Race-Based Medical Mistrust, HIV-Related Stigma, and ART Adherence in a Diverse Sample of Men Who Have Sex with Men with HIV

Details

• Alternative Title:
  AIDS Behav
• Personal Author:
  Meyers-Pantele, Stephanie A. ; Sullivan, Patrick ; Mansergh, Gordon ; Hirshfield, Sabina ; Stephenson, Rob ; Horvath, Keith J.
• Description:
  Disparities in antiretroviral treatment (ART) access by race for men who have sex with men (MSM) with HIV persist. We assessed whether race-based medical mistrust and HIV stigma impact ART adherence among MSM with HIV. Longitudinal data were drawn from a RCT of a messaging intervention to promote sexual health among MSM. Regression models tested associations between baseline race-based medical mistrust, HIV stigma, and ART adherence at follow-up. In multivariable models with the overall sample of MSM with HIV (n = 383), baseline medical mistrust was negatively associated with ART adherence 3-months post-baseline. Among participants of color (i.e., Black/African American, Hispanic/Latino, or another race; n = 301), HIV stigma was negatively associated with optimal ART adherence 6-months post-baseline. Medical mistrust was longitudinally associated with reduced ART adherence among racially and ethnically diverse MSM with HIV. HIV-related services might prioritize patients reporting medical mistrust for additional supports.
• Keywords:
  Anti-Retroviral Agents Antiretroviral Treatment HIV HIV Infections Homosexuality, Male Humans Male Race-Based Medical Mistrust Sexual And Gender Minorities Sexual Minority Men Treatment Adherence Trust

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• Source:
  AIDS Behav. 26(5):1456-1466
• Pubmed ID:
  34669061
• Pubmed Central ID:
  PMC9007843
• Document Type:
  Journal Article
• Funding:
  P30 AI050409/AI/NIAID NIH HHSUnited States/ ; P30AI050409/Center for AIDS Research, Emory University (US)/ ; U01PS004977/CC/CDC HHSUnited States/ ; R01 DA039950/DA/NIDA NIH HHSUnited States/ ; U01PS004977/ACL/ACL HHSUnited States/ ; T32 DA023356/DA/NIDA NIH HHSUnited States/ ; T32 DA 023356T32 DA 023356/DA/NIDA NIH HHSUnited States/ ; U01 PS004977/PS/NCHHSTP CDC HHSUnited States/
• Volume:
  26
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:617e0043f39b0ee10c280007d3ca2a1080ed15518a5f4201216bd9601cf73974
• Download URL:
  https://stacks.cdc.gov/view/cdc/116370/cdc_116370_DS1.pdf
• File Type:
  [PDF - 363.30 KB ]