Evidence map›Paper›PMID 19952767›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2010

Conspiracy beliefs about HIV are related to antiretroviral treatment nonadherence among african american men with HIV.

Laura M Bogart, Glenn Wagner, Frank H Galvan, Denedria Banks

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03331978 (A Randomized Controlled Trial of an Antiretroviral Treatment Adherence Intervention for HIV+ African Americans), which is not on this map. Cited by 152 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
152citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03331978 nacompletednot on this mapstarted 2018, after this paper: background citation

A Randomized Controlled Trial of an Antiretroviral Treatment Adherence Intervention for HIV+ African Americans

TypeinterventionalSponsorRANDRan2018 to 2021Enrolled306ConditionsHIV/AIDSArmsRise - Treatment Education
3 · Its place in the literature

Who cites it

152 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Medical mistrust as a barrier to HIV prevention and care.Journal of behavioral medicine · 2023
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Observational
  19. Article
  20. Article

92 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Laura M BogartChildren's Hospital Boston/Harvard Medical School, Department of Medicine, Division of General Pediatrics, Boston, MA 02215, USA. laura.bogart@childrens.harvard.edu
Glenn Wagner
Frank H Galvan
Denedria Banks

Funding

Medical Mistrust, Social Networks, and Disparities in HIV Care Among BlacksR01MD003964 · NIMHD · BOSTON CHILDREN'S HOSPITAL · PI BOGART, LAURA M · 2009 to 2013
$2.0M
DISCRIMINATION, HEALTH CARE ATTITUDES AND HIV TREATMENTR01MH072351 · NIMH · RAND CORPORATION · PI BOGART, LAURA M · 2006 to 2009
$2.0M
NIMHD NIH HHS R01 MD003964NIMH NIH HHS R01 MH072351NIMH NIH HHS R01 MH72351
6 · The paper itself

Abstract

backgroundMedical mistrust is prevalent among African Americans and may influence health care behaviors such as treatment adherence. We examined whether a specific form of medical mistrust-HIV conspiracy beliefs (eg, HIV is genocide against African Americans)-was associated with antiretroviral treatment nonadherence among African American men with HIV.

methodsOn baseline surveys, 214 African American men with HIV reported their agreement with 9 conspiracy beliefs, sociodemographic characteristics, depression symptoms, substance use, disease characteristics, medical mistrust, and health care barriers. Antiretroviral medication adherence was monitored electronically for one month postbaseline among 177 men in the baseline sample.

resultsConfirmatory factor analysis revealed 2 distinct conspiracy belief subscales: genocidal beliefs (eg, HIV is manmade) and treatment-related beliefs (eg, people who take antiretroviral treatments are human guinea pigs for the government). Both subscales were related to nonadherence in bivariate tests. In a multivariate logistic regression, only treatment-related conspiracies were associated with a lower likelihood of optimal adherence at one-month follow-up (odds ratio = 0.60, 95% confidence interval = 0.37 to 0.96, P < 0.05).

conclusionsHIV conspiracy beliefs, especially those related to treatment mistrust, can contribute to health disparities by discouraging appropriate treatment behavior. Adherence-promoting interventions targeting African Americans should openly address such beliefs.

Indexed as

CultureAdultAnti-HIV AgentsBlack or African AmericanHIVHIV InfectionsHumansLogistic ModelsLongitudinal StudiesLos AngelesMaleMultivariate AnalysisPatient ComplianceSocioeconomic FactorsSurveys and QuestionnairesAnti-HIV Agents

Identifiers

PMID19952767
PMCPMC2845717

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.