Medical Mistrust and Adherence to Care Among a Heterogeneous Cohort of Women Living with HIV, Followed in a Large, U.S. Safety Net Clinic

To explore the relationship between medical mistrust, as measured by the Group-Based Medical Mistrust (GBMM) scale, and HIV care adherence among a cohort of minority women receiving care in a U.S. safety net clinic. English-, Spanish-, and Haitian Creole (Creole)-speaking patients with a recent hist...

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Bibliographic Details
Published in:Health equity 2021-09, Vol.5 (1), p.681-687
Main Authors: Duthely, Lunthita M, Sanchez-Covarrubias, Alex P, Prabhakar, Varsha, Brown, Megan R, Thomas, Tanya E S, Montgomerie, Emily K, Potter, JoNell E
Format: Article
Language:English
Subjects:
African Americans
Hispanic Americans
Minority & ethnic groups
Original Research
Womens health
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Summary:To explore the relationship between medical mistrust, as measured by the Group-Based Medical Mistrust (GBMM) scale, and HIV care adherence among a cohort of minority women receiving care in a U.S. safety net clinic. English-, Spanish-, and Haitian Creole (Creole)-speaking patients with a recent history of nonadherence to care were surveyed. English speakers endorsed the highest level of mistrust, followed by Spanish speakers and Creole speakers. Creole speakers endorsed lower mistrust, lower suspicion of providers, and lower levels of "perceived health care disparities." Higher mistrust was associated significantly with lower medication adherence, and lower rates of viral suppression (nonsignificant). Understanding perceptions of medical care and the relationship to HIV care adherence is an important step to addressing negative health outcomes for ethnic minority women with HIV. Clinical Trial Registration Number: NCT03738410.
ISSN:2473-1242
2473-1242
DOI:10.1089/heq.2020.0105