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) |
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Pages (from-to) | 1311-1321 |
Number of pages | 11 |
Journal | Journal of Health Psychology |
Volume | 21 |
Issue number | 7 |
DOIs | |
State | Published - Jul 1 2016 |
Keywords
- African-American males
- HIV
- beliefs
- medical mistrust
- medication adherence
ASJC Scopus subject areas
- Applied Psychology