Table 2.
Respondents' Affordable Care Act (ACA) knowledge, HIV stigma, trust in the healthcare system and government, and ACA attitudes.
| ACA knowledge1: n (%) | Overall n = 53 |
|---|---|
| ACA subsidies | |
| Correct | 41 (77%) |
| Not correct | 12 (23%) |
|
| |
| Pre-existing conditions | |
| Correct | 23 (43%) |
| Not correct | 30 (57%) |
|
| |
| ACA/Ryan White interaction | |
| Correct | 37 (70%) |
| Not correct | 16 (30%) |
|
| |
| Virginia Medicaid expansion | |
| Correct | 6 (11%) |
| Not correct | 47 (89%) |
|
| |
| Correct ACA knowledge2 | |
| Yes | 16 (30%) |
| No | 37 (70%) |
|
| |
| HIV Berger Stigma Scale3: mean (SD) | |
| Total stigma | 104 (20.0) |
|
| |
| Trust in clinicians/insurance companies4 | |
| Mean (SD) | |
| Trust in HIV clinicians | 21.8 (2.5) |
| Trust in general clinicians | 19.5 (3.6) |
| Trust in insurance companies | 13.6 (3.8) |
|
| |
| Trust in governmental bodies5: n (%) | |
| How often can you trust the federal government to do what is right? | |
| Always | 2 (3.8%) |
| Most of the time | 8 (15.1%) |
| About half the time | 12 (22.6%) |
| Some of the time | 15 (28.3%) |
| Never | 8 (15.1%) |
| Don't know | 8 (15.1%) |
|
| |
| How often can you trust the Virginia state government to do what is right? | |
| Always | 3 (5.7%) |
| Most of the time | 9 (17.0%) |
| About half the time | 13 (24.5%) |
| Some of the time | 12 (22.6%) |
| Never | 8 (15.1%) |
| Don't know | 8 (15.1%) |
|
| |
| Attitudes toward the ACA1: mean (SD) | |
| Does insurance improve healthcare? | 3.9 (1.0) |
| Will the ACA improve US health outcomes? | 3.5 (0.9) |
| Will the ACA improve your HIV health outcomes? | 3.7 (1.0) |
| Will the ACA improve your non-HIV health outcomes? | 3.4 (0.9) |
|
| |
| Do you have enough information on the ACA to understand its impact on your HIV care? | |
| Agree | 28 (53%) |
| Disagree | 25 (47%) |
1ACA knowledge and attitudes toward the ACA were assessed using questions from McManus et al. [19]. 2 Correct ACA knowledge was defined as getting the first three questions correct (ACA subsidies, pre-existing conditions, and ACA/Ryan White interaction) as there was a very low correct response rate about Virginia's Medicaid expansion status. 3Stigma was assessed using the Berger HIV Stigma Scale [20]. 4Trust in clinicians and insurance companies was assessed using methods from Dugan et al. [21]. 5Trust in governmental bodies was assessed using methods from the American National Election Studies [22].