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

被引：119
作者：
Dale, Sannisha K. [1 ,2 ,3 ]
Bogart, Laura M. [2 ,3 ]
Wagner, Glenn J. [4 ]
Galvan, Frank H. [5 ]
Klein, David J. [2 ,3 ]
机构：
[1] Massachusetts Gen Hosp, Boston, MA 02114 USA
[2] Harvard Med Sch, Boston, MA USA
[3] Boston Childrens Hosp, Boston, MA USA
[4] RAND Corp, Santa Monica, CA USA
[5] Bienestar Human Serv, San Diego, CA USA
来源：
JOURNAL OF HEALTH PSYCHOLOGY | 2016年 / 21卷 / 07期
关键词：
African-American males; beliefs; HIV; medical mistrust; medication adherence; ANTIRETROVIRAL THERAPY ADHERENCE; RANDOMIZED CONTROLLED-TRIAL; LESS-THAN; 95-PERCENT; HEALTH-CARE; INFECTED PATIENTS; RACIAL/ETHNIC DISPARITIES; VIRAL SUPPRESSION; UNITED-STATES; DRUG-USERS; MEN;
D O I：
10.1177/1359105314551950
中图分类号：
B849 [应用心理学];
学科分类号：
040203 ;
摘要：
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.
引用
收藏
页码：1311 / 1321
页数：11
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