Evidence map›Paper›PMID 32239358›Full record

ArticleAIDS and behavior2020

HIV-Related Mistrust (or HIV Conspiracy Theories) and Willingness to Use PrEP Among Black Women in the United States.

B O Ojikutu, N Amutah-Onukagha, T F Mahoney, C Tibbitt, S D Dale, K H Mayer, L M Bogart

Abstract read
In one paragraph

Article in AIDS and behavior, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 4 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

50 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Medical mistrust as a barrier to HIV prevention and care.Journal of behavioral medicine · 2023
    Pooled it
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  16. Medical Mistrust: A Concept Analysis.Nursing reports (Pavia, Italy) · 2025
    Review
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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

7 authors.

B O OjikutuDivision of Global Health Equity, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA. bojikutu@mgh.harvard.edu.
N Amutah-OnukaghaTufts University School of Medicine, Boston, MA, USA.
T F MahoneySchool of Public Health, Boston University, Boston, MA, USA.
C TibbittTufts University School of Medicine, Boston, MA, USA.
S D DaleUniversity of Miami Medical Center, Miami, FL, USA.
K H MayerThe Fenway Institute, Boston, MA, USA.
L M BogartRAND Corporation, Santa Monica, CA, USA.

Funding

The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI ROBERT A. PARKER · 2004 to 2026
$94.4M
UCLA Rapid, Relevant, Rigorous Implementation Science HubP30MH058107 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RAPHAEL J LANDOVITZ · 1997 to 2026
$53.5M
Still Climbin': A Randomized Controlled Trial of an Intervention to Improve Coping with Discrimination, Address Medical Mistrust, and Reduce Health Disparities among Black Sexual Minority MenR01MD014722 · NIMHD · RAND CORPORATION · PI BOGART, LAURA M · 2020 to 2025
$3.6M
A Randomized Controlled Trial of an Antiretroviral Treatment Adherence Intervention for HIV+ African AmericansR01NR017334 · NINR · RAND CORPORATION · PI BOGART, LAURA M · 2017 to 2021
$3.1M
Interdisciplinary Training for BiostatisticiansT32GM074905 · NIGMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI WHITE, LAURA FORSBERG · 2005 to 2019
$3.0M
Identifying Environmental Factors Promoting HIV/STI Risk in Black Adolescents and Young AdultsK23MH107316 · NIMH · BRIGHAM AND WOMEN'S HOSPITAL · PI OJIKUTU, BISOLA · 2015 to 2019
$912k
CHIPTS P30MH058107National Institute of General Medical Sciences (US) T32 GM74905NIAID NIH HHS P30 AI060354NIGMS NIH HHS T32 GM074905NIMHD NIH HHS R01 MD014722NIMH NIH HHS K23 MH107316NIMH NIH HHS P30 MH058107NINR NIH HHS R01 NR017334
6 · The paper itself

Abstract

Uptake of pre-exposure prophylaxis (PrEP) among Black women living in the US is suboptimal. We sought to determine the association between HIV-related medical mistrust (or belief in HIV conspiracy theories) and willingness to use PrEP among Black women. We analyzed data from the 2016 National Survey on HIV in the Black Community (NSHBC), a nationally representative cross-sectional survey. Among NSHBC participants, 522 were women and 347 (69.0%) reported HIV risk factors. Only 14.1% were aware that PrEP exists; 30.8% reported willingness to use PrEP. HIV-related medical mistrust was reported by 60.4% of women. In multivariable analysis, controlling for income, education, marital status and health care engagement, belief in conspiracy theories was significantly associated with higher willingness to use PrEP. The HIV-Related Medical Mistrust Scale item: "there is a cure for HIV, but the government is withholding it from the poor" was independently associated with higher PrEP willingness. This finding speaks to the need for an improved understanding of the role of HIV-related medical mistrust among Black women to improve uptake of biomedical HIV prevention.

Indexed as

AdultAnti-HIV AgentsAttitude to HealthBlack or African AmericanCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHIV InfectionsHumansIntentionPre-Exposure ProphylaxisTrustUnited StatesAnti-HIV AgentsAfrican-American women and PrEPBlack women and PrEPHIV and womenHIV conspiracy theories and PrEPHIV-related medical mistrust and PrEPMistrust and PrEPWomen and pre-exposure prophylaxis

Identifiers

PMID32239358
PMCPMC7695042

What OpenQuestion holds

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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.