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

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 lo...

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Bibliographic Details
Published in:Journal of health psychology Vol. 21; no. 7; pp. 1311 - 1321
Main Authors: Dale, Sannisha K, Bogart, Laura M, Wagner, Glenn J, Galvan, Frank H, Klein, David J
Format: Journal Article
Language:English
Published: London, England SAGE Publications 01.07.2016
SAGE PUBLICATIONS, INC
Subjects:
Adherence
Adolescent
Adult
African Americans
African Americans - psychology
Anti-HIV Agents - therapeutic use
Antiretroviral drugs
Antiretroviral therapy
Drugs
Female
Health behavior
Health status
HIV
HIV Infections - drug therapy
HIV Infections - ethnology
HIV Infections - psychology
Human immunodeficiency virus
Humans
Longitudinal Studies
Los Angeles
Male
Males
Medication Adherence - ethnology
Medication Adherence - psychology
Medication Adherence - statistics & numerical data
Medicine
Middle Aged
Race
Racism
Racism - ethnology
Racism - psychology
Trust
Trust - psychology
Young Adult
African-American males
medication adherence
HIV
medical mistrust
beliefs
ISSN:1359-1053, 1461-7277, 1461-7277
Online Access:Get full text
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Summary: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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ISSN:1359-1053
1461-7277
1461-7277
DOI:10.1177/1359105314551950