Evidence map›Paper›PMID 33622086›Full record

ArticleHealth education & behavior : the official publication of the Society for Public Health Education2021

Correlates of Medical Mistrust Among Minority Women at Risk for HIV and Their Networks.

Laura M Johnson, Harold D Green, Brandon Koch, Robert Harding, Jamila K Stockman, Karla D Wagner

Abstract read
In one paragraph

Article in Health education & behavior : the official publication of the Society for Public Health Education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Laura M JohnsonUniversity of Nevada, Reno, Reno, NV, USA.ORCID 0000-0002-5368-224X
Harold D GreenIndiana University, Bloomington, IN, USA.
Brandon KochUniversity of Nevada, Reno, Reno, NV, USA.
Robert HardingUniversity of Nevada, Reno, Reno, NV, USA.
Jamila K StockmanUniversity of California, San Diego, La Jolla, CA, USA.
Karla D WagnerUniversity of Nevada, Reno, Reno, NV, USA.

Funding

VirologyP30AI036214 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SUSAN JANET LITTLE · 1994 to 2026
$78.4M
Networks and normative influences on sex and drug-related HIV risk in black womenR01DA038185 · NIDA · UNIVERSITY OF NEVADA RENO · PI WAGNER, KARLA D. · 2015 to 2019
$2.0M
Sex/Drug Tourism at the US/Mexico Border: Social Network Influences on HIV Risk.K01DA031031 · NIDA · UNIVERSITY OF NEVADA RENO · PI WAGNER, KARLA D. · 2010 to 2014
$882k
NIAID NIH HHS P30 AI036214NIDA NIH HHS K01 DA031031NIDA NIH HHS R01 DA038185
6 · The paper itself

Abstract

backgroundMedical mistrust is a barrier to engaging in HIV prevention and treatment, including testing and adherence to antiretroviral therapy. Research often focuses on how race and experiences of discrimination relate to medical mistrust, overlooking the role that other characteristics may play (e.g., history of physical abuse, diagnosis of mental illness). Furthermore, studies are often restricted to samples of men who have sex with men and findings may not generalize to other at-risk groups.

aimsThe current study explores a range of demographic, cognitive, behavioral, and social network correlates of medical mistrust.

methodThis study employed an egocentric network design among a racially diverse sample of at-risk women and women in their social networks (

resultsResults from multivariable linear regressions stratified by race (Black vs. others) indicate that medical mistrust is associated with both individual-level and network-level characteristics. Across both groups, age and experiences of racial discrimination were associated with higher medical mistrust. Having a regular sex partner and having a higher proportion of network members who are family was significantly associated with medical mistrust among non-Black women. DISCUSSION: Individual-level and network-level variables were significantly associated with medical mistrust. Therefore, interventions that attempt to mitigate medical mistrust as a barrier to HIV prevention and treatment should consider how mistrust may be related to characteristics of individuals and broader contexts.

conclusionHealth interventions may benefit from conceiving of medical mistrust as a complex, rational response to cumulative discriminatory life experiences and a reflection of the networks within which individuals are embedded.

Indexed as

HIV InfectionsSexual and Gender MinoritiesBlack or African AmericanFemaleHomosexuality, MaleHumansMaleTrustBlack/African American womendiscriminationHIVsocial networks

Identifiers

PMID33622086
PMCPMC9276284

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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.