Medical mistrust is related to lower longitudinal medication adherence among African-American males with HIV
Medical mistrust is related to lower longitudinal medication adherence among African-American males with HIV
复制标题
DOI：
10.1177/1359105314551950
复制
发表时间：
2016-07-01
影响因子：
3.2
通讯作者：
Klein, David J.
中科院分区：
文献类型：
--
作者：
Dale, Sannisha K.;Bogart, Laura M.;Klein, David J.
与白色同龄人相比，感染艾滋病毒的非洲裔美国人的健康行为（如药物依从性）和结果（如病毒抑制）更差。在一项为期6个月的纵向研究中，我们调查了非裔美国男性艾滋病毒感染者（214例入组，140例有纵向数据）的医疗不信任是否预示着电子监测抗逆转录病毒药物依从性较低。一般的医疗不信任（例如，对提供者的怀疑），而不是种族主义相关的不信任（例如，认为提供者由于种族而对非洲裔美国人治疗不佳），预测随着时间的推移持续用药依从性较低（B=-.08，标准误=.04，p=.03）。对医疗的不信任可能导致不良的健康结果。解决不信任问题的干预措施可能会改善非洲裔美国人艾滋病毒感染者的依从性。
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.