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dc.contributor.authorMattocks, Kristin M.
dc.contributor.authorGibert, Cynthia
dc.contributor.authorFiellin, David
dc.contributor.authorFiellin, Lynn E.
dc.contributor.authorJamison, Annah
dc.contributor.authorBrown, Amber
dc.contributor.authorJustice, Amy C.
dc.date2022-08-11T08:08:22.000
dc.date.accessioned2022-08-23T15:52:43Z
dc.date.available2022-08-23T15:52:43Z
dc.date.issued2017-11-01
dc.date.submitted2017-12-13
dc.identifier.citationMil Med. 2017 Nov;182(11):e2073-e2079. doi: 10.7205/MILMED-D-17-00078. <a href="https://doi.org/10.7205/MILMED-D-17-00078">Link to article on publisher's site</a>
dc.identifier.issn0026-4075 (Linking)
dc.identifier.doi10.7205/MILMED-D-17-00078
dc.identifier.pmid29087885
dc.identifier.urihttp://hdl.handle.net/20.500.14038/29202
dc.description.abstractINTRODUCTION: Human immunodeficiency virus (HIV) has taken a disproportionate toll on the lives of African Americans, and many previous studies suggest HIV conspiracy beliefs and physician mistrust play important roles in this racial disparity. Because many HIV conspiracy theories tie government involvement with the origin and potential cure for HIV, an area for further examination is HIV+ African American veterans in Veterans Health Administration (VHA) care. In addition to HIV conspiracy beliefs, veterans may already be mistrustful of the VHA as a government healthcare provider. This mistrust is significantly associated with poor health outcomes, among both minority and nonminority persons living with HIV. MATERIALS AND METHODS: We conducted interviews with 32 African American veterans at three VHA hospitals to assess HIV conspiracy beliefs and mistrust in physicians providing HIV care. A semistructured interview format allowed respondents to talk freely about their personal history with HIV, their perceptions about living with HIV, and their views on HIV conspiracy beliefs. RESULTS: Five major themes arose from these interviews, including that the government uses HIV to control minority populations; the Veterans Affairs healthcare providers may play a role in withholding HIV treatment, and many HIV-infected veterans are suspicious of HIV treatment regimens. Additionally, several HIV-infected veterans in our study disclosed that they did not follow the prescribed treatment recommendations to ensure adherence. CONCLUSION: A veteran's beliefs drive views of the healthcare system and trust of HIV-infected veterans' healthcare providers, and impact HIV-infected veterans' willingness to accept treatment for their medical conditions. Further research should continue to examine the impact of mistrust and endorsement of conspiracy beliefs among veterans receiving care in VHA.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=29087885&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://doi.org/10.7205/MILMED-D-17-00078
dc.subjectHealth Services Administration
dc.subjectHealth Services Research
dc.subjectMilitary and Veterans Studies
dc.titleMistrust and Endorsement of Human Immunodeficiency Virus Conspiracy Theories Among Human Immunodeficiency Virus-Infected African American Veterans
dc.typeJournal Article
dc.source.journaltitleMilitary medicine
dc.source.volume182
dc.source.issue11
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/faculty_pubs/1428
dc.identifier.contextkey11242880
html.description.abstract<p>INTRODUCTION: Human immunodeficiency virus (HIV) has taken a disproportionate toll on the lives of African Americans, and many previous studies suggest HIV conspiracy beliefs and physician mistrust play important roles in this racial disparity. Because many HIV conspiracy theories tie government involvement with the origin and potential cure for HIV, an area for further examination is HIV+ African American veterans in Veterans Health Administration (VHA) care. In addition to HIV conspiracy beliefs, veterans may already be mistrustful of the VHA as a government healthcare provider. This mistrust is significantly associated with poor health outcomes, among both minority and nonminority persons living with HIV.</p> <p>MATERIALS AND METHODS: We conducted interviews with 32 African American veterans at three VHA hospitals to assess HIV conspiracy beliefs and mistrust in physicians providing HIV care. A semistructured interview format allowed respondents to talk freely about their personal history with HIV, their perceptions about living with HIV, and their views on HIV conspiracy beliefs.</p> <p>RESULTS: Five major themes arose from these interviews, including that the government uses HIV to control minority populations; the Veterans Affairs healthcare providers may play a role in withholding HIV treatment, and many HIV-infected veterans are suspicious of HIV treatment regimens. Additionally, several HIV-infected veterans in our study disclosed that they did not follow the prescribed treatment recommendations to ensure adherence.</p> <p>CONCLUSION: A veteran's beliefs drive views of the healthcare system and trust of HIV-infected veterans' healthcare providers, and impact HIV-infected veterans' willingness to accept treatment for their medical conditions. Further research should continue to examine the impact of mistrust and endorsement of conspiracy beliefs among veterans receiving care in VHA.</p>
dc.identifier.submissionpathfaculty_pubs/1428
dc.contributor.departmentDepartment of Quantitative Health Sciences
dc.source.pagese2073-e2079


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