Evidence map›Paper›PMID 31755736›Full record

ArticleAIDS patient care and STDs2020

Association of Medical Mistrust and Poor Communication with HIV-Related Health Outcomes and Psychosocial Wellbeing Among Heterosexual Men Living with HIV.

Chen Zhang, James McMahon, Natalie Leblanc, Amy Braksmajer, Hugh F Crean, Danielle Alcena-Stiner

Abstract read
In one paragraph

Article in AIDS patient care and STDs, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 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.

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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Medical mistrust as a barrier to HIV prevention and care.Journal of behavioral medicine · 2023
    Pooled it
  3. Article
  4. Cannabis stigma and symptom management considerations in cancer survivors: a mixed-methods exploration of patient perspectives.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Observational
  5. Article
  6. Article
  7. Article
  8. Medical Mistrust: A Concept Analysis.Nursing reports (Pavia, Italy) · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
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  18. Observational
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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

6 authors.

Chen ZhangSchool of Nursing, University of Rochester Medical Center, Rochester, New York.
James McMahonSchool of Nursing, University of Rochester Medical Center, Rochester, New York.
Natalie LeblancSchool of Nursing, University of Rochester Medical Center, Rochester, New York.
Amy BraksmajerSchool of Nursing, University of Rochester Medical Center, Rochester, New York.
Hugh F CreanSchool of Nursing, University of Rochester Medical Center, Rochester, New York.
Danielle Alcena-StinerSchool of Nursing, University of Rochester Medical Center, Rochester, New York.

Funding

VISUAL INDICES OF NEUROTOXICITYP30ES001247 · NIEHS · UNIVERSITY OF ROCHESTER · PI Sally W Thurston · 1985 to 2026
$42.8M
HIV Risk Behavior of Adult Minority Heterosexual Men in New York CityR01HD057793 · NICHD · UNIVERSITY OF ROCHESTER · PI MCMAHON, JAMES M · 2009 to 2010
$1000k
NICHD NIH HHS R01 HD057793NIEHS NIH HHS P30 ES001247
6 · The paper itself

Abstract

Studies have suggested that effective patient-provider relationships may reduce health disparities and foster engagement across the HIV care continuum among people living with HIV/AIDS. However, no studies have explored specific mechanisms between medical mistrust/poor communication and HIV-related/psychosocial health outcomes among HIV-positive men of color who have sex with women (MCSW) in the United States. From 2011 to 2012, the research team recruited 317 eligible participants in New York City. Using validated explanatory and predictive modeling strategies, we explored the associations between mistrust/poor communication and HIV-related/psychosocial health outcomes among this group. Subgroup analyses were further conducted to assess the different effects of non-Hispanic black and Hispanic men. A total of 313 males (204 black, 93 Hispanic, and 16 others) reported that valid responses were included in the current analysis. In the explanatory models, both mistrust and poor communication were negatively associated with various HIV-related and psychosocial outcomes among this group of HIV-positive MCSW. In the predictive models, predictors of mistrust for the overall sample and the black subsample were nearly the same. On the contrary, predictors of poor communication were substantially different when comparing black and Hispanic HIV-positive MCSW. Our findings confirm that patient-provider relationship quality is associated with poor HIV-related and psychosocial outcomes in black and Hispanic MCSW. A different set of multi-level predictors are associated with mistrust and poor communication comparing black and Hispanic MCSW. We call for interventions addressing patient-provider relationship quality that are tailored differently for black and Hispanic men.

Indexed as

CommunicationHeterosexualityStereotypingTrustAdultBlack or African AmericanDiscrimination, PsychologicalFemaleHispanic or LatinoHIV InfectionsHomophobiaHumansMaleMiddle AgedNew York CityPatient Acceptance of Health Careblack and Hispanic menexplanatory and predictive modelingmen of color who have sex with womenpeople living with HIV/AIDS (PLWHA)

Identifiers

PMID31755736
PMCPMC6983731

What OpenQuestion holds

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Registered trials

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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.