Evidence map›Paper›PMID 37698802›Full record

SynthesisJournal of behavioral medicine2023

Medical mistrust as a barrier to HIV prevention and care.

Renee El-Krab, Natalie Brousseau, Seth C Kalichman

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of behavioral medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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

21 citing papers in PubMed.

  1. Trial
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  6. Intersectionality-Informed HIV Cure-Related Research at the End of Life: A Call to Action.International journal of environmental research and public health · 2026
    Article
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  19. Psychological and Clinical Risk Factors for Substance Use in People With and Without HIV.Journal of the International Association of Providers of AIDS Care
    Article
  20. 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

3 authors.

Renee El-KrabDepartment of Psychological Sciences, University of Connecticut, Storrs, CT, United States. renee.el-krab@uconn.edu.ORCID 0000-0001-6610-5524
Natalie BrousseauInstitute for Collaboration on Health, Intervention and Policy (InCHIP), University of Connecticut, Storrs, CT, United States.
Seth C KalichmanInstitute for Collaboration on Health, Intervention and Policy (InCHIP), University of Connecticut, Storrs, CT, United States.

Funding

Developing a novel approach to assessing intersectional stigma to advance HIV prevention research with Black men who sex with men.R21MH121314 · NIMH · UNIVERSITY OF CONNECTICUT STORRS · PI KALICHMAN, SETH C · 2019 to 2020
$443k
A Novel Intersectional HIV Stigma Measure in South AfricaF31MH129182 · NIMH · UNIVERSITY OF CONNECTICUT STORRS · PI EL-KRAB, RENEE · 2022 to 2024
$120k
NIMH NIH HHS F31 MH129182NIMH NIH HHS R21 MH121314
6 · The paper itself

Abstract

Medical mistrust is fueled by conspiracy theories and histories of healthcare systems abuse and is a known determinant of health outcomes in minority populations. Plagued by multiple and pervasive conspiracy theories, HIV/AIDS has proven to be particularly hampered by medical mistrust. The current paper systematically reviews the literature on medical mistrust among people at risk for or living with HIV infection. The bulk of evidence from 17 studies supports medical mistrust as a barrier to HIV testing, engagement in prevention and care services, treatment uptake and adherence, and clinical outcomes. While findings mostly indicate that medical mistrust is a barrier to HIV prevention and care, some studies report null results and others suggest that medical mistrust may actually improve some HIV-related outcomes. Additionally, most of the reviewed literature was cross-sectional. Thus longitudinal, theory-driven research is needed to reconcile inconsistent findings and determine long term outcomes of medical mistrust. Interventions may then be developed to reduce the negative consequences associated with medical mistrust.

Indexed as

Health Services AccessibilityHIV InfectionsSocial Determinants of HealthTrustAcquired Immunodeficiency SyndromeAttitude to HealthCross-Sectional StudiesHumansHIV CareHIV Conspiracy beliefsHIV PreventionMedical mistrust

Identifiers

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.