Influence of trust on HIV diagnosis and care practices: A literature review

James L. Graham, Thomas P. Giordano, Richard M. Grimes, Jacqueline Slomka, Michael Ross, Lu Yu Hwang

Research output: Contribution to journalReview articlepeer-review

29 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)346-352
Number of pages7
JournalJournal of the International Association of Physicians in AIDS Care
Issue number6
StatePublished - Nov 2010

Bibliographical note

Copyright 2011 Elsevier B.V., All rights reserved.


  • HIV care
  • health care
  • physicians
  • trust


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