ArticleJournal of behavioral medicine2016
Race-based medical mistrust, medication beliefs and HIV treatment adherence: test of a mediation model in people living with HIV/AIDS.
Article in Journal of behavioral medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
56 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Medical mistrust as a barrier to HIV prevention and care.Journal of behavioral medicine · 2023Pooled it
- Necessity and concerns beliefs and HIV medication adherence: a systematic review.Journal of behavioral medicine · 2020Pooled it
- Ubiquitous Yet Unclear: A Systematic Review of Medical Mistrust.Behavioral medicine (Washington, D.C.)Pooled it
- Predictors for Poor Linkage to Care Among Hospitalized Persons Living with HIV and Co-Occurring Substance Use Disorder.AIDS research and human retroviruses · 2020Trial
- HIV/AIDS health services in Manaus, Brazil: patient perception of quality and its influence on adherence to antiretroviral treatment.BMC health services research · 2019Trial
- An Exploration of Medical Mistrust, Trust, Perceived Discrimination and Associated Factors among Urban Arab and African American Emerging Adults.Journal of racial and ethnic health disparities · 2026Article
- Understanding the Association Between Medical Mistrust and Unmet Medical Care Need in Gender and Sexually Diverse People of Color Assigned Female at Birth.LGBT health · 2025Article
- Medical Mistrust and Willingness to Use Mental Health Services Among a Cohort of Black Adults.Psychiatric services (Washington, D.C.) · 2025Article
- Medical Mistrust: A Concept Analysis.Nursing reports (Pavia, Italy) · 2025Review
- Retrospective Cohort Study of Gastric Bypass Versus Sleeve Gastrectomy in Gastroesophageal Reflux Disease Patients: Procedure Use and Racial Disparity.Obesity surgery · 2025Article
- Socio-cognitive facilitators of ART-adherence among predominantly black sexual and gender minoritized persons living with HIV in Atlanta, Georgia: a latent profile analysis.Journal of behavioral medicine · 2024Article
- Medical Mistrust Among Black Patients with Serious Illness: A Mixed Methods Study.Journal of general internal medicine · 2024Article
- Who wants long-Acting injectable antiretroviral therapy? Treatment preferences among adults with HIV in Florida.AIDS care · 2024Article
- Is racism a barrier to HIV care continuum engagement among Black People in the United States? A scoping review to assess the state of the science and inform a research agenda.Epidemiologic reviews · 2024Article
- "That's My Girl; I love her": The Promise of Compassionate, Inclusive Healthcare for Black Transgender Women to Support PrEP Use.AIDS and behavior · 2024Article
- Medical Mistrust on Prostate Cancer Screening: A mixed method study among African Americans, Caribbean immigrants and African immigrants.Medical research archives · 2024Article
- Spatial and temporal analysis of HIV clinical outcomes in Florida reveals counties with persistent racial and ethnic disparities during 2012-2019.BMC public health · 2024Article
- HIV Information Avoidance, HIV Stigma, and Medical Mistrust among Black Sexual Minority Men in the Southern United States: Associations with HIV Testing.AIDS and behavior · 2024Article
- Medical mistrust, culturally targeted message framing, and colorectal cancer screening among African Americans.Journal of behavioral medicine · 2023Article
- Rapid or Immediate ART, HIV Stigma, Medical Mistrust, and Retention in Care: An Exploratory Mixed Methods Pilot Study.AIDS and behavior · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Race-based medical mistrust significantly predicts non-adherence to antiretroviral therapy (ART) in people living with HIV. The current study builds on previous research that shows beliefs about medication necessity (i.e., "My medicines protect me from becoming worse") and concerns (i.e., "Having to take my medicines worries me") mediate the association between race-based medical mistrust and medication adherence. Racial and ethnic minority men and women living with HIV and receiving ART (N = 178) in a southern US city completed computerized measures of demographic and health characteristics, telephone interviews of race-based medical mistrust and medication beliefs, and unannounced phone-based pill counts for ART adherence. Multiple mediation modeling showed that medical mistrust is related to medication necessity and concerns beliefs and ART adherence. Furthermore, medication necessity beliefs predicted ART adherence. The indirect effect of medical mistrust on adherence through medication necessity beliefs was also significant. Results confirm that medication necessity beliefs, although not concerns beliefs, mediate the association between medical mistrust and ART adherence. Medication necessity beliefs offer a viable target for interventions to improve ART adherence in the context of mistrust that patients may have for medical providers and health care systems.
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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.