Associations between police harassment and distrust in and reduced access to healthcare among Black sexual minority men: A longitudinal analysis of HPTN 061
Creators
- 1. New York University
- 2. Columbia University
- 3. University of North Carolina at Chapel Hill
- 4. McGill University
- 5. University of California, Irvine
- 6. University of Maryland
- 7. University of Chicago
- 8. Black AIDS Institute
- 9. Harvard University
Description
Objective: Evaluate associations between racialized and homophobia-based police harassment (RHBPH) and healthcare distrust and utilization among Black Sexual Minority Men (BSMM).
Methods: 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.
Results: 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).
Conclusions: Recent experiences of RHBPH are associated with reduced trust in and access to healthcare among BSMM, with more frequent RHBPH associated with greater vulnerability.
Data availability
Access to the data can be provided through an approved Data Use Agreement between our institution (New York University School of Medicine) and the institution with which the user is affiliated. Persons wanting to access the data should communicate with the NYU IRB to initiate a Data Use Agreement (irb-info@nyulangone.org).
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journal.pone.0290378.pdf
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Additional details
Identifiers
- DOI
- 10.1371/journal.pone.0290378
- Other
- oai:uchicago.tind.io:7445
Funding
- National Institute of Allergy and Infectious Disease
- UM1 AI068619
- National Institute on Drug Abuse
- UM1 AI068617
- National Institute of Mental Health
- UM1 AI068613
- CFAR
- P30 AI060354
- Harvard University
- UM1 AI069480
- CFAR
- P30 AI087714
- CTU
- 5U01 AI069466
- ARRA
- 3U01 AI069466-03S1
- CTU
- 5U01 AI069418
- CFAR
- P30 AI050409
- CTSA
- UL1 RR025008
- ARRA
- 3U01 AI069496-03S1
- ARRA
- 3U01 AI069496-03S2
- CTU
- U01 AI069424
- National Institute on Drug Abuse
- Stop-and-Frisk, Arrest, and Incarceration and STI/HIV Risk in Minority MSM
- New York University
- P30 DA011041
- New York University
- U48 DP005008
- University of Maryland
- U48 DP006382
- National Institute on Drug Abuse
- P30DA027828-08S1