Medical Mistrust and Adherence to Care among a Heterogeneous Cohort of Women Living with HIV, Followed in a Large, U.S. Safety Net Clinic

Lunthita M. Duthely, Alex P. Sanchez-Covarrubias, Varsha Prabhakar, Megan R. Brown, Tanya E.S. Thomas, Emily K. Montgomerie, Jonell E. Potter

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To explore the relationship between medical mistrust, as measured by the Group-Based Medical Mistrust (GBMM) scale, and HIV care adherence among a cohort of minority women receiving care in a U.S. safety net clinic. Methods: English-, Spanish-, and Haitian Creole (Creole)-speaking patients with a recent history of nonadherence to care were surveyed. Results: English speakers endorsed the highest level of mistrust, followed by Spanish speakers and Creole speakers. Creole speakers endorsed lower mistrust, lower suspicion of providers, and lower levels of "perceived health care disparities."Higher mistrust was associated significantly with lower medication adherence, and lower rates of viral suppression (nonsignificant). Conclusion: Understanding perceptions of medical care and the relationship to HIV care adherence is an important step to addressing negative health outcomes for ethnic minority women with HIV.

Original languageEnglish (US)
Pages (from-to)681-687
Number of pages7
JournalHealth Equity
Volume5
Issue number1
DOIs
StatePublished - Sep 1 2021

Keywords

  • adherence
  • clinics
  • HIV/AIDS
  • medical mistrust
  • racial minority

ASJC Scopus subject areas

  • Health(social science)
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Health Information Management

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