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Tytuł pozycji:

Critical, and not functional, health literacy is associated with missed HIV clinic visits in adults and older adults living with HIV in the Deep South.

Tytuł :
Critical, and not functional, health literacy is associated with missed HIV clinic visits in adults and older adults living with HIV in the Deep South.
Autorzy :
Fazeli PL; School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.
Woods SP; Department of Psychology, University of Houston, Houston, TX, USA.
Gakumo CA; School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.; Department of Nursing, College of Nursing and Health Sciences, University of Massachusetts Boston.
Mugavero MJ; School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Vance DE; School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.
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Źródło :
AIDS care [AIDS Care] 2020 Jun; Vol. 32 (6), pp. 694-700. Date of Electronic Publication: 2019 May 28.
Typ publikacji :
Journal Article; Research Support, N.I.H., Extramural
Język :
English
Imprint Name(s) :
Publication: London : Informa Healthcare
Original Publication: Abingdon, Oxfordshire, U.K. : Carfax Pub. Co., c1989-
MeSH Terms :
HIV Infections*/drug therapy
Health Literacy*
Adult ; Ambulatory Care ; Ambulatory Care Facilities ; Female ; Humans ; Male ; Middle Aged ; Self Efficacy
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Grant Information :
P30 AI027767 United States AI NIAID NIH HHS; K99 AG048762 United States AG NIA NIH HHS; R01 MH106366 United States MH NIMH NIH HHS; R00 AG048762 United States AG NIA NIH HHS; R24 AI067039 United States AI NIAID NIH HHS; L30 AG045921 United States AG NIA NIH HHS
Contributed Indexing :
Keywords: Health literacy*; retention in care*; visit adherence*
Entry Date(s) :
Date Created: 20190530 Date Completed: 20201204 Latest Revision: 20210109
Update Code :
20210110
PubMed Central ID :
PMC6881544
DOI :
10.1080/09540121.2019.1622641
PMID :
31137958
Czasopismo naukowe
Engagement in care is a key component of the HIV treatment cascade and is influenced by biopsychosocial factors. Little is known about the association of health literacy with this impactful outcome in people living with HIV (PLWH). Ninety-five PLWH completed a comprehensive battery including health literacy measures covering several domains (i.e., numeracy, reading, self-efficacy, and ability to appraise and access health information). Engagement in care was operationalized as missed clinic visits (i.e., proportion of clinic visits in the prior 24 months where the participant did not attend and did not cancel or reschedule). The ability to appraise health information (measured by the Newest Vital Sign [NVS]) was the only significant health literacy predictor of missed clinic visits. Hierarchical linear regression including clinico-demographics and all health literacy variables showed that age, depression, neurocognition, and NVS were significant ( p  < 0.05) correlates of missed clinic visits. The ability to appraise health information was a strong and independent predictor of missed clinic visits in PLWH, even in the context of traditional correlates. Such measures may be useful in identifying PLWH with low health literacy who may be at risk for poorer engagement in care. Future research developing interventions targeting this health literacy dimension are warranted.

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