Evidence map›Paper›PMID 33215358›Full record

ReviewJournal of racial and ethnic health disparities2021

Poor Medication Adherence in African Americans Is a Matter of Trust.

Gregory L Hall, Michele Heath

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of racial and ethnic health disparities, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Patient-Provider Race Concordance and Medication Adherence: A Systematic Review.Journal of racial and ethnic health disparities · 2026
    Pooled it
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  12. The Geoepidemiology of Autoimmune Hepatitis.Clinical reviews in allergy & immunology · 2026
    Review
  13. Patient Experience of Clinician Compassion Is Associated With Healthcare System Distrust Among Emergency Department Patients.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  14. Article
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  20. Racial Disparities in Hidradenitis Suppurativa Management at a Single Institution.Plastic and reconstructive surgery. Global open · 2025
    Article
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

2 authors at 2 institutions in 1 country.

Gregory L HallNortheast Ohio Medical University College of Medicine, 464 Richmond Road, Suite 201, Richmond Heights, OH, 44143, USA.ORCID http://orcid.org/0000-0002-4013-4930
Michele HeathCleveland State University, 1860 E. 18th Street, BU 440, Cleveland, OH, 44114, USA. m.heath@csuohio.edu.
Cleveland State University · USNortheast Ohio Medical University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this paper was to explore the lack of medication adherence in the African American patient community. The paper will address myths that many African American patients believe related to type 2 diabetes, hypertension treatment, and natural remedies. Research has shown that the disparities in the acceptance of healthcare provider advice and prescriptions are a significant concern particularly in African American patients. The acceptance of a provider's diagnosis and subsequent intervention can vary based on several issues including healthcare access, patient preferences, trust of a provider, and treatment recommendations. Patient influences can range from their ability to trust the provider (and what he/she says) to following through with their advice. Several studies have looked at the beliefs and misconceptions some African Americans hold regarding the treatment of hypertension and diabetes with some showing a preference for "natural remedies." This paper will leverage a literature review to seek out myths from African American patients to understand why they are dealing with challenges related to adherence with medication. The searches identified 58 research papers. The study applied an inductive content analysis approach to assess the research papers and identify themes. The barriers identified in this study include disbelief of the diagnosis, distrust for medication, mistrust for physicians and healthcare system, belief in alternative medicine, cultural/generation norms, and access/affordability of care. One of the most prominent factors that crossed all barriers was medical mistrust.

Indexed as

Black or African AmericanDrug MonitoringHumansMedication AdherenceTrustAfrican AmericanDiabetesHealth disparitiesHypertensionMedication adherence

Identifiers

PMID33215358
OpenAlexW3099168734

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.