Assessing the Influence of Health Literacy on HIV-Positive Women’s Cervical Cancer Prevention Knowledge and Behaviors

Bynum, Shalanda A.; Wigfall, Lisa T.; Brandt, Heather M.; Richter, Donna L.; Glover, Saundra H.; Hébert, James R.

doi:10.1007/s13187-013-0470-4

Cited by 30 publications

(39 citation statements)

References 13 publications

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“…Cervical cancer prevention knowledge, attitudes, beliefs and behaviors were examined [11]. Participants who reported a history of cervical cancer (n=3) or had a total hysterectomy (removal of uterus and cervix) (n=14) were excluded.…”

Section: Methodsmentioning

confidence: 99%

Cervical Cancer Prevention Knowledge and Abnormal Pap Test Experiences Among Women Living with HIV/AIDS

et al. 2014

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Background Cervical cancer prevention knowledge deficits persist among women living with HIV/AIDS (WLHA) despite increased risk of developing cervical dysplasia/cancer. We examined associations between WLHA’s cervical cancer prevention knowledge and abnormal Pap test history. Methods We recruited 145 urban and rural WLHA from Ryan White-funded clinics and AIDS service organizations located in the southeastern United States between March 2011 and April 2012. For this analysis, women who reported a history of cervical cancer (n=3) or had a complete hysterectomy (n=14), and observations with missing data (n=22) were excluded. Stata/IC 13 was used to perform cross-tabulations and chi-squared tests. Results Our sample included 106 predominantly non-Hispanic Black (92%) WLHA. Mean age was 46.3±10.9 years. Half (50%) had ≤ high school education. One-third (37%) had low health literacy. The majority (83%) had a Pap test <1 year ago and 84% knew that WLHA should have a Pap test every year, once two tests are normal. Many (68%) have had an abnormal Pap test. Abnormal Pap test follow-up care knowledge varied. While 86% knew follow-up care could include a repeat Pap test, only 56% knew this could also include an HPV test. Significantly more women who had an abnormal Pap test knew follow-up care could include a biopsy (p=0.001). Conclusions For WLHA to make informed/shared decisions about their cervical health, they need to be knowledgeable about cervical cancer care options across the cancer control continuum. Providing WLHA with prevention knowledge beyond screening recommendations seems warranted given their increased risk of developing cervical dysplasia/neoplasia.

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Section: Methodsmentioning

confidence: 99%

Cervical Cancer Prevention Knowledge and Abnormal Pap Test Experiences Among Women Living with HIV/AIDS

et al. 2014

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“…66 The same is true with regard to HIV-related illnesses, such as cervical cancer. 95 Therefore, the enhancement of health literacy is understood as a crucial strategy to improve the health, social, and economic outcomes of interventions aimed at addressing long-term conditions, including HIV. 103 From this point of view, in spite of the prevailing disagreement among scholars, health literacy is meant as an important determinant of healthy life styles and health status, especially among underserved ethnic minority groups, 93,97 people with refugee backgrounds, 98 and individuals at risk of receiving suboptimal and/or inappropriate health treatments due to histories of substance abuse, mental illness, incarceration, and unstable housing or homelessness.…”

Section: The Drawbacks Of Poor Health Literacy On Hiv Treatmentmentioning

confidence: 99%

Discussing the Effects of Poor Health Literacy on Patients Facing HIV: A Narrative Literature Review

Palumbo

2015

Int J Health Policy Manag

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Background: Scholars describe poor health literacy as a "silent epidemic, " which is challenging the functioning of healthcare systems all over the world. Health literacy is mainly meant as an individual trait which concerns the ability to obtain, process, and understand basic health information in order to effectively navigate the health system. Low health literate patients perceive poor self-efficacy dealing with their health conditions, are not willing to be involved in the provision of care, show larger risks of hospitalization and mortality, and are not aware about the determinants of well-being. Hence, limited health literacy has been associated with inadequate management of long-term conditions; nonetheless, several authors argue that health literacy has been an overlooked factor dealing with HIV. Methods: This study is aimed at discussing the effects of poor health literacy on people living with HIV, drawing from the findings of a narrative literature review which involved 41 papers retrieved from the databases "Scopus-Elsevier" and "PubMed. " Results: The scientific literature is not consistent dealing with the relationship between health literacy and HIV treatment. For example, health literate patients seem to better understand their health conditions; on the other hand, people living with poor health literacy are likely to report higher compliance with providers' prescriptions, blindly trusting healthcare professionals. Conclusions: Poor health literacy is a social barrier to access healthcare services and to appropriate health treatment among patients living with HIV. Tailored interventions should be aimed at enhancing the health skills of patients affected by HIV infection to improve their ability to navigate the health system.

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“…The key to the prevention and control of cervical cancer is the early detection of cervical intraepithelial neoplasia (CIN; i.e., precancerous cells) and adherence to abnormal Pap test follow-up recommendations (Saslow et al 2012). Despite increased cervical cancer risk and known benefits of early detection of CIN, 19%–23% of HIV-positive women do not receive annual Pap tests as recommended (Bynum et al 2013; Oster, Sullivan, and Blair 2009). These early detection failures are increased among older HIV-positive women, an age group disproportionately diagnosed with AIDS within one year of an initial HIV-positive diagnosis (Duffus et al 2012; Zapka et al 2003).…”

Section: Introductionmentioning

confidence: 99%

Patient-provider communication with HIV-positive women about abnormal Pap test results

et al. 2016

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In this article, the authors examine communication between women living with human immunodeficiency virus (WLH) and health care providers (HCPs) regarding abnormal Pap tests. During the period of March 2011 through April 2012, 145 WLH were recruited from Ryan White funded clinics and community-based AIDS service organizations located in the southeastern United States. WLH who had an abnormal Pap test (69%, n = 100/145) were asked if their HCP shared and explained information about abnormal Pap tests. The authors performed chi-square tests and multivariable logistic regression analyses using Stata I/C 13. HCPs shared information about abnormal Pap tests with 60% of participants, and explained the information they shared to 78% of those. Health literate participants were more than three times as likely to have read the information received about abnormal Pap tests (adjusted odds ratio [aOR] = 3.49, 95% confidence interval [CI] 1.19–10.23), and almost five times as likely to have understood the cancer information they read (aOR = 4.70, 95% CI 1.55–14.24). Knowing other women who had had an abnormal Pap test was not significantly associated with cancer information seeking or processing after controlling for confounding factors. The present findings underscore the need to increase WLH’s health literacy as an intermediate step to improving patient–provider communication among WLH. Lay sources of cancer information for WLH warrant further study.

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Assessing the Influence of Health Literacy on HIV-Positive Women’s Cervical Cancer Prevention Knowledge and Behaviors

Cited by 30 publications

References 13 publications

Cervical Cancer Prevention Knowledge and Abnormal Pap Test Experiences Among Women Living with HIV/AIDS

Cervical Cancer Prevention Knowledge and Abnormal Pap Test Experiences Among Women Living with HIV/AIDS

Discussing the Effects of Poor Health Literacy on Patients Facing HIV: A Narrative Literature Review

Patient-provider communication with HIV-positive women about abnormal Pap test results

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