Conspiracy Beliefs Are Not Necessarily a Barrier to Engagement in HIV Care Among Urban, Low-Income People of Color Living with HIV.

Journal of Racial and Ethnic Health Disparities
Jessica JaiswalH-M Lekas

Abstract

HIV-related "conspiracy beliefs" include ideas about the genocidal origin of HIV to target minority people, and the notion that a cure for HIV is being deliberately withheld. Previous literature suggests that these beliefs may negatively affect engagement in HIV care and ART adherence, but little is known about how people who are disengaged from care may think about these ideas. Twenty-seven semi-structured interviews were conducted with low-income Black and Latinx people living with HIV in NYC who were currently disengaged from, or recently re-engaged in, HIV care. The data suggest that HIV-related "conspiracy beliefs" are not necessarily a barrier to care. Regardless of whether or not people endorsed these ideas, participants were largely dismissive, and prioritized focusing on managing their HIV and overall health and life challenges. Interventions aiming to improve ART adherence and retention in HIV care should focus on building trust between clinicians and populations that have experienced historical, as well as ongoing, marginalization. HIV care providers should ask patients open-ended questions specifically about their beliefs about HIV and ART in order to address potential suspicion. Moving away from the phrase "conspir...Continue Reading

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Citations

Jul 26, 2019·Behavioral Medicine·Ramona BenkertDonulae Knuckles
Jul 26, 2019·Behavioral Medicine·Jessica Jaiswal, Perry N Halkitis
Aug 14, 2020·Vox Sanguinis·Julie MoracchiniPierre Tiberghien
Mar 16, 2021·Journal of Racial and Ethnic Health Disparities·Maria JaurretcheUNKNOWN DC Cohort Executive Committee

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