Health literacy: an overlooked factor in understanding HIV health disparities
Limited health literacy may be a contributing factor to racial disparities in health care. This study examined the mediating effect of limited health literacy on the relationship between race and HIV-medication adherence. A total of 204 patients infected with HIV were recruited from two clinics in 2...
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| Veröffentlicht in: | American journal of preventive medicine 2007-11, Vol.33 (5), p.374-378 |
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| container_title | American journal of preventive medicine |
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| creator | Osborn, Chandra Y Paasche-Orlow, Michael K Davis, Terry C Wolf, Michael S |
| description | Limited health literacy may be a contributing factor to racial disparities in health care. This study examined the mediating effect of limited health literacy on the relationship between race and HIV-medication adherence.
A total of 204 patients infected with HIV were recruited from two clinics in 2001. Structured in-person interviews were conducted to obtain information on patient demographics, medication adherence, and health literacy. Multivariate regression models were run in 2006 to examine the associations among race, literacy, and HIV-medication adherence after adjusting for relevant covariates.
In an adjusted analysis that excluded literacy, African Americans were 2.40 times more likely to be nonadherent to their HIV-medication regimen than whites (95% confidence interval [CI]=1.14-5.08). When literacy was included in the final model, the effect estimates of race diminished 25% to nonsignificance. Literacy remained a significant independent predictor of nonadherence (adjusted odds ratio [AOR]=2.12, 95% CI=1.93-2.32).
In this study, limited health literacy mediated the relationship between race and HIV-medication adherence. Investigators need to consider the potential utility of responding to literacy and communication barriers in health care as part of interventions to reduce racial disparities. |
| doi_str_mv | 10.1016/j.amepre.2007.07.022 |
| format | Article |
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A total of 204 patients infected with HIV were recruited from two clinics in 2001. Structured in-person interviews were conducted to obtain information on patient demographics, medication adherence, and health literacy. Multivariate regression models were run in 2006 to examine the associations among race, literacy, and HIV-medication adherence after adjusting for relevant covariates.
In an adjusted analysis that excluded literacy, African Americans were 2.40 times more likely to be nonadherent to their HIV-medication regimen than whites (95% confidence interval [CI]=1.14-5.08). When literacy was included in the final model, the effect estimates of race diminished 25% to nonsignificance. Literacy remained a significant independent predictor of nonadherence (adjusted odds ratio [AOR]=2.12, 95% CI=1.93-2.32).
In this study, limited health literacy mediated the relationship between race and HIV-medication adherence. Investigators need to consider the potential utility of responding to literacy and communication barriers in health care as part of interventions to reduce racial disparities.</description><identifier>ISSN: 0749-3797</identifier><identifier>DOI: 10.1016/j.amepre.2007.07.022</identifier><identifier>PMID: 17950402</identifier><identifier>CODEN: AJPMEA</identifier><language>eng</language><publisher>Netherlands</publisher><subject>Adult ; African Americans - psychology ; Anti-HIV Agents - therapeutic use ; Disparity ; Educational Status ; European Continental Ancestry Group - psychology ; Female ; Health care ; Health education ; Health Knowledge, Attitudes, Practice ; Healthcare Disparities ; HIV ; HIV Infections - drug therapy ; HIV Infections - ethnology ; Humans ; Interviews as Topic ; Literacy ; Male ; Patient Compliance - ethnology ; Patient Education as Topic ; Race ; Treatment Refusal - ethnology</subject><ispartof>American journal of preventive medicine, 2007-11, Vol.33 (5), p.374-378</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904,30979</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17950402$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Osborn, Chandra Y</creatorcontrib><creatorcontrib>Paasche-Orlow, Michael K</creatorcontrib><creatorcontrib>Davis, Terry C</creatorcontrib><creatorcontrib>Wolf, Michael S</creatorcontrib><title>Health literacy: an overlooked factor in understanding HIV health disparities</title><title>American journal of preventive medicine</title><addtitle>Am J Prev Med</addtitle><description>Limited health literacy may be a contributing factor to racial disparities in health care. This study examined the mediating effect of limited health literacy on the relationship between race and HIV-medication adherence.
A total of 204 patients infected with HIV were recruited from two clinics in 2001. Structured in-person interviews were conducted to obtain information on patient demographics, medication adherence, and health literacy. Multivariate regression models were run in 2006 to examine the associations among race, literacy, and HIV-medication adherence after adjusting for relevant covariates.
In an adjusted analysis that excluded literacy, African Americans were 2.40 times more likely to be nonadherent to their HIV-medication regimen than whites (95% confidence interval [CI]=1.14-5.08). When literacy was included in the final model, the effect estimates of race diminished 25% to nonsignificance. Literacy remained a significant independent predictor of nonadherence (adjusted odds ratio [AOR]=2.12, 95% CI=1.93-2.32).
In this study, limited health literacy mediated the relationship between race and HIV-medication adherence. Investigators need to consider the potential utility of responding to literacy and communication barriers in health care as part of interventions to reduce racial disparities.</description><subject>Adult</subject><subject>African Americans - psychology</subject><subject>Anti-HIV Agents - therapeutic use</subject><subject>Disparity</subject><subject>Educational Status</subject><subject>European Continental Ancestry Group - psychology</subject><subject>Female</subject><subject>Health care</subject><subject>Health education</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Healthcare Disparities</subject><subject>HIV</subject><subject>HIV Infections - drug therapy</subject><subject>HIV Infections - ethnology</subject><subject>Humans</subject><subject>Interviews as Topic</subject><subject>Literacy</subject><subject>Male</subject><subject>Patient Compliance - ethnology</subject><subject>Patient Education as Topic</subject><subject>Race</subject><subject>Treatment Refusal - ethnology</subject><issn>0749-3797</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkD9PwzAUxD2AaCl8A4Q8sSXYz0kcs6EKaKUiFmCNXmKHuuQftoPUb09Qy8zpSTfc795whFxxFnPGs9tdjK0ZnImBMRn_HsAJmTOZqEhIJWfk3Psdm8KcqzMy41KlLGEwJ88rg03Y0sYG47Da31HsaP9tXNP3n0bTGqvQO2o7OnbaOB-w07b7oKv1O90eqtr6AZ0N1vgLclpj483l0Rfk7fHhdbmKNi9P6-X9JhogYSHSSnGVAYDEdFJZpVlpeK2YLkFyloNCzEuuAVKQWclKwQXmogbQDEWKYkFuDn8H13-Nxoeitb4yTYOd6UdfZHnC-VT-F0wl_E4mJvD6CI5la3QxONui2xd_S4kf0oRp2A</recordid><startdate>200711</startdate><enddate>200711</enddate><creator>Osborn, Chandra Y</creator><creator>Paasche-Orlow, Michael K</creator><creator>Davis, Terry C</creator><creator>Wolf, Michael S</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>200711</creationdate><title>Health literacy: an overlooked factor in understanding HIV health disparities</title><author>Osborn, Chandra Y ; Paasche-Orlow, Michael K ; Davis, Terry C ; Wolf, Michael S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p240t-d991962227a5555bc56be1f90db2710829aa8b1d225276b0b313a83f22d0a35a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>African Americans - psychology</topic><topic>Anti-HIV Agents - therapeutic use</topic><topic>Disparity</topic><topic>Educational Status</topic><topic>European Continental Ancestry Group - psychology</topic><topic>Female</topic><topic>Health care</topic><topic>Health education</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Healthcare Disparities</topic><topic>HIV</topic><topic>HIV Infections - drug therapy</topic><topic>HIV Infections - ethnology</topic><topic>Humans</topic><topic>Interviews as Topic</topic><topic>Literacy</topic><topic>Male</topic><topic>Patient Compliance - ethnology</topic><topic>Patient Education as Topic</topic><topic>Race</topic><topic>Treatment Refusal - ethnology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Osborn, Chandra Y</creatorcontrib><creatorcontrib>Paasche-Orlow, Michael K</creatorcontrib><creatorcontrib>Davis, Terry C</creatorcontrib><creatorcontrib>Wolf, Michael S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of preventive medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Osborn, Chandra Y</au><au>Paasche-Orlow, Michael K</au><au>Davis, Terry C</au><au>Wolf, Michael S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health literacy: an overlooked factor in understanding HIV health disparities</atitle><jtitle>American journal of preventive medicine</jtitle><addtitle>Am J Prev Med</addtitle><date>2007-11</date><risdate>2007</risdate><volume>33</volume><issue>5</issue><spage>374</spage><epage>378</epage><pages>374-378</pages><issn>0749-3797</issn><coden>AJPMEA</coden><abstract>Limited health literacy may be a contributing factor to racial disparities in health care. This study examined the mediating effect of limited health literacy on the relationship between race and HIV-medication adherence.
A total of 204 patients infected with HIV were recruited from two clinics in 2001. Structured in-person interviews were conducted to obtain information on patient demographics, medication adherence, and health literacy. Multivariate regression models were run in 2006 to examine the associations among race, literacy, and HIV-medication adherence after adjusting for relevant covariates.
In an adjusted analysis that excluded literacy, African Americans were 2.40 times more likely to be nonadherent to their HIV-medication regimen than whites (95% confidence interval [CI]=1.14-5.08). When literacy was included in the final model, the effect estimates of race diminished 25% to nonsignificance. Literacy remained a significant independent predictor of nonadherence (adjusted odds ratio [AOR]=2.12, 95% CI=1.93-2.32).
In this study, limited health literacy mediated the relationship between race and HIV-medication adherence. Investigators need to consider the potential utility of responding to literacy and communication barriers in health care as part of interventions to reduce racial disparities.</abstract><cop>Netherlands</cop><pmid>17950402</pmid><doi>10.1016/j.amepre.2007.07.022</doi><tpages>5</tpages></addata></record> |
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| ispartof | American journal of preventive medicine, 2007-11, Vol.33 (5), p.374-378 |
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| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult African Americans - psychology Anti-HIV Agents - therapeutic use Disparity Educational Status European Continental Ancestry Group - psychology Female Health care Health education Health Knowledge, Attitudes, Practice Healthcare Disparities HIV HIV Infections - drug therapy HIV Infections - ethnology Humans Interviews as Topic Literacy Male Patient Compliance - ethnology Patient Education as Topic Race Treatment Refusal - ethnology |
| title | Health literacy: an overlooked factor in understanding HIV health disparities |
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