“…Individuals may not want to know their SCT status, given the high levels of stigma associated with sickle cell (Burns, Antle, Williams, & Cook, 2006;Jenerette & Brewer, 2010;Marsh, Kamuya, & Molyneux, 2011). Such stigma may contribute to a host of detrimental physiological, psychological, and socio-behavioral outcomes that negatively affect individuals and their families (Jenerette & Brewer, 2010;Wesley, Zhao, Carroll, & Porter, 2016). Thus, avoiding this knowledge may be an effective strategy on the part of the individual to reduce the risk of the exclusion, rejection, blame, devaluation, and discrediting that often accompany stigmatized health-related conditions (Link & Phelan, 2006;Weiss, Ramakrishna, & Somma, 2006).…”