title: Medication beliefs mediate the association between medical mistrust and antiretroviral adherence among African Americans living with HIV/AIDS.
abstract: Medical mistrust is a significant barrier to medication adherence among African Americans living with HIV. In this study 380 African American people receiving antiretroviral therapy (ART) in a southern US city completed computerized measures at a community-based research site. Multiple mediation modeling showed that medical provider mistrust was associated with medication beliefs and ART adherence. Also, medication beliefs predicted adherence. The indirect effects of medical mistrust on adherence via medication beliefs was significant; the indirect effect was significant for medication concerns beliefs, but not medication necessity beliefs. Medication concerns beliefs therefore mediate the association between medical mistrust and ART adherence.
authors: University of Connecticut, USA.
authors: Seth C
authors: SC
authors: Kalichman
authors: University of Connecticut, USA.
authors: Lisa
authors: L
authors: Eaton
authors: University of Connecticut, USA.
authors: Moira O
authors: MO
authors: Kalichman
authors: University of Connecticut, USA.
authors: Chauncey
authors: C
authors: Cherry
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000188:drug therapy / Q000208:ethnology; D000328:Adult; D001741:Black or African American / Q000208:ethnology*; D044966:Anti-Retroviral Agents / Q000627:therapeutic use*; D005260:Female; D005845:Georgia / Q000208:ethnology; D015658:HIV Infections / Q000188:drug therapy* / Q000208:ethnology; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006801:Humans; D008297:Male; D055118:Medication Adherence / Q000208:ethnology*; D008875:Middle Aged; D011369:Professional-Patient Relations; D035502:Trust / Q000523:psychology
chemical_list: D044966:Anti-Retroviral Agents
keywords: AIDS; HIV; adherence; mediator; medication