Evidence map›Paper›PMID 20578909›Full record

ArticleAIDS patient care and STDs2010

Trust in physicians and racial disparities in HIV care.

Somnath Saha, Elizabeth A Jacobs, Richard D Moore, Mary Catherine Beach

Abstract read
In one paragraph

Article in AIDS patient care and STDs, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

88 citing papers in PubMed, 2 syntheses or guidelines pooled it, 137 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Trial
  5. Trial
  6. Racial differences in response to antiretroviral therapy for HIV infection: an AIDS clinical trials group (ACTG) study analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2013
    Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Positive Influences: How Provider Actions Affect HIV Care Engagement for Black Women in the Southwest U.S.International journal of environmental research and public health · 2025
    Article
  13. Review
  14. Medical Mistrust: A Concept Analysis.Nursing reports (Pavia, Italy) · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

28 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 at 3 institutions in 2 countries.

Somnath SahaPortland VA Medical Center, Oregon Health & Science University, 97239, USA. sahas@ohsu.edu
Elizabeth A Jacobs
Richard D Moore
Mary Catherine Beach
Johns Hopkins University · USJohn H. Stroger, Jr. Hospital of Cook County · USPortland VA Medical Center · US

Funding

Improving ARV Adherence Through Enhancement of HIV Providers' Counseling SkillsR34MH089279 · NIMH · JOHNS HOPKINS UNIVERSITY · PI BEACH, MARY CATHERINE, LAWS, MICHAEL BARTON · 2010 to 2011
$707k
NIMH NIH HHS R34 MH089279
6 · The paper itself

Abstract

Mistrust among African Americans is often considered a potential source of racial disparities in HIV care. We sought to determine whether greater trust in one's provider among African-American patients mitigates racial disparities. We analyzed data from 1,104 African-American and 201 white patients participating in a cohort study at an urban, academic HIV clinic between 2005 and 2008. African Americans expressed lower levels of trust in their providers than did white patients (8.9 vs. 9.4 on a 0-10 scale; p < 0.001). African Americans were also less likely than whites to be receiving antiretroviral therapy (ART) when eligible (85% vs. 92%; p = 0.02), to report complete ART adherence over the prior 3 days (83% vs. 89%; p = 0.005), and to have a suppressed viral load (40% vs. 47%; p = 0.04). Trust in one's provider was not associated with receiving ART or with viral suppression but was significantly associated with adherence. African Americans who expressed less than complete trust in their providers (0-9 of 10) had lower ART adherence than did whites (adjusted OR, 0.40; 95% CI, 0.25-0.66). For African Americans who expressed complete trust in their providers (10 of 10), the racial disparity in adherence was less prominent but still substantial (adjusted OR, 0.59; 95% CI, 0.36-0.95). Trust did not affect disparities in receipt of ART or viral suppression. Our findings suggest that enhancing trust in patient-provider relationships for African-American patients may help reduce disparities in ART adherence and the outcomes associated with improved adherence.

Indexed as

Healthcare DisparitiesPhysician-Patient RelationsTrustAdultAmbulatory Care FacilitiesAnti-HIV AgentsBlack or African AmericanFemaleHealth Care SurveysHIV InfectionsHumansMaleMedication AdherencePhysiciansWhite PeopleAnti-HIV Agents

Identifiers

PMID20578909
PMCPMC3472674
OpenAlexW1973807833

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.