Medical Mistrust and Nonadherence to HIV Treatment

In a survey of HIV-infected black men, two thirds reported holding at least one HIV conspiracy belief. Such beliefs were associated with a lower likelihood of treatment adherence.

Distrust of the medical system can hinder access and adherence to treatment. In this study, investigators explored whether conspiracy beliefs about HIV infection and antiretroviral therapy (ART) were associated with medication adherence among HIV-infected black men receiving ART.

A total of 214 men (mean age, 44) were recruited through social service agencies and HIV clinics in the Los Angeles area. More than half were in unstable housing situations, and 40% had very low incomes. In a baseline survey, 64% agreed with at least one of nine conspiracy beliefs, and 48% agreed with at least two. For example, 44% believed that HIV is man-made, 33% believed that a cure for AIDS exists but is being withheld from the poor, and 17% believed that ART i…

Reviewing Author

Keith Henry, MD

Disclosures

Consultant/Advisory BoardViiV Advisory Board

Editorial BoardsJAIDS: Journal of Acquired Immune Deficiency Syndromes

Keith Henry, MD

Disclosures

Consultant/Advisory BoardViiV Advisory Board

Editorial BoardsJAIDS: Journal of Acquired Immune Deficiency Syndromes

Medical Mistrust and Nonadherence to HIV Treatment

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Reviewing Author