Ahnalee M. Brincks|Karen Shiu?Yee|Lisa R. Metsch|Carlos del R??o|Robert P. Schwartz|Petra Jacobs|Georgina Osorio|James L. Sorensen|Daniel J. Feaster
Physician Mistrust, Medical System Mistrust, and Perceived Discrimination: Associations with HIV Care Engagement and Viral Load
Michigan State University|Columbia University|Columbia University|Emory University|Friends Research Institute|National Institute on Drug Abuse|Icahn School of Medicine at Mount Sinai|University of California, San Francisco|University of Miami
medical mistrust important risk factor many health outcomes individuals hiv substance use comorbidities mistrust may influence engagement health care affect overall health transmission risk medical mistrust measured individuals mistrust hisher physician mistrust medical system study examined types mistrust among 801 substanceusing individuals uncontrolled hiv infection aims determine physician mistrust medical system mistrust discrimination experiences associated engagement hiv primary care findings indicated higher levels physician mistrust medical system mistrust associated longer time since last visit hiv provider longer time since seeing hiv care provider associated higher viral load study refines understanding relationship mistrust hiv care engagement large diverse sample substanceusing individuals