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

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 se...

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Bibliographic Details
Published in:AIDS and behavior 2022-05, Vol.26 (5), p.1456-1466
Main Authors: Meyers-Pantele, Stephanie A., Sullivan, Patrick, Mansergh, Gordon, Hirshfield, Sabina, Stephenson, Rob, Horvath, Keith J.
Format: Article
Language:English
Subjects:
Anti-Retroviral Agents - therapeutic use
Antiretroviral agents
Antiretroviral drugs
Antiretroviral therapy
Gays & lesbians
Health behavior
Health Psychology
Hispanic Americans
HIV
HIV Infections - drug therapy
HIV Infections - epidemiology
Homosexuality, Male
Human immunodeficiency virus
Humans
Infectious Diseases
Male
Medical treatment
Medicine
Medicine & Public Health
Men
Men who have sex with men
Mens health
Multiculturalism & pluralism
Original Paper
Patient compliance
Public Health
Race
Racial differences
Regression analysis
Regression models
Sexual and Gender Minorities
Sexual behavior
Sexual health
Sexually transmitted diseases
STD
Stigma
Trust
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Summary: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.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-021-03500-9