ABSTRACT

Racial/ethnic discrimination and HIV/AIDS conspiracy beliefs may contribute to disparities in use and satisfaction with healthcare services. Previous studies that examined racial/ethnic experiences of everyday discrimination (EOD), health care discrimination (HCD), and HIV/AIDS conspiracy beliefs (HCB) focused primarily on African Americans with few studies focusing on Latinos. This study used data from in-person structured interviews with 450 Latino, Black, and White young adults from East Los Angeles, California. Multivariable models, adjusting for all demographic covariates, investigated if race/ethnicity and gender were associated with EOD and HCD and endorsing HCB, and if the associations between race/ethnicity and discriminations and HCB varied by gender. Blacks and Latinos reported more experiences of EOD and HCD in almost all forms and endorsed more HIV/AIDS conspiracy beliefs compared to Whites. Additionally, Black and Latino men reported stronger feelings of EOD than their female counterparts. More reports of experiences of HCD and endorsement of HCB beliefs were found for Blacks, Latinos, and participants with children compared to their counterparts. This study contributes to a growing understanding of how different racial/ethnic groups experience discrimination across various settings and everyday activities and their endorsement of HIV/AIDS conspiracy beliefs. The field of Public Health must address the problems of racism and discrimination similar to any other toxic pathogen. In so doing, Public Health becomes proactive in its efforts to mitigate the effects of racial discriminations on population health.

 抽象的

种族/民族歧视和艾滋病毒/艾滋病阴谋论可能会导致医疗服务使用和满意度方面的差异。先前研究日常歧视（EOD）、医疗保健歧视（HCD）和艾滋病毒/艾滋病阴谋信仰（HCB）的种族/族裔经历的研究主要集中在非裔美国人，很少有研究关注拉丁裔。这项研究使用的数据来自对来自加利福尼亚州东洛杉矶的 450 名拉丁裔、黑人和白人年轻人的面对面结构化访谈。调整所有人口统计协变量的多变量模型调查了种族/民族和性别是否与 EOD 和 HCD 以及支持 HCB 相关，以及种族/民族与歧视和 HCB 之间的关联是否因性别而异。与白人相比，黑人和拉美裔人报告了更多几乎所有形式的 EOD 和 HCD 经历，并支持更多的艾滋病毒/艾滋病阴谋论信念。此外，黑人和拉丁裔男性对爆炸事件的感受比女性更强烈。与其他人相比，黑人、拉丁裔和有孩子的参与者有更多关于 HCD 经历和对 HCB 信仰认可的报告。这项研究有助于加深了解不同种族/族裔群体在不同环境和日常活动中如何遭受歧视，以及他们对艾滋病毒/艾滋病阴谋论的认可。公共卫生领域必须解决与任何其他有毒病原体类似的种族主义和歧视问题。在此过程中，公共卫生部门积极主动地努力减轻种族歧视对人口健康的影响。