ArticleJournal of behavioral medicine2022
Perceived discrimination, adherence to antiretroviral therapy, and HIV care engagement among HIV-positive black adults: the mediating role of medical mistrust.
Article in Journal of behavioral medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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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.
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Who cites it
11 citing papers in PubMed.
- An HIV care provider training on addressing intersectional stigma and medical mistrust: A pilot randomized controlled trial.Patient education and counseling · 2026Trial
- "I Felt Somewhat Cheated and Deceived When that Roadblock Came": PrEP-Related Medical Mistrust, Distrust, and Misinformation Among Black Sexual Minority Men.AIDS and behavior · 2026Article
- PrEP-Related Medical, Structural and Institutional Mistrust among a Socioeconomically Diverse Sample of Black, Latine, Asian, and White Young Sexual Minority Men: Lived Experiences of Intersectional Inequity.AIDS and behavior · 2026Article
- Perceived discrimination, patient-provider communication, and quality of life among breast cancer survivors: a mediation analysis.Journal of cancer survivorship : research and practice · 2025Article
- The Dissectionality of Care in the U.S.: A Scoping Review in Healthcare of Implicit Bias, Perceived Discrimination, and Minority Stress Among Sexual and Gender Minorities.Archives of sexual behavior · 2025Article
- Association of experienced stigma in healthcare settings with health outcomes among Black women living with HIV: Mediating roles of internalized stigma, anticipated stigma, and trust in HIV care.Social science & medicine (1982) · 2025Article
- Stigmatisation of survivors of political persecution in the GDR: attitudes of healthcare professionals.Frontiers in psychiatry · 2025Article
- Spatial and temporal analysis of HIV clinical outcomes in Florida reveals counties with persistent racial and ethnic disparities during 2012-2019.BMC public health · 2024Article
- A Qualitative Study of Black and Latine HIV Care Consumers' Perceptions of Providers' Behaviors, Medical Mistrust, and Experiences of Discrimination.Journal of health care for the poor and underserved · 2024Article
- High Psychosocial Burden Relates to Poorer Antiretroviral Treatment Adherence Among Black/African American People with HIV.AIDS patient care and STDs · 2023Article
- Developing a Culturally Informed Peer Support Model for Men Who Have Sex With Men Living With HIV: A Qualitative Study in Indonesia.Journal of the International Association of Providers of AIDS CareArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Perceived discrimination and medical mistrust are contributors to HIV inequities. The current study examined whether medical mistrust mediated the associations between perceived discrimination and adherence to antiretroviral therapy (ART) as well as care engagement in a sample of 304 Black adults living with HIV. Perceived discrimination and medical mistrust were measured using validated scales; ART adherence was electronically monitored for a month; care engagement was determined by medical record data. Results support significant total indirect effects from perceived discrimination (due to HIV-serostatus, race, sexual orientation) to ART adherence through three types of medical mistrust (towards healthcare organizations, one's physician, and HIV-specific mistrust). The total indirect effects were also significant for care engagement and were largely driven by mistrust towards one's own physician. Findings suggest interventions at the provider or healthcare organization levels should address medical mistrust to improve the health and well-being of Black Americans living with HIV.
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Registered trials
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