25
Issue12
Pages1690-1706
Publication date2023-12-01
Open AccessYes
TypeARTICLE
VenueCulture Health & Sexuality (JOURNAL)
Journal identifiersISSN: 1369-1058 • E-ISSN: 1464-5351
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2023.2176547
PMID36780368
OpenAlexW4320484426
LanguageEN
Citations received3
References cited35

Good quality patient care requires health care providers to respect the humanity and autonomy of their patients. However, this is not achieved in all settings. This study used cross-sectional survey data including open-ended text responses to explore negative experiences with health care providers among women in Appalachia. We used the Heath Stigma & Discrimination Framework (HSDF) to identify how stigma is created and perpetuated through interactions with health care providers. Survey data from 628 women collected through purposive sampling identified that two out of three participants had had a bad encounter with a provider that made them not want to return for care. One in six participants had a negative experience specifically while seeking contraception. Using the domains of the HSDF framework, qualitative answers to open-ended questions illuminated how health care providers, influenced by social and cultural norms related to religiosity, patriarchal views, poverty, poor health infrastructure, and the opioid crisis, created and perpetuated stigma through dehumanising treatment, low-quality care, and health care misogyny. Because stigma is a driver of health inequity, these findings highlight the important and sometimes problematic role that health care providers can play when they create a barrier to future care through poor treatment of patients

Appalachia · Autonomy · Environmental health · Family medicine · Health care · Nonprobability sampling · Political science · Population · Poverty · Psychiatry · Qualitative research · Social stigma · Sociology · Stigma (botany · Adolescent Sexual and Reproductive Health · Medicine · Nursing · Psychology · Racial and Ethnic Identity Research · Reproductive Health and Contraception

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Citations per year1
Citation span2023 - 2026 (4)
Highly citedNo

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