title: Medical mistrust is related to lower longitudinal medication adherence among African-American males with HIV.
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.
authors.affiliation: Massachusetts General Hospital, USA Harvard Medical School, USA Boston Children's Hospital, USA skdale@mgh.harvard.edu.
authors.forename: Sannisha K
authors.initials: SK
authors.lastname: Dale
authors.affiliation: Harvard Medical School, USA Boston Children's Hospital, USA.
authors.forename: Laura M
authors.initials: LM
authors.lastname: Bogart
authors.affiliation: RAND Corporation, USA.
authors.forename: Glenn J
authors.initials: GJ
authors.lastname: Wagner
authors.affiliation: Bienestar Human Services, USA.
authors.forename: Frank H
authors.initials: FH
authors.lastname: Galvan
authors.affiliation: Harvard Medical School, USA Boston Children's Hospital, USA.
authors.forename: David J
authors.initials: DJ
authors.lastname: Klein
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000523:psychology*; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D005260:Female; D015658:HIV Infections / Q000188:drug therapy* / Q000208:ethnology / Q000523:psychology; D006801:Humans; D008137:Longitudinal Studies; D015141:Los Angeles; D008297:Male; D055118:Medication Adherence / Q000208:ethnology / Q000523:psychology*; D008875:Middle Aged; D063505:Racism / Q000208:ethnology / Q000523:psychology*; D035502:Trust / Q000523:psychology*; D055815:Young Adult; D016903:Drug Monitoring
chemical_list: D019380:Anti-HIV Agents
keywords: African-American males; HIV; beliefs; medical mistrust; medication adherence