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

Psychology

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

50 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

Keywords

African-American males
HIV
beliefs
medical mistrust
medication adherence

ASJC Scopus subject areas

Applied Psychology

Access to Document

10.1177/1359105314551950

Fingerprint Dive into the research topics of 'Medical mistrust is related to lower longitudinal medication adherence among African-American males with HIV'. Together they form a unique fingerprint.

Cite this

@article{113e431d956b4d0b91f15fea84bf5695,

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

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.",

keywords = "African-American males, HIV, beliefs, medical mistrust, medication adherence",

author = "Dale, {Sannisha K.} and Bogart, {Laura M.} and Wagner, {Glenn J.} and Galvan, {Frank H.} and Klein, {David J.}",

year = "2016",

month = jul,

day = "1",

doi = "10.1177/1359105314551950",

language = "English (US)",

volume = "21",

pages = "1311--1321",

journal = "Journal of Health Psychology",

issn = "1359-1053",

publisher = "SAGE Publications Ltd",

number = "7",

}

TY - JOUR

T1 - Medical mistrust is related to lower longitudinal medication adherence among African-American males with HIV

AU - Dale, Sannisha K.

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 - HIV

KW - beliefs

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 -