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

Sannisha K. Dale; Laura M. Bogart; Glenn J. Wagner; Frank H. Galvan; David J. Klein

doi:10.1177/1359105314551950

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

Sannisha K. Dale, Laura M. Bogart, Glenn J. Wagner, Frank H. Galvan, David J. Klein

Research output: Contribution to journal › Article › peer-review

54 Scopus citations

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.

Original language	English (US)
Pages (from-to)	1311-1321
Number of pages	11
Journal	Journal of Health Psychology
Volume	21
Issue number	7
DOIs	https://doi.org/10.1177/1359105314551950
State	Published - Jul 1 2016
Externally published	Yes

Keywords

African-American males
HIV
beliefs
medical mistrust
medication adherence

ASJC Scopus subject areas

Applied Psychology

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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.",

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AU - Wagner, Glenn J.

AU - Galvan, Frank H.

AU - Klein, David J.

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

Abstract

Keywords

ASJC Scopus subject areas

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