Conspiracy Beliefs and Trust in Information About HIV/AIDS Among Minority Men Who Have Sex With Men

Hutchinson, Angela B.; Begley, Elin; Sullivan, Patrick S.; Clark, Hollie; Boyett, Brian; Kellerman, Scott E.

doi:10.1097/qai.0b013e3181151262

Cited by 43 publications

(37 citation statements)

References 5 publications

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“…In addition, as the experiences of NIC respondents indicate, they may not trust medical providers and thus prefer alternative therapies to information from the medical establishment. Distrust of health care institutions and systems has been found to affect the utilization of health care [28][29][30] and may resonate more among people of color, [31][32][33][34] who accounted for most of the new diagnoses of HIV infection in the United States in 2009. 35 Respondents who did not describe themselves as white were somewhat more likely to have medication-related barriers to entering HIV care.…”

Section: Discussionmentioning

confidence: 99%

Medication-Related Barriers to Entering HIV Care

Beer

Fagan²,

Garland³

et al. 2012

AIDS Patient Care and STDs

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Early entry to HIV care and receipt of antiretroviral therapy improve the health of the individual and decrease the risk of transmission in the community. To increase the limited information on prospective decisions to enter care and how these decisions relate to beliefs about HIV medications, we analyzed interview data from the Never in Care Project, a multisite project conducted in Indiana, New Jersey, New York City, Philadelphia, and Washington State. From March 2008 through August 2010, we completed structured interviews with 134 persons with no evidence of HIV care entry, 48 of whom also completed qualitative interviews. Many respondents believed that HIV care entails the passive receipt of medications that may be harmful or unnecessary, resulting in reluctance to enter care. Respondents voiced concerns about prescription practices and preserving future treatment options, mistrust of medications and medical care providers, and ambivalence about the life-preserving properties of medications in light of an assumed negative impact on quality of life. Our results support the provision of information on other benefits of care (beyond medications), elicitation of concerns about medications, and assessment of psychosocial barriers to entering care. These tasks should begin at the time a positive test result is delivered and continue throughout the linkage-to-care process; for persons unwilling to enter care immediately, support should be provided in nonmedical settings.

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Section: Discussionmentioning

confidence: 99%

Medication-Related Barriers to Entering HIV Care

Beer

Fagan²,

Garland³

et al. 2012

AIDS Patient Care and STDs

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“…They found that 86% of all those who participated had at least one conspiracy theory belief. 42 Conspiracy theory research has shown the existence of these theories and their pervasiveness within society. Yet, few studies have evaluated whether having conspiracy theories about HIV/AIDS actually affects HIV/AIDS access or adherence to care.…”

Section: Trust and Hiv Health Carementioning

confidence: 99%

Influence of Trust on HIV Diagnosis and Care Practices: A Literature Review

Graham

Giordano

Grimes

et al. 2010

Journal of the International Association of Physicians in AIDS

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Delays in accessing HIV health care and failure to adhere to providers' advice are common. Patient trust is critical to an individual's willingness to seek care and follow the physician's advice. Conversely, patient distrust can diminish the patient's health status. The trust literature is reviewed in an attempt to determine its effect on HIV care. In the HIV literature reviewed, greater trust in health care providers was associated with improved accessing of and remaining in care. Interventions to enhance patient trust have been tested, with no changes in the levels of trust being found. Few studies were rigorous enough to assess causality or temporal relation. It is not clear whether there is a causal association between patient trust and HIV health care outcomes. As these relationships are better understood, interventions can be designed to increase health-promoting behaviors.

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“…1 Over half of the MSM respondents in a study conducted by the U.S. Centers for Disease Control and Prevention believed that a cure for HIV was being withheld. 2 Similarly, Cunningham et al 3 found that almost half a sample of 102 women in the Bronx believed a cure for HIV was being withheld, and 30% believed HIV was created in a laboratory. Interestingly, these beliefs were not more common in women with HIV infection compared to women who did not have HIV infection.…”

Section: Introductionmentioning

confidence: 99%

Conspiracy Beliefs about HIV Infection Are Common But Not Associated with Delayed Diagnosis or Adherence to Care

Clark

Mayben

Hartman

et al. 2008

AIDS Patient Care and STDs

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We sought to determine the prevalence of HIV conspiracy beliefs in patients with HIV and how those beliefs correlate with access and adherence to HIV care and health outcomes. From March to December 2005, 113 patients at four public facilities in Houston, Texas, diagnosed with HIV for 3 years or less, participated in a crosssectional survey. Conspiracy beliefs were assessed with five items that dealt with HIV origin, cure, and vaccine. Medical records were reviewed for CD4 cell counts, HAART use, and appointment dates. Statistical analyses (including analysis of variance [ANOVA], 2 testing, and regression) determined the predictors of conspiracy beliefs and correlated them with outcomes. Sixty-three percent of the participants endorsed 1 or more conspiracy beliefs. African American patients more often held HIV conspiracy beliefs than white and other/mixed race patients (73%, 52%, 47%; p ϭ 0.045). Persons holding 1 or more conspiracy beliefs had higher CD4 cell counts at diagnosis (254 cells/mm 3 versus 92, p ϭ 0.03); and similar rates of highly active antiretroviral therapy (HAART) use (73% versus 71%), 100% adherence to HAART by self-report (53% versus 45%,), mean adherence by pharmacy refill (83% versuss 87%), and gaps in care greater than 120 days (49% versus 53%), compared to subjects who did not hold any conspiracy beliefs (all p Ͼ 0.40). Since recruitment focused on patients in care, patients with extreme conspiracy beliefs may be underrepresented. Despite this, more than 50% of the study population endorsed 1 or more conspiracy belief. However, these beliefs did not negatively impact access or adherence to HIV care. Efforts to improve adherence to HIV care may not need to focus on eliminating conspiracy beliefs. 753

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Conspiracy Beliefs and Trust in Information About HIV/AIDS Among Minority Men Who Have Sex With Men

Cited by 43 publications

References 5 publications

Medication-Related Barriers to Entering HIV Care

Medication-Related Barriers to Entering HIV Care

Influence of Trust on HIV Diagnosis and Care Practices: A Literature Review

Conspiracy Beliefs about HIV Infection Are Common But Not Associated with Delayed Diagnosis or Adherence to Care

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