Is Perceived Stigma in Clinical Settings Associated With Poor Health Status Among New York City’s Residents of Color

Bibliographic Data

ID9103624
AuthorsPrabal De (Colin Powell School at City College and The Graduate Center, City University of New York), Prabal K De (0000-0002-0043-3207, The Graduate Center, CUNY, corresponding author), Alexis Pozen (0000-0002-7806-5547, CUNY Graduate School of Public Health and Health Policy), Henna Budhwani (0000-0002-6716-9754, University of Alabama at Birmingham)
Year2019
Volume57
Issue12
Pages960-967
Publication date2019-12-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000001205
PMID31730568
OpenAlexW2972571799
LanguageEN
Citations received4
References cited29

OBJECTIVES: Our objectives were to assess rates of perceived stigma in health care (clinical) settings reported by racially diverse New York City residents and to examine if this perceived stigma is associated with poorer physical and mental health outcomes. METHODS: We analyzed data from the 2016 New York City Community Health Survey. We applied bivariable and multivariable methods to assess rates of perceived stigma, and perceived stigma's statistical relationship with health care access, physical health status, and mental health status controlling for sociodemographics and health insurance status. RESULTS: Perceived stigma was associated with poorer health care access [odds ratio (OR)=7.07, confidence interval (CI)=5.32-9.41), depression (OR=3.80, CI=2.66-5.43), diabetes (OR=1.86, CI=1.36-2.54), and poor overall general health (OR=0.43, CI=0.33-0.57). Hispanic respondents reported the highest rate of perceived stigma among racial and ethnic minority groups (mean=0.07, CI=0.05-0.08). CONCLUSIONS: We found that perceived stigma in health care settings was a potential barrier to good health. Prior studies have illustrated that negative health outcomes are common for patients who avoid or delay care; thus, the unfortunate conclusion is that even in a diverse, heterogeneous community, stigma persists and may negatively affect well-being. Therefore, eliminating stigma in clinical settings should be a top priority for health care providers and public health professionals seeking to improve health equity

Affect (linguistics) · Environmental health · Ethnic group · Family medicine · Health care · Health equity · Mental health · Odds ratio · Psychiatry · Public health · Stigma (botany) · Cultural Competency in Health Care · Diabetes Management and Education · Medicine · Mental Health Treatment and Access · Nursing · Psychology · Gerontology