Evidence map›Paper›PMID 28475365›Full record

ArticlePsychology & health2017

The differences between medical trust and mistrust and their respective influences on medication beliefs and ART adherence among African-Americans living with HIV.

Jennifer A Pellowski, Devon M Price, Aerielle M Allen, Lisa A Eaton, Seth C Kalichman

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Psychology & health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 3 pooled it
3.2field-weighted citation impact, top 8% 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

49 citing papers in PubMed, 3 syntheses or guidelines pooled it, 80 citations in OpenAlex.

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  13. Medical Mistrust: A Concept Analysis.Nursing reports (Pavia, Italy) · 2025
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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 2 institutions in 1 country.

Jennifer A Pellowskia Department of Psychiatry and Human Behavior , Alpert Medical School of Brown University , Providence , RI , USA.
Devon M Priceb Department of Psychology , University of Connecticut , Storrs , CT , USA.
Aerielle M Allenb Department of Psychology , University of Connecticut , Storrs , CT , USA.
Lisa A Eatonc Department of Human Development and Family Sturdies , University of Connecticut , Storrs , CT , USA.
Seth C Kalichmanb Department of Psychology , University of Connecticut , Storrs , CT , USA.
University of Connecticut · USBrown University · US

Funding

Training in Child/Adolescent Biobehavioral HIV ResearchT32MH078788 · NIMH · RHODE ISLAND HOSPITAL · PI LARRY K BROWN · 2007 to 2026
$6.2M
Training in Social Processes of HIV/AIDST32MH074387 · NIMH · UNIVERSITY OF CONNECTICUT STORRS · PI KALICHMAN, SETH C · 2006 to 2020
$3.9M
Behavioral Intervention to Enhance HIV Test/TreatR01DA033067 · NIDA · UNIVERSITY OF CONNECTICUT STORRS · PI KALICHMAN, SETH C · 2012 to 2016
$3.3M
NIDA NIH HHS R01 DA033067NIMH NIH HHS T32 MH074387NIMH NIH HHS T32 MH078788
6 · The paper itself

Abstract

objectiveThe purpose of this study was to examine the relationships between medical mistrust and trust and to determine if these measures differentially predict antiretroviral therapy (ART) medication adherence for African-American adults living with HIV.

designA total of 458 HIV positive African-Americans completed a cross-sectional survey.

main outcome measuresSelf-reported ART adherence was collected using the visual-analog scale. The Beliefs About Medicines Questionnaire was used to assess medication necessity and concern beliefs.

resultsAll measures of medical mistrust and trust were significantly negatively correlated, ranging from r = -.339 to -.504. Race-based medical mistrust significantly predicted medication necessity and concern beliefs, whereas general medical mistrust only significantly predicted medication concerns. Both measures of trust significantly predicted medication necessity beliefs and medication concerns. Higher levels of race-based medical mistrust predicted lower medication adherence, whereas, neither trust in own physician nor trust in health care provider significantly predicted medication adherence. However, trust in own physician significantly predicted medication necessity beliefs, which predicted medication adherence.

conclusionTrust and mistrust are not simply opposites of one another. These findings provide evidence for the complexity of understanding the relationship between health care trust, mistrust and patient-related health beliefs and behaviours.

Indexed as

Physician-Patient RelationsAdultAnti-Retroviral AgentsBlack or African AmericanCross-Sectional StudiesDrug MonitoringFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansMaleMedication AdherenceMiddle AgedSelf ReportSurveys and QuestionnairesTrustAnti-Retroviral AgentsAfrican-AmericansHIVmedication adherencetrust in physician

Identifiers

PMID28475365
PMCPMC8034835
OpenAlexW2611724835

What OpenQuestion holds

Textmetadata
LicenceTDM
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.