Health Literacy and Health Outcomes in Persons Living with HIV Disease: A Systematic Review

Reynolds, Raquel; Smoller, Sara; Allen, Anna A.; Nicholas, Patrice K.

doi:10.1007/s10461-019-02432-9

Cited by 45 publications

(21 citation statements)

References 51 publications

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“…Some studies have applied (existing and tailored) health literacy measures to our understanding of treatment adherence and health outcomes among people living with HIV (Perazzo, Reyes, and Webel 2017;Reynolds et al 2019). Much of this research has focused on young people and/or the individual-level (Haruna et al 2019;Freeman et al 2018;Vamos et al 2018;Lin, Zhang, and Cao 2018;Kaczkowski and Swartout 2019) and while a few studies have begun to examine health literacy inequities among gay, bisexual and other men who have sex with men (Rosenberger et al 2011;Manduley et al 2018;Gilbert et al 2019;Brookfield et al 2019;Rucker et al 2018;Eliason, Robinson, and Balsam 2018;Oliffe et al 2019), sexual health literacy as a concept remains under-developed.…”

Section: Introductionmentioning

confidence: 99%

Sexual health literacy among gay, bisexual and other men who have sex with men: a conceptual framework for future research

McDaid

Flowers

Ferlatte

et al. 2020

Culture, Health & Sexuality

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Good sexual health requires navigating intimate relationships within diverse power dynamics and sexual cultures, coupled with the complexities of increasing biomedicalisation of sexual health. Understanding this is important for the implementation of biomedical HIV prevention. We propose a socially nuanced conceptual framework for sexual health literacy developed through a consensus building workshop with experts in the field. We use rigorous qualitative data analysis to illustrate the functionality of the framework by reference to two complementary studies. The first collected data from five focus groups (FGs) in 2012 (n ¼ 22), with gay, bisexual and other men who have sex with men aged 18-75 years and 20 in-depth interviews in 2013 with men aged 19-60 years. The second included 12 FGs in 2014/15 with 55 patients/service providers involved in the use/implementation of HIV self-testing or HIV prevention/care. Sexual health literacy goes well beyond individual health literacy and is enabled through complex community practices and multi-sectoral services. It is affected by emerging (and older) technologies and demands tailored approaches for specific groups and needs. The framework serves as a starting point for how sexual health literacy should be understood in the evaluation of sustainable and equitable implementation of biomedical sexual healthcare and prevention internationally.

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Section: Introductionmentioning

confidence: 99%

Sexual health literacy among gay, bisexual and other men who have sex with men: a conceptual framework for future research

McDaid

Flowers

Ferlatte

et al. 2020

Culture, Health & Sexuality

View full text Add to dashboard Cite

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“…Many people are aware of the necessity of sex education, but they feel embarrassed in discussing the sex or fertility issue, especially in unmarried population [20,21]. Moreover, a positive relationship between education and health literacy has been recorded in hypertension, diabetes, HIV health contexts [29][30][31][32]. Therefore, it is urgent to improve fertility health education in China, items with low scores and people with low scores should be concerned.…”

Section: Discussionmentioning

confidence: 99%

College Students Responding to the Chinese version of Cardiff Fertility Knowledge Scale Show Deficiencies in Their Awareness: A cross-sectional survey in Hunan, China

Zhou

Wang

Cui

et al. 2019

Preprint

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Background: The worldwide total fertility rate has declined, and the age pattern of childbearing and marriage has changed markedly. This trend has affected the social and economic development, especially fertility health. Previous studies indicated that incorrect perceptions of fertility can influence the fertility choice, and postponing parenthood is associated with an increase risk of higher maternal age in direction of more pregnancy-related complications. However, little is known in China, which has a low total fertility rate. Hence, understanding the knowledge about fertility is greatly needed. The aim was to investigate the knowledge about fertility issues among college students, the related influence factors, the way of acquiring fertility knowledge, the relationship between fertility knowledge and fertility intention. Methods : An online cross-sectional survey among Chinese college students was conducted in Hunan province from March to April in 2018. A total of 867 college students from three comprehensive universities responded to a poster invitation utilizing the Chinese version of the Cardiff Fertility Knowledge Scale (CFKS-C). Results: The average percent correct score on the CFKS-C was 49.86% (SD=20.817), with greater knowledge significantly related to living in a city district, currently having a stable relationship, majoring in medicine/health, the year 4 or above of study, and intention to have children (all p ＜0.05). The lowest score was “having a healthy lifestyle makes you fertile (false)”, the highest score was “a woman is less fertile after the age of 36 years (true)”. And then, 81.88% participants said that they would like to have children, the average score of the importance of childbearing was 6.34 (SD=2.714), female’s score was lower than male’s ( p =0.001). A small positive relationship was observed between the CFKS-C and the importance of childbearing ( r =0.074, p =0.035). Respondents said they gained most of their knowledge from the media and internet (41.36%) and schools (38.25%). Conclusion: The college students have a modest level of fertility knowledge, a relatively low intention to have a child, and deficiencies in fertility health education. Key words: Fertility knowledge; Fertility intention; Childbearing; College students; Awareness;

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“…Moreover, a positive relationship between education and health literacy has been recorded in hypertension, diabetes, and HIV health contexts [34][35][36][37]. Therefore, it is urgent to improve fertility health education in China, and it is particularly important to consider those items and populations that had low scores.…”

Section: Low Fertility Knowledgementioning

confidence: 99%

College Students Responding to the Chinese version of Cardiff Fertility Knowledge Scale Show Deficiencies in Their Awareness: A cross-sectional survey in Hunan, China

Zhou

Luo

Wang

et al. 2020

Preprint

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Background: Fertility knowledge is vital to the fertility health of young people and greatly impacts their fertility choices. Delayed childbearing has been increasing in high-income countries, accompanied by the risk of involuntary childlessness or having fewer children than desired. The aim of this study was to investigate knowledge about fertility issues, the related influencing factors, the method of acquiring fertility knowledge, and the relationship between fertility knowledge and fertility intentions among college students. Methods: An online cross-sectional survey of Chinese college students was conducted in Hunan Province from March to April 2018. A total of 867 college students from three comprehensive universities responded to a poster invitation utilizing the Chinese version of the Cardiff Fertility Knowledge Scale (CFKS-C). Data were explored and analysed by SPSS (version 22.0) software. Descriptive statistics, chi-squared tests, T-tests, and Pearson’s correlations were used for the measurements. Results: The average percent-correct score on the CFKS-C was 49.9% (SD=20.8), with greater knowledge significantly related to living in a city district, currently having a stable relationship, majoring in medicine/health, being in year 4 or above of study, and intention to have children (all p＜0.05). A total of 81.9% of the participants reported that they would like to have children, the average score of the importance of childbearing was 6.3 (SD=2.7), and the female score was lower than the male score (p=0.001). A small positive relationship was observed between the CFKS-C and the importance of childbearing (r=0.074, p=0.035). Respondents indicated that they gained most of their knowledge from the media and internet (41.4%) and from schools (38.2%). Conclusion: Yong people in college have a modest level of fertility knowledge, a relatively low intention to have a child, and deficiencies in fertility health education. There is a need to improve the accessibility of fertility health services by developing a scientific and reliable fertility health promotion strategy. Key words: Fertility knowledge; Fertility intention; Childbearing; College students;

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Health Literacy and Health Outcomes in Persons Living with HIV Disease: A Systematic Review

Cited by 45 publications

References 51 publications

Sexual health literacy among gay, bisexual and other men who have sex with men: a conceptual framework for future research

Sexual health literacy among gay, bisexual and other men who have sex with men: a conceptual framework for future research

College Students Responding to the Chinese version of Cardiff Fertility Knowledge Scale Show Deficiencies in Their Awareness: A cross-sectional survey in Hunan, China

College Students Responding to the Chinese version of Cardiff Fertility Knowledge Scale Show Deficiencies in Their Awareness: A cross-sectional survey in Hunan, China

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