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Author Notes:

Stephanie Meyers-Pantele, PhD, Postdoctoral Research Fellow, Department of Psychology, San Diego State University, 6363 Alvarado Court, Suite 250, San Diego, CA 92120, Tel: 619.594.3346. Email: sameyers@sdsu.edu

Stephanie Meyers-Pantele: Conceptualization, Formal Analysis, Writing – Original Draft Preparation. Patrick Sullivan: Conceptualization, Investigation, Resources, Funding Acquisition, and Writing – Reviewing and Editing. Gordon Mansergh: Conceptualization, Methodology, Resources, Funding Acquisition, and Writing – Reviewing and Editing. Sabina Hirshfield: Conceptualization and Writing – Reviewing and Editing. Rob Stephenson: Conceptualization and Writing – Reviewing and Editing. Keith Horvath: Conceptualization, Methodology, Resources, Supervision, Funding Acquisition, and Writing – Reviewing and Editing.

We thank all M3 study participants for their willingness to participate, and all study staff for their support. The M3 study was funded by CDC cooperative agreement #U01PS004977. Keith Horvath and Stephanie Meyers-Pantele were supported through NIDA grant R01 DA039950. Stephanie Meyers-Pantele was also supported by NIDA grant T32 DA023356. This work was supported by the Center for AIDS Research at Emory University (P30AI050409).

The authors declare that they have no conflicts of interest.

Subjects:

Keywords:

  • Science & Technology
  • Social Sciences
  • Life Sciences & Biomedicine
  • Public, Environmental & Occupational Health
  • Social Sciences, Biomedical
  • Biomedical Social Sciences
  • Race-based medical mistrust
  • Sexual minority men
  • HIV
  • Antiretroviral treatment
  • Treatment adherence
  • CARE
  • INFECTION
  • PEOPLE

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

Tools:

Journal Title:

AIDS AND BEHAVIOR

Volume:

Volume 26, Number 5

Publisher:

, Pages 1456-1466

Type of Work:

Article | Post-print: After Peer Review

Abstract:

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.
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