Trust in primary care providers and antiretroviral adherence in an urban HIV clinic.
Interpersonal trust is an integral component of the patient-provider relationship and has been associated with patient adherence to medications. Studies suggest African Americans may have lower levels of trust in their health care providers than non-Hispanic Whites. This study examines the association between trust in one's primary care provider (PCP) and antiretroviral (ARV) adherence among 175 patients at an urban HIV clinic. Interviews elicited participants' level of trust in their current PCP using a multiple-item trust scale and assessed ARV adherence with a seven-day recall questionnaire. Logistic regression was used to ascertain the effect of trust in PCP on ARV adherence. High trust in PCP was significantly associated with increased odds of ARV adherence compared with low trust (adjusted odds ratio, 2.67; 95% confidence interval, 1.24 to 5.76; p=.01). Enhancing trust in PCPs may be a good target for interventions to improve ARV adherence, particularly among African American patients.
Department of Internal Medicine at Yale University School of Medicine, New Haven, CT 06510, USA. oni.blackstock@yale.edu
Oni J
OJ
Blackstock
Dianne N
DN
Addison
Jennifer S
JS
Brennan
Oladipo A
OA
Alao
D000328:Adult; D001741:Black or African American / Q000523:psychology*; D044966:Anti-Retroviral Agents / Q000627:therapeutic use*; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000188:drug therapy / Q000208:ethnology*; D006801:Humans; D008297:Male; D055118:Medication Adherence / Q000208:ethnology*; D008875:Middle Aged; D009519:New York City; D010817:Physician-Patient Relations; D058007:Physicians, Primary Care; D036301:Qualitative Research; D035502:Trust; D019037:Urban Health Services; D044465:White People / Q000523:psychology; D016903:Drug Monitoring
D044966:Anti-Retroviral Agents