Evidence map›Paper›PMID 42420158›Full record

ArticleAmerican journal of health promotion : AJHP2026

The Association Between Healthcare Provider Trust and Healthcare Avoidance: Findings From a HIV Mixed Serostatus Cohort Study.

Mekiayla Singleton, Michael Plankey, Lisa Bowleg, James B Brock, Sabina Haberlen, Beth D Jamieson, Mirjam-Colette Kempf, Deborah J Konkle-Parker, Jennafer Kwait, Jeremy Martinson and 9 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of health promotion : AJHP, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

19 authors.

Mekiayla SingletonDepartment of Urban-Global Public Health, School of Public Health, Rutgers University, Newark, NJ, USA.ORCID 0000-0002-7241-5403
Michael PlankeyDivision of General Internal Medicine, Department of Medicine, Georgetown University, Washington, DC, USA.
Lisa BowlegDepartment of Psychological and Brain Sciences, The George Washington University, Washington, DC, USA.
James B BrockDivision of Infectious Diseases, The University of Mississippi Medical Center, Jackson, MS, USA.
Sabina HaberlenDepartment of Epidemiology, Johns Hopkins University, Baltimore, MD, USA.
Beth D JamiesonDepartment of Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.
Mirjam-Colette KempfDepartment of Nursing, Health Behavior, Infectious Disease and Epidemiology, The University of Alabama at Birmingham, Birmingham, AL, USA.
Deborah J Konkle-ParkerSchools of Nursing, Medicine, and Population Health, University of Mississippi Medical Center, Jackson, MS, USA.
Jennafer KwaitInstitute for Health Research and Policy, Whitman-Walker, Washington, DC, USA.
Jeremy MartinsonDepartment of Infectious Diseases and Microbiology, School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA.
Matthew J MimiagaDepartment of Epidemiology, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, USA.
Christina M RamirezDepartment of Biostatistics, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, USA.
Valentina StosorDivision of Infectious Diseases and Organ Transplantation, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Alexander C TsaiCenter for Global Health and Mongan Institute, Massachusetts General Hospital, Boston, MA, USA.
Janet M TuranDepartment of Health Policy and Organization, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
Deanna WareMWCCS, Georgetown University Medical Center, Washington, DC, USA.
Deborah Jones WeissDepartment of Psychiatry and Behavioral Sciences, Miller School of Medicine, University of Miami, Miami, FL, USA.
Katherine C WuDivision of Cardiology, Department of Medicine, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
M Reuel FriedmanDepartment of Urban-Global Public Health, School of Public Health, Rutgers University, Newark, NJ, USA.

Funding

Stigma and the non-communicable disease syndemic in aging HIV positive and HIV negative MSMR01HL160326 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FRIEDMAN, MACKEY R · 2021 to 2025
$3.0M
NHLBI NIH HHS R01 HL160326
6 · The paper itself

Abstract

PurposeTrust is a critical part of patient-provider relationships and has been shown to improve patient outcomes, including increased utilization of preventative services and greater adherence to medications. However, few studies have examined health care provider trust (HCPT) among older sexual minority men (SMM) and its association with healthcare avoidance.DesignCross-sectional secondary data analysis.Setting/Sample: Baseline data from the MACS/WIHS Combined Cohort Study's Stigma and Non-Communicable Disease Syndemic Sub-Study (N = 997).MethodsMultiple linear and multivariable logistic regression models were conducted to estimate associations between HCPT and past-year healthcare avoidance.ResultsParticipants had a mean age of 59 years (SD = 13.3); 64% were White, 30% Black, and 5% identified as other races. Fifty-six percent were living with HIV. HCPT was lower among Black SMM (b = -2.23; 95% CI = -4.46, 0.00) and was positively associated with multiple income groups and having 1 (b = 3.80; 95% CI = 1.49, 6.11), 2 (b = 2.96; 95% CI = 0.67, 5.25), and 3 (b = 3.03; 95% CI = 0.53, 5.53) chronic health conditions. Past-year healthcare avoidance was inversely associated with HCPT (aOR = 0.95; 95% CI = 0.94, 0.97) and age (age 26-45 years vs 65-75 years, aOR = 0.26; 95% CI = 0.11, 0.58).ConclusionThis work demonstrates various associations between healthcare provider trust and sociodemographic and health factors. Furthermore, lower HCPT was associated with a higher likelihood of avoiding medical care, indicating the importance of provider trust for accessing health services.

Indexed as

aginghealthcarehealth servicesHIV

Identifiers

PMID42420158
PMCPMC13403175

What OpenQuestion holds

Textmetadata
LicenceTDM
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.