Literature DB >> 25293970

Medical mistrust is related to lower longitudinal medication adherence among African-American males with HIV.

Sannisha K Dale1, Laura M Bogart2, Glenn J Wagner3, Frank H Galvan4, David J Klein2.   

Abstract

African-Americans living with HIV show worse health behaviors (e.g. medication adherence) and outcomes (e.g. viral suppression) than do their White counterparts. In a 6-month longitudinal study, we investigated whether medical mistrust among African-American males with HIV (214 enrolled, 140 with longitudinal data) predicted lower electronically monitored antiretroviral medication adherence. General medical mistrust (e.g. suspicion toward providers), but not racism-related mistrust (e.g. belief that providers treat African-Americans poorly due to race), predicted lower continuous medication adherence over time (b = -.08, standard error = .04, p = .03). Medical mistrust may contribute to poor health outcomes. Intervention efforts that address mistrust may improve adherence among African-Americans with HIV.
© The Author(s) 2014.

Entities:  

Keywords:  African-American males; HIV; beliefs; medical mistrust; medication adherence

Mesh:

Substances:

Year:  2014        PMID: 25293970      PMCID: PMC4388759          DOI: 10.1177/1359105314551950

Source DB:  PubMed          Journal:  J Health Psychol        ISSN: 1359-1053


  35 in total

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