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 | |
| State | Published - Jul 1 2016 |
| Externally published | Yes |
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Keywords
- African-American males
- beliefs
- HIV
- medical mistrust
- medication adherence
ASJC Scopus subject areas
- Applied Psychology
Cite this
Medical mistrust is related to lower longitudinal medication adherence among African-American males with HIV. / Dale, Sannisha; Bogart, Laura M.; Wagner, Glenn J.; Galvan, Frank H.; Klein, David J.
In: Journal of Health Psychology, Vol. 21, No. 7, 01.07.2016, p. 1311-1321.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Medical mistrust is related to lower longitudinal medication adherence among African-American males with HIV
AU - Dale, Sannisha
AU - Bogart, Laura M.
AU - Wagner, Glenn J.
AU - Galvan, Frank H.
AU - Klein, David J.
PY - 2016/7/1
Y1 - 2016/7/1
N2 - 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.
AB - 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.
KW - African-American males
KW - beliefs
KW - HIV
KW - medical mistrust
KW - medication adherence
UR - http://www.scopus.com/inward/record.url?scp=84977123197&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84977123197&partnerID=8YFLogxK
U2 - 10.1177/1359105314551950
DO - 10.1177/1359105314551950
M3 - Article
C2 - 25293970
AN - SCOPUS:84977123197
VL - 21
SP - 1311
EP - 1321
JO - Journal of Health Psychology
JF - Journal of Health Psychology
SN - 1359-1053
IS - 7
ER -