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Article: Whose Responsibility Is It to Dismantle Medical Mistrust? Future Directions for Researchers and Health Care Providers.

Jaiswal, Jessica

2019 Volume 45, Issue 2, Page(s) 188–196

Abstract: Medical mistrust persists and appears to be growing. The public health literature on medical mistrust has largely focused on mistrust among Black and African American populations due to legacies of abuse and mistreatment, such as the infamous Tuskegee ... ...

Abstract	Medical mistrust persists and appears to be growing. The public health literature on medical mistrust has largely focused on mistrust among Black and African American populations due to legacies of abuse and mistreatment, such as the infamous Tuskegee Syphilis Study. However, research is now emerging that explores mistrust among various populations and in varying contexts, and the literature now largely emphasizes the role of ongoing, present-day social and economic inequalities in shaping and sustaining mistrust, particularly among populations who experience staggering health disparities. This special issue showcased nine articles exploring medical mistrust among diverse populations, exploring a wide array of topics and spanning myriad methodologies. In addition to a rigorous systematic review of the literature, this issue covers several critical subareas of the health disparities literature, including preventative health screenings among Black men, discrimination and cultural factors among rural Latinx communities, health care satisfaction among Latina immigrant women, the complex relationship between HIV testing and "conspiracy beliefs" among Black populations, pre-exposure prophylaxis use among transgender women, the impacts of mass incarceration on HIV care, eHealth interventions to address chronic diseases among sexual minority men of color, and participatory research to engage underserved populations as co-researchers. The purpose of this article is to provide a brief summary of the nine manuscripts in this special issue and to outline some recommendations and future directions for research on medical mistrust.
MeSH term(s)	Forecasting ; Health Knowledge, Attitudes, Practice ; Health Personnel/psychology ; Humans ; Research Personnel/psychology ; Trust/psychology
Language	English
Publishing date	2019-08-12
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	623101-9
ISSN	0896-4289
ISSN	0896-4289
DOI	10.1080/08964289.2019.1630357
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Article: The Role of Nursing in Loosening the Pervasive Grip of Intersectional Stigma.

Jaiswal, Jessica / Mumba, Mercy Ngosa

Journal of psychosocial nursing and mental health services

2022 Volume 60, Issue 12, Page(s) 9–15

Abstract: Stigma is a key driver of inequity and affects myriad health behaviors and outcomes, especially those related to substance use disorder, HIV, and mental illness. Intersectionality, theorized by Black feminist scholars, emphasizes the intersecting, ... ...

Abstract	Stigma is a key driver of inequity and affects myriad health behaviors and outcomes, especially those related to substance use disorder, HIV, and mental illness. Intersectionality, theorized by Black feminist scholars, emphasizes the intersecting, structural processes that place people at risk for harm. As people's multiple identities are inseparable and non-additive, their experiences of stigma are complex and multifaceted. Nurse educators, scholars, and clinicians form the foundation of patient care and scientific advancements to improve the health and well-being of diverse patient populations. The nursing profession must contend with the underlying drivers of intersectional stigma, including systemic racism and White supremacy, classism, and gender inequality. Centering equity, strengthening recruitment/retention of minoritized nursing students, implementing stigma training in curricula, improving the nursing leadership pipeline, moving beyond implicit bias training and deficit models, and incorporating intersectional and implementation science approaches in research can help advance equity for clinicians and patient populations. [
MeSH term(s)	Humans ; Social Stigma ; Mental Disorders ; Mental Health Services ; Psychiatric Nursing ; Curriculum
Language	English
Publishing date	2022-12-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	225817-1
ISSN	1938-2413 ; 0279-3695
ISSN (online)	1938-2413
ISSN	0279-3695
DOI	10.3928/02793695-20221109-04
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Article ; Online: Opioid misuse among people with HIV: results from the National Survey on Drug Use and Health (NSDUH) 2015-2019.

Aldosari, Muath / Alnashri, Yahya / Jaiswal, Jessica / Chandel, Tejasvita / Kay, Emma Sophia

Pain management

2024 Volume 14, Issue 2, Page(s) 65–74

Abstract: Aim: ...

Abstract	Aim:
MeSH term(s)	Humans ; Prescription Drug Misuse ; Opioid-Related Disorders/epidemiology ; Analgesics, Opioid/therapeutic use ; Chronic Pain/drug therapy ; Chronic Pain/epidemiology ; HIV Infections/complications ; HIV Infections/epidemiology ; HIV Infections/drug therapy
Chemical Substances	Analgesics, Opioid
Language	English
Publishing date	2024-01-31
Publishing country	England
Document type	Journal Article
ZDB-ID	2617136-3
ISSN	1758-1877 ; 1758-1869
ISSN (online)	1758-1877
ISSN	1758-1869
DOI	10.2217/pmt-2023-0079
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Article ; Online: An Examination of Condom Brand's Social Media Influence on Sexual Health Messages.

Xu, Mia Ann / Griffin, Marybec / Jaiswal, Jessica

Health communication

2022 Volume 38, Issue 9, Page(s) 1932–1941

Abstract: Social media is a primary source of sexual health information for young adults. Increased exposure to sexual health education on social media is associated with safer sexual behavior. Given the diversity of social media accounts, condom brands may be a ... ...

Abstract	Social media is a primary source of sexual health information for young adults. Increased exposure to sexual health education on social media is associated with safer sexual behavior. Given the diversity of social media accounts, condom brands may be a trusted source of sexual health information. We quantified user interactions on the social media posts of the three most frequently used social media sites of condom brands from January 2020 to June 2021. We analyzed the reach each account had in terms of sexual health information separated into three categories: sexual health education, sexual health resources and social issues relating to sexual health. On Instagram, 48% of posts provide sexual health education, 5% mention resources, and 23% mention social issues. On YouTube 68% of posts provide sexual health education, 35% mention resources, and 31% mention social issues. Providing sexual health education had a positive association with likes on Instagram (
MeSH term(s)	Young Adult ; Humans ; Social Media ; Sexual Health ; Condoms ; Sex Education ; Sexual Behavior
Language	English
Publishing date	2022-03-28
Publishing country	England
Document type	Journal Article
ZDB-ID	1038723-7
ISSN	1532-7027 ; 1041-0236
ISSN (online)	1532-7027
ISSN	1041-0236
DOI	10.1080/10410236.2022.2042144
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Article: Towards a More Inclusive and Dynamic Understanding of Medical Mistrust Informed by Science.

Jaiswal, Jessica / Halkitis, Perry N

Behavioral medicine (Washington, D.C.)

2019 Volume 45, Issue 2, Page(s) 79–85

Abstract: Mistrust of medical advances and the medical professions continues to persist, and is perhaps increasing. The popular press has documented the growing number of parents globally whose concerns around childhood vaccination, albeit based on faulty ... ...

Abstract	Mistrust of medical advances and the medical professions continues to persist, and is perhaps increasing. The popular press has documented the growing number of parents globally whose concerns around childhood vaccination, albeit based on faulty scientific information, has led to the anti-vax movement which has already resulted in outbreaks of measles in various parts of the U.S. In recent years, the AIDS Healthcare Foundation has increased speculation and mistrust with regard to the denialism of the effectiveness of pre-exposure prophylaxis (PrEP) to avert HIV infections, again based on misinformation. However, in other cases, medical mistrust reflects the very real historical and ongoing injustices experienced by socially and economically marginalized groups. Whether the genesis of the mistrust is based on fact or fallacy, the results may be similar. There are myriad negative consequences associated with medical mistrust, including lower utilization of healthcare and poorer management of health conditions. Mistrust is thought to provide a partial explanation for staggering health disparities, particularly among Black and African American people, and much of the public health and medical literature cites the infamous Tuskegee Study as a main catalyst for this persistent health-related mistrust among people of color and other groups who experience social and economic vulnerability. While mistrust is often referred to as a phenomenon existing within an individual or community, we must rethink this conceptualization and instead locate mistrust as a phenomenon created by and existing within a system that creates, sustains and reinforces racism, classism, homophobia and transphobia, and stigma. The purpose of this article is to briefly address the state of the medical mistrust literature, and to provide a summary of the articles included in this special issue on medical mistrust. Although the scholarship in this issue addresses diverse methodologies, outcomes and populations, they share a message: social inequality drives mistrust.
MeSH term(s)	Health Knowledge, Attitudes, Practice ; Humans ; Socioeconomic Factors ; Trust
Language	English
Publishing date	2019-07-25
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Review
ZDB-ID	623101-9
ISSN	0896-4289
ISSN	0896-4289
DOI	10.1080/08964289.2019.1619511
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Article ; Online: Barriers and Facilitators Impacting Disease and Symptom Management Among College Students With Type 1 Diabetes: A Qualitative Study.

McFadden, Ny'Nika T / Wilkerson, Amanda H / Jaiswal, Jessica / Chaney, Beth H / Stellefson, Michael L / Carmack, Heather J / Lovett, Kylie

American journal of health promotion : AJHP

2024 Volume 38, Issue 5, Page(s) 704–715

Abstract: Purpose: This study aimed to explore barriers and facilitators impacting disease and symptom management among college students living with Type 1 Diabetes (T1D).: Design: A qualitative, phenomenological approach using semi-structured, one-on-one ... ...

Abstract	Purpose: This study aimed to explore barriers and facilitators impacting disease and symptom management among college students living with Type 1 Diabetes (T1D). Design: A qualitative, phenomenological approach using semi-structured, one-on-one interviews. Setting: Interviews conducted on Zoom (n = 28) and in-person (n = 3). Participants: Purposive sample of 31 college students living with T1D for at least 2 years who attended large, 4-year public universities in the Southeastern United States. Method: This study was theoretically informed using the Middle-Range Theory of Self-Care of Chronic Illness Integration of Symptoms to develop interview questions. Interviews were transcribed verbatim and uploaded in NVivo. Data were analyzed thematically using a codebook developed by the research team using the theory as a framework. Trustworthiness was established using an audit trail, memos, and negative case analysis. Results: Four themes described barriers: diabetes burnout, challenges adjusting to a college lifestyle, difficulty receiving medical supplies, and insurance limitations. Five themes explained facilitators: years of experience managing T1D, tangible support with medical supplies, informational support for disease management, and emotional/technological support for disease and symptom management. Conclusion: Barriers and facilitators in this study should be addressed in future T1D interventions for college students. Findings can also guide healthcare professionals, health promotion practitioners, family, friends, and significant others on how to better support college students as they manage T1D.
MeSH term(s)	Humans ; Diabetes Mellitus, Type 1/therapy ; Diabetes Mellitus, Type 1/psychology ; Male ; Qualitative Research ; Female ; Students/psychology ; Students/statistics & numerical data ; Universities ; Young Adult ; Adult ; Interviews as Topic ; Southeastern United States ; Self Care/psychology ; Adolescent ; Disease Management
Language	English
Publishing date	2024-02-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	645160-3
ISSN	2168-6602 ; 0890-1171
ISSN (online)	2168-6602
ISSN	0890-1171
DOI	10.1177/08901171241233407
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Article ; Online: Human Papillomavirus Vaccination Rates by Gender Identity and Sexual Orientation Among 18-44-Year-Olds in the U.S.

Griffin, Marybec / Jaiswal, Jessica / Stults, Christopher B

Archives of sexual behavior

2021 Volume 50, Issue 7, Page(s) 3079–3092

Abstract: In the U.S., human papillomavirus (HPV) vaccination has been recommended for individuals up to age 26, although the vaccination is currently approved for all people up to the age of 45. This research sought to explore HPV vaccination disparities by age ... ...

Abstract	In the U.S., human papillomavirus (HPV) vaccination has been recommended for individuals up to age 26, although the vaccination is currently approved for all people up to the age of 45. This research sought to explore HPV vaccination disparities by age with subgroup analysis by gender identity and sexual orientation groups, as well as sociodemographic factors that may serve as barriers to or facilitators of vaccination. This study used data from the 2018 Behavioral Risk Factor Surveillance System. Only data for individuals who reported their gender identity, sexual orientation, and HPV vaccination status were included in the analytic sample (n = 7330). HPV vaccination rates for this sample were low, as only 18.2% (n = 1332) of the sample had received the HPV vaccination. These low rates of vaccination were similar across all subsamples: cisgender men (9.8%, n = 343), cisgender women (25.8%, n = 985), heterosexuals (17.5%, n = 1197), lesbian women or gay men (20.8%, n = 40), and bisexuals (30.8%, n = 95). In multivariable logistic regression models, younger participants (18-34) were more likely to report receiving the HPV vaccination across all subsamples. Further modeling indicated several common factors associated with higher odds of vaccination: living in a metropolitan area, having insurance coverage, and having at least one provider. Understanding vaccination disparities, as well as vaccination facilitators and barriers, is important to inform policy and program efforts. This is especially significant for adults between the ages of 35 and 44 who were excluded from the initial vaccination recommendations but are vulnerable due to changing cultural norms, including delayed marriage, nonmonogamous long-term relationships, and the ending of long-term partnerships.
MeSH term(s)	Adult ; Alphapapillomavirus ; Female ; Gender Identity ; Humans ; Male ; Papillomavirus Infections/prevention & control ; Papillomavirus Vaccines ; Sexual Behavior ; Vaccination
Chemical Substances	Papillomavirus Vaccines
Language	English
Publishing date	2021-05-03
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	184221-3
ISSN	1573-2800 ; 0004-0002
ISSN (online)	1573-2800
ISSN	0004-0002
DOI	10.1007/s10508-020-01900-x
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Article ; Online: Coping among Black college women: A transformative study of gendered racism.

Burton, Wanda M / Ezemenaka, Christina / Jaiswal, Jessica / Guyotte, Kelly W / Sanders, Angelia M

Research in nursing & health

2023 Volume 47, Issue 1, Page(s) 27–38

Abstract: Black women in the United States are placed at higher risk for mental health challenges, including distress and depression, due to structural inequities. Black college women enrolled in predominantly White institutions may be particularly exposed to ... ...

Abstract	Black women in the United States are placed at higher risk for mental health challenges, including distress and depression, due to structural inequities. Black college women enrolled in predominantly White institutions may be particularly exposed to stressors related to gendered racism, but there is limited knowledge about this population's coping strategies. A cross-sectional survey and focus group were utilized to understand and disrupt participants' experiences of gendered racism. In phase one, a survey assessing coping strategies and mental health outcomes was conducted with 168 Black women enrolled at a predominantly White institution in the southeastern United States. Logistic regression results indicated that several coping strategies including behavioral disengagement, self-blame, self-distraction, denial, and positive reframing were significantly associated with depression and psychological distress, all p < 0.05. Phase two included a single focus group with a subset of the sample from phase one. The focus group findings supplemented the survey results, suggesting education (more accurately consciousness-raising) as a foundational theme that seemed to create space for humor and social support as coping subthemes and created a transformative space where participants spoke openly about gendered racism. Findings from this study highlight the societal underpinnings that shape Black college women's experiences of gendered racism. College settings should endeavor to provide formal and informal support for Black women to minimize the harms related to gendered racism.
MeSH term(s)	Female ; Humans ; Coping Skills ; Cross-Sectional Studies ; Educational Status ; Racism/psychology ; United States ; Black or African American
Language	English
Publishing date	2023-11-16
Publishing country	United States
Document type	Journal Article
ZDB-ID	424453-9
ISSN	1098-240X ; 0160-6891
ISSN (online)	1098-240X
ISSN	0160-6891
DOI	10.1002/nur.22352
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Article ; Online: Stigma Surrounding the Use of Medically Assisted Treatment for Opioid Use Disorder.

Witte, Tricia H / Jaiswal, Jessica / Mumba, Mercy N / Mugoya, George C T

Substance use & misuse

2021 Volume 56, Issue 10, Page(s) 1467–1475

Abstract: Purpose: This study sought to determine whether certain factors influenced public stigma toward the use of medication to treat opioid use disorders (MOUD). ...

Abstract	Purpose: This study sought to determine whether certain factors influenced public stigma toward the use of medication to treat opioid use disorders (MOUD).
MeSH term(s)	Analgesics, Opioid/therapeutic use ; Buprenorphine/therapeutic use ; Humans ; Opiate Substitution Treatment ; Opioid-Related Disorders/drug therapy ; Social Stigma
Chemical Substances	Analgesics, Opioid ; Buprenorphine (40D3SCR4GZ)
Language	English
Publishing date	2021-06-11
Publishing country	England
Document type	Journal Article
ZDB-ID	1310358-1
ISSN	1532-2491 ; 1082-6084
ISSN (online)	1532-2491
ISSN	1082-6084
DOI	10.1080/10826084.2021.1936051
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Article ; Online: Gendered racial microaggressions and black college women: A cross-sectional study of depression and psychological distress.

Burton, Wanda Martin / Paschal, Angelia M / Jaiswal, Jessica / Leeper, James D / Birch, David A

Journal of American college health : J of ACH

2022 , Page(s) 1–8

Abstract: Objective: ...

Abstract	Objective:
Language	English
Publishing date	2022-10-13
Publishing country	United States
Document type	Journal Article
ZDB-ID	604907-2
ISSN	1940-3208 ; 0744-8481
ISSN (online)	1940-3208
ISSN	0744-8481
DOI	10.1080/07448481.2022.2133567
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