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.

journal_name

J Health Psychol

authors

Dale SK,Bogart LM,Wagner GJ,Galvan FH,Klein DJ

doi

10.1177/1359105314551950

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

1311-21

issue

7

eissn

1359-1053

issn

1461-7277

pii

1359105314551950

journal_volume

21

pub_type

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