Medical distrust is a potent barrier to participation in HIV care and medication use among African American/Black and Latino (AABL) persons living with HIV (PLWH). However, little is known about sociodemographic and risk factors associated with distrust. We recruited adult AABL PLWH from low socio-economic status backgrounds with insufficient engagement in HIV care (N = 512). Participants completed structured assessments on three types of distrust (of health care providers, health care systems, and counter-narratives), HIV history, and mental health. We used a type of machine learning called random forest to explore predictors of trust. On average, participants were 47 years old (SD = 11 years), diagnosed with HIV 18 years prior (SD = 9 years), and mainly male (64%) and African American/Black (69%). Depression and age were the most important predictors of trust. Among those with elevated depressive symptoms, younger participants had less trust than older, while among those without depression, trust was greater across all ages. The present study adds nuance to the literature on medical distrust among AABL PLWH and identifies junctures where interventions to build trust are needed most.

Maternal incarceration has become an increasingly common life event among adolescents in the U.S., especially those from disadvantaged backgrounds. Evidence suggests that maternal incarceration is a risk factor for adolescents’ internalizing and externalizing problems. However, its collateral consequences on adolescents’ sleep patterns, dietary behaviors and physical activity involvement remain unclear. This study uses the Fragile Family and Child Wellbeing Study dataset (N = 3262) to examine the prevalence of risk behaviors related to sleep, diet, and physical exercise among adolescents with maternal incarceration histories and assess the relationship between maternal incarceration and these behavioral health risks. Findings suggested that a significantly lower proportion of adolescents with maternal incarceration experiences consumed breakfast for at least four days a week than those without maternal incarceration experiences (41.78% vs. 52.76%, p = 0.009), a higher proportion of them consumed fast food for at least two days a week (57.35% vs. 48.61%, p = 0.035), had at least two sweetened drinks per day (71.92% vs. 62.21%, p = 0.018), and reported more days having problems staying asleep per week (1.70 vs. 1.26, p = 0.008). Regression analyses suggested that adolescents with maternal incarceration experiences were more likely to have problems staying asleep (B = 0.44, p = 0.012) than those without maternal incarceration experiences.