Evidence map›Paper›PMID 26669793›Full record

Observational studyAIDS patient care and STDs2015

The Influence of Trust in Physicians and Trust in the Healthcare System on Linkage, Retention, and Adherence to HIV Care.

James L Graham, Lokesh Shahani, Richard M Grimes, Christine Hartman, Thomas P Giordano

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in AIDS patient care and STDs, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 5% 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

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  7. Article
  8. Article
  9. Article
  10. Medical Mistrust: A Concept Analysis.Nursing reports (Pavia, Italy) · 2025
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Observational
  16. Original Research Clinical attendance rate at a tertiary adult audiological service in South Africa.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 2023
    Article
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  18. Article
  19. Article
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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

5 authors at 3 institutions in 1 country.

James L Graham1 Legacy Community Health Services , Houston, Texas.
Lokesh Shahani2 The Department of Medicine, Baylor College of Medicine , Houston, Texas.
Richard M Grimes4 The University of Texas Health Science Center at Houston Medical School , Houston, Texas.
Christine Hartman3 The Center for Innovations in Quality, Effectiveness and Safety at the Michael E. DeBakey VA Medical Center , Houston, Texas.
Thomas P Giordano2 The Department of Medicine, Baylor College of Medicine , Houston, Texas.
Michael E. DeBakey VA Medical Center · USLegacy Community Health Services · USThe University of Texas Health Science Center at Houston · US

Funding

Virology CoreP30AI036211 · NIAID · BAYLOR COLLEGE OF MEDICINE · PI BUTEL, JANET S · 1994 to 2015
$21.7M
Patient Awareness and Consumer Education Research Cente*U18HS016093 · AHRQ · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI SUAREZ-ALMAZOR, MARIA E · 2006 to 2010
$4.0M
Attitudes and Beliefs and the Steps of HIV CareR34MH074360 · NIMH · BAYLOR COLLEGE OF MEDICINE · PI GIORDANO, THOMAS P · 2006 to 2008
$661k
AHRQ HHS U18HS016093NIAID NIH HHS P30 AI036211NIAID NIH HHS P30AI036211NIMH NIH HHS R34MH074360
6 · The paper itself

Abstract

Lack of trust by the patient in the physicians or the healthcare system has been associated with poorer health outcomes. The present study was designed to determine if trust in physicians and the healthcare system among persons newly diagnosed with HIV infection was predictive of patients' subsequent linkage, retention, and adherence to HIV care. 178 newly diagnosed HIV infected patients were administered the trust-in-physicians and trust-in-healthcare system scales. Median trust-in-physicians and trust-in-healthcare system scores were compared for all the mentioned subsequent linkage, retention, and adherence to HIV care. Univariate logistic regression using the trust-in-physician scale confirmed significant association with retention in care (p = 0.04), which persisted in multivariate analyses (p = 0.04). No significant association was found between trust-in-physicians and linkage to care or adherence to antiretroviral therapy. Trust in the healthcare system was not associated with any of the outcomes. Patients with higher trust in physicians were more likely to be retained in HIV care. Trust at diagnosis may not be a barrier to better clinical outcomes, either because trust changes based on subsequent interactions, or because trust is not a determining feature. Interventions to improve retention in care could include improving trust in physicians or target persons with low trust in physicians.

Indexed as

Physician-Patient RelationsPhysiciansTrustAdolescentAdultAnti-Retroviral AgentsAttitude to HealthFemaleHealth ServicesHIV InfectionsHumansLogistic ModelsMaleMedication AdherenceMiddle AgedPatient Acceptance of Health CareAnti-Retroviral Agents

Identifiers

PMID26669793
PMCPMC4684652
OpenAlexW2233800238

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.