Low health literacy is associated with HIV test acceptance

Barragán, Maribel; Hicks, Giselle; Williams, Mark; Franco‐Paredes, Carlos; Duffus, Wayne A.; Rı́o, Carlos del

doi:10.1111/j.1525-1497.2005.40128.x

Cited by 46 publications

(31 citation statements)

References 22 publications

(53 reference statements)

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“…Many studies of health literacy have relied on clinic or disease-based samples, and this approach has yielded important insights into how health literacy affects patient-provider communication in the context of the clinical encounter (Aboumatar, Carson, Beach, Roter, & Cooper, 2013; Barragan et al, 2005; Katz, Jacobson, Veledar, & Kripalani, 2007; Mancuso & Rincon, 2006; Rodríguez et al, 2013). But a full understanding of the impact of health literacy requires a broader view: one that takes into account the importance of health literacy outside the clinical encounter.…”

Section: Discussionmentioning

confidence: 99%

Health Literacy and Access to Care

Levy

Janke

2016

Journal of Health Communication

235

157

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Despite well-documented links between low health literacy, low rates of health insurance coverage, and poor health outcomes, there has been almost no research on the relationship between low health literacy and self-reported access to care. This study analyzed a large, nationally representative sample of community-dwelling adults ages 50 and older to estimate the relationship between low health literacy and self-reported difficulty obtaining care. We found that individuals with low health literacy were significantly more likely than individuals with adequate health literacy to delay or forego needed care or to report difficulty finding a provider, even after controlling for other factors including health insurance coverage, employment, race/ethnicity, poverty, and general cognitive function. They were also more likely to lack a usual source of care, although this result was only marginally significant after controlling for other factors. The results show that in addition to any obstacles that low health literacy creates within the context of the clinical encounter, low health literacy also reduces the probability that people get in the door of the health care system in a timely way.

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Section: Discussionmentioning

confidence: 99%

Health Literacy and Access to Care

Levy

Janke

2016

Journal of Health Communication

235

157

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“…Likewise, perhaps due to previous unsuccessful attempts to abstain from risky health behaviors, heavy drinkers may be apprehensive of health promotion programs (Ruteledge et al, 2002), possibly because they believe enrollment will not assist them in achieving their risk reduction goals. Second, although HIV-prevention counseling primarily helps individuals achieve HIV-risk reduction goals (Barragan et al, 2005; Noguchi et al, 2007), advice related to alcohol consumption is commonly provided. Perceptions that the program may challenge current drinking practices may hinder enrollment among those not ready to change their drinking behavior (Ruteledge et al, 2002).…”

Section: Discussionmentioning

confidence: 99%

Barriers to accessing HIV-prevention in clinic settings: Higher alcohol use and more sex partners predict decreased exposure to HIV-prevention counseling

Wilson

2014

Psychology, Health & Medicine

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Understanding barriers to accepting HIV-prevention counseling among vulnerable populations is of critical importance, as prevention efforts can only have a public health impact if high-risk populations are willing to enroll. A correlational field study was conducted in a health care setting with a high-risk community sample (N = 350) to determine if number of sex partners and alcohol consumption predict acceptance of an invitation to take part in HIV-prevention counseling. Findings indicated that participants engaging in the least risky behavior (i.e., individuals reporting no alcohol consumption, and few sex partners) were more likely to accept an offer to receive HIV-prevention counseling. Moreover, heavy drinking was associated with decreased exposure to HIV-prevention counseling, regardless of the number of sex partners reported (b = .12, p > .05). Given associations between heavy drinking and sexual risk taking, finding ways to increase exposure to HIV-prevention counseling programs among heavy drinkers could serve a vital public health function.

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“…It is estimated that between 20 and 40 % of persons infected with HIV have low health literacy [4], usually defined as self-reported difficulties with understanding healthcare materials or poor performance on validated measures of medical word knowledge or comprehension (e.g., Rapid Estimates of Adult Literacy in Medicine (REALM)). Specifically, HIV-related low health literacy is associated with limited knowledge of HIV disease [5] and refusal of HIV testing [6]. In the setting of HIV disease, low health literacy is particularly prevalent among ethnic and racial minorities and persons with lower levels of educational attainment [7].…”

mentioning

confidence: 99%

Neurocognitive Impairment is Associated with Lower Health Literacy Among Persons Living with HIV Infection

Morgan

Iudicello

Cattie³

et al. 2014

AIDS Behav

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This study sought to determine the effects of HIV-associated neurocognitive disorders (HAND) on health literacy, which encompasses the ability to access, understand, appraise, and apply healthrelated information. Participants included 56 HIV seropositive individuals, 24 of whom met Frascati criteria for HAND, and 24 seronegative subjects who were comparable on age, education, ethnicity, and oral word reading. Each participant was administered a brief battery of wellvalidated measures of health literacy, including the Expanded Numeracy Scale (ENS), Newest Vital Sign (NVS), Rapid Estimate of Adult Literacy in Medicine (REALM), and Brief Health Literacy Screen (BHLS). Results revealed significant omnibus differences on the ENS and NVS, which were driven by poorer performance in the HAND group. There were no significant differences on the REALM or the BHLS by HAND status. Among individuals with HAND, lower scores on the NVS were associated with greater severity of neurocognitive dysfunction (e.g., NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript working memory and verbal fluency) and self-reported dependence in activities of daily living. These preliminary findings suggest that HAND hinders both fundamental (i.e., basic knowledge, such as numeracy) and critical (i.e., comprehension and application of healthcare information) health literacy capacities, and therefore may be an important factor in the prevalence of health illiteracy. Health literacy-focused intervention may play an important role in the treatment and health trajectories among persons living with HIV infection. KeywordsHIV-associated neurocognitive disorders; Neuropsychology; Disability; Health literacy Health literacy has been broadly defined as "the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions [1]." A recent systematic review by Berkman et al. [2] found considerable evidence that lower health literacy increases risk of suboptimal health outcomes, including more hospitalizations, reduced utilization of preventative medicine, and non-adherence to prescribed medications. Health literacy may play a particularly important role in health outcomes for underserved populations with chronic medical conditions, such as HIV disease [3]. It is estimated that between 20 and 40 % of persons infected with HIV have low health literacy [4], usually defined as self-reported difficulties with understanding healthcare materials or poor performance on validated measures of medical word knowledge or comprehension (e.g., Rapid Estimates of Adult Literacy in Medicine (REALM)). Specifically, HIV-related low health literacy is associated with limited knowledge of HIV disease [5] and refusal of HIV testing [6]. In the setting of HIV disease, low health literacy is particularly prevalent among ethnic and racial minorities and persons with lower levels of educational attainment [7]. HIV-infected persons with lower health literacy a...

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Low health literacy is associated with HIV test acceptance

Cited by 46 publications

References 22 publications

Health Literacy and Access to Care

Health Literacy and Access to Care

Barriers to accessing HIV-prevention in clinic settings: Higher alcohol use and more sex partners predict decreased exposure to HIV-prevention counseling

Neurocognitive Impairment is Associated with Lower Health Literacy Among Persons Living with HIV Infection

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