Relation between literacy and HIV treatment knowledge among patients on HAART regimens

Autor:	M. Sugar, Terry C. Davis, A. Arozullah, Michael S. Wolf, Charles L. Bennett, Robert L. Penn, Connie L. Arnold
Rok vydání:	2005
Předmět:	Adult Male Gerontology Health Knowledge Attitudes Practice medicine.medical_specialty Health (social science) Multivariate analysis Social Psychology media_common.quotation_subject HIV Infections Literacy Acquired immunodeficiency syndrome (AIDS) Antiretroviral Therapy Highly Active Surveys and Questionnaires Internal medicine medicine Humans Sida media_common Physician-Patient Relations biology business.industry Public health Public Health Environmental and Occupational Health medicine.disease biology.organism_classification United States Regimen Educational Status Female Viral disease business Viral load
Zdroj:	AIDS Care. 17:863-873
ISSN:	1360-0451 0954-0121
Popis:	Successful management of HIV requires patient understanding and ability to act on treatment information. We examined the relationship between patient literacy and understanding of HIV treatment. Literacy, knowledge of CD4 count and viral load, and correct identification of HIV medications in regimen were evaluated in 204 patients receiving care in Shreveport, Louisiana and Chicago, Illinois. One-third of patients had limited literacy skills. These patients were less able to describe CD4 count (p0.001), viral load (p0.001) and to correctly identify medications in their regimen (p0.001). In the multivariate analysis, limited literacy was an independent predictor of poor understanding of CD4 count (OR 2.9, 95% CI: 1.3-6.3) and viral load (OR 4.1, 95% CI: 1.9-8.8). For correct medication identification, a significant interaction was found between number of HIV medications and literacy level. Among patients taking only 1-2 HIV medications, 100% of higher literate patients were able to identify their medications, compared to none of the lower literate patients prescribed three or more HIV medications. Patients with limited literacy skills may lack essential knowledge related to their HIV treatment. Clinicians may require additional training for improving communication with these patients.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d62a248c28f3ab90a36577b650fd0c18 https://doi.org/10.1080/09540120500038660 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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