Mistreatment in health care among women in Appalachia.
Cult Health Sex
; 25(12): 1690-1706, 2023 Dec.
Article
en En
| MEDLINE
| ID: mdl-36780368
ABSTRACT
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.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Estigma Social
/
Instituciones de Salud
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
Límite:
Female
/
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Cult Health Sex
Asunto de la revista:
CIENCIAS DO COMPORTAMENTO
/
CIENCIAS SOCIAIS
Año:
2023
Tipo del documento:
Article
País de afiliación:
Estados Unidos