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
Bibliographic Data
| ID | 19443116 |
|---|---|
| Authors | Pariya L Fazeli (0000-0001-6629-0010, University of Alabama at Birmingham, corresponding author), Steven Paul Wood (0000-0001-6873-5722, University of Houston), Steven Paul Woods (0000-0003-0776-4233, University of Houston), C Ann Gakumo (University of Alabama at Birmingham), Michael J Mugavero (University of Alabama at Birmingham), Michael Mugavero (0000-0001-6916-6701, University of Alabama at Birmingham), David E Vance (0000-0002-0498-6263, University of Alabama at Birmingham) |
| Year | 2020 |
| Volume | 32 |
| Issue | 6 |
| Pages | 694-700 |
| Publication date | 2020-06-02 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2019.1622641 |
| PMID | 31137958 |
| OpenAlex | W2947913958 |
| Language | EN |
| Citations received | 4 |
| References cited | 30 |
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
Family medicine · Health care · Health literacy · Literacy · Psychiatry · Psychological intervention · Health Literacy and Information Accessibility · HIV/AIDS Research and Interventions · Medicine · Mobile Health and mHealth Applications · Psychology · Gerontology
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| Unique citing works | 4 |
|---|---|
| Citations per year | 2 |
| Citation span | 2024 - 2026 (3) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 4 |