Associations between police harassment and distrust in and reduced access to healthcare among Black sexual minority men: A longitudinal analysis of HPTN 061

Evaluate associations between racialized and homophobia-based police harassment (RHBPH) and healthcare distrust and utilization among Black Sexual Minority Men (BSMM). We utilized data from a longitudinal cohort study from HIV Prevention Trials Network (HPTN) 061 with baseline, six and 12 month foll...

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Bibliographic Details
Published in:PloS one 2023-08, Vol.18 (8), p.e0290378
Main Authors: Feelemyer, Jonathan P, Duncan, Dustin T, Remch, Molly, Kaufman, Jay S, Cleland, Charles M, Geller, Amanda B, Dyer, Typhanye V, Scheidell, Joy D, Turpin, Rodman E, Brewer, Russell A, Hucks-Ortiz, Christopher, Mazumdar, Medha, Mayer, Kenneth H, Khan, Maria R
Format: Article
Language:English
Subjects:
African American men
Crimes against
Delivery of Health Care
Drug use
Emergency medical care
Frequency analysis
Gays & lesbians
Harassment
Harassment (Law)
Health aspects
Health care
Health care industry
Health insurance
Health services
HIV
HIV Infections - epidemiology
Homophobia
Human immunodeficiency virus
Humans
Inequality
Injuries
Law enforcement
Longitudinal Studies
Male
Medical care
Medical research
Medicine and Health Sciences
Medicine, Experimental
Mens health
Mental disorders
Mental health
Minority & ethnic groups
People and Places
Police
Police brutality
Prevention
Primary care
Race
Racial differences
Racism
Sexual and Gender Minorities
Sexual minorities
Sexuality
Sexually transmitted diseases
Social Sciences
Statistics
STD
Stigma
Utilization
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Summary:Evaluate associations between racialized and homophobia-based police harassment (RHBPH) and healthcare distrust and utilization among Black Sexual Minority Men (BSMM). We utilized data from a longitudinal cohort study from HIV Prevention Trials Network (HPTN) 061 with baseline, six and 12 month follow-up assessments. Using multivariable analysis, we evaluated associations between RHBPH and healthcare distrust and utilization reported at the 6 and 12 month visits. Of 1553 BSMM present at baseline, 1160 were available at six-month follow-up. In multivariable analysis, increasing frequency of RHBPH was associated with increasing levels of distrust in healthcare providers (aOR 1.31, 95% CI: 1.00, 1.74) and missing 50% or more of healthcare visits at six-month follow-up (aOR 1.93, 95% CI: 1.09, 3.43). Recent experiences of RHBPH are associated with reduced trust in and access to healthcare among BSMM, with more frequent RHBPH associated with greater vulnerability.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0290378