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AIDS and Behavior
Published in: AIDS and Behavior 1/2013

01-01-2013 | Substantive Review

The Impact of African Americans’ Beliefs About HIV Medical Care on Treatment Adherence: A Systematic Review and Recommendations for Interventions

Authors: Gina B. Gaston, Binta Alleyne-Green

Published in: AIDS and Behavior | Issue 1/2013

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Abstract

Disparities in access to and retention of regular HIV medical treatment persist among African Americans living with HIV. Many scholars believe that the mistrust of health care held by many African Americans stems from a legacy of abuse, from medical experimentation on slaves to the unethical practices with patients in the Tuskegee Syphilis study. We performed a systematic appraisal of the literature, using several key terms, in order to understand how attitudes about HIV-related health care influence African Americans’ engagement in care. We examined peer-reviewed studies published during the period January 2001 through May 2012. An initial search generated 326 studies. Sixteen descriptive studies met our inclusion criteria. Experiences of racism, conspiracy beliefs and the quality of provider relationships appeared to impact engagement. Providers should openly investigate personal beliefs that adversely affect their treatment decisions, listen to patient narratives, and share treatment decisions in order to create a transparent environment.
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Metadata
Title
The Impact of African Americans’ Beliefs About HIV Medical Care on Treatment Adherence: A Systematic Review and Recommendations for Interventions
Authors
Gina B. Gaston
Binta Alleyne-Green
Publication date
01-01-2013
Publisher
Springer US
Published in
AIDS and Behavior / Issue 1/2013
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-012-0323-x

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