{"doi":"10.1177/21501319231175362","title":"Multilevel Stigma and Its Associations with Medical Care Ratings Among Men Who Have Sex With Men in HPTN 078","abstract":"Introduction: Our research assessed associations between stigma-related variables and medical care ratings among clients with HIV in HIV Prevention Trials Network (HPTN) 078 who were men who have sex with men (MSM). Methods: Logistic regression explored care ratings, stigma, socio-demographics (N = 637). Qualitative thematic coding and themes explored stigmatizing experiences in different settings (N = 111). Results: Whites were twice as likely as African-Americans to report high care ratings ( P < .05). Clients who reported familial exclusion due to having sex with men were 40% less likely to report high medical care ratings ( P < .05). Clients who agreed healthcare providers think people with HIV “sleep around” were half as likely to report high care ratings ( P < .08). Stigmatization included “treating me like they’ll catch HIV from my hand,” and care avoidance so others didn’t “know I was having sex with men”. Conclusions: Providers can promote African American MSM client retention with more affirming healthcare provision, namely minimizing assumptions and addressing identities and client needs beyond just HIV care.","journal":"Journal of Primary Care & Community Health","year":2023,"id":376998,"datarank":0.22231427864300687,"base_score":1.3862943611198906,"endowment":1.3862943611198906,"self_citation_contribution":0.20794415416798362,"citation_network_contribution":0.014370124475023255,"self_endowment_contribution":0.20794415416798362,"citer_contribution":0.014370124475023255,"corpus_percentile":null,"corpus_rank":null,"citation_count":3,"citer_count":2,"citers_with_citation_signal":1,"citers_with_endowment":1,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.7214,"is_data_producer":true,"deposit_databanks":{"ClinicalTrials.gov":["NCT02663219"]},"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":440776,"name":"Christopher Hucks‐Ortiz","orcid":null,"position":1,"is_corresponding":false},{"id":241510,"name":"Chris Beyrer","orcid":"0000-0003-0665-9124","position":2,"is_corresponding":false},{"id":374739,"name":"Robert H. Remien","orcid":"0000-0002-3963-3273","position":3,"is_corresponding":false},{"id":305156,"name":"Kenneth H. Mayer","orcid":"0000-0001-7460-733X","position":4,"is_corresponding":false},{"id":294608,"name":"Carlos del Rı́o","orcid":"0000-0002-0153-3517","position":5,"is_corresponding":false},{"id":394768,"name":"D. Scott Batey","orcid":"0000-0002-2422-5787","position":6,"is_corresponding":false},{"id":299160,"name":"Jason E. Farley","orcid":"0000-0002-6896-0134","position":7,"is_corresponding":false},{"id":340352,"name":"Theresa Gamble","orcid":"0000-0002-2515-0828","position":8,"is_corresponding":false},{"id":340354,"name":"Elizabeth E. Tolley","orcid":"0000-0002-9823-3675","position":9,"is_corresponding":false},{"id":341119,"name":"Allysha C. Maragh‐Bass","orcid":null,"position":0,"is_corresponding":true}],"reference_count":43,"raw_metadata":null,"created_at":"2026-07-19T01:16:36.370283Z","pmid":"37243342","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}