Functional Health Literacy Is Associated With Health Status and Health-Related Knowledge in People Living With HIV-AIDS

Kalichman, Seth C.; Rompa, David

doi:10.1097/00042560-200012010-00007

Cited by 186 publications

(186 citation statements)

References 16 publications

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“…[25][26][27] Health literacy is a particular concern for men with prostate cancer because AA men, a group with a significantly higher prevalence of prostate cancer, are overrepresented among lower literacy men with prostate cancer. 26 Persons with lower health literacy skills are significantly less likely to take preventive actions to improve their health.…”

Section: Discussionmentioning

confidence: 99%

Differences in clinical characteristics and disease‐free survival for Latino, African American, and non‐Latino white men with localized prostate cancer

Latini

Elkin

Cooperberg

et al. 2006

Cancer

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Objective Depression symptom measures that include somatic symptoms may inflate severity estimates among medically ill patients, including patients with systemic sclerosis (SSc; scleroderma). The 9‐item Patient Health Questionnaire (PHQ‐9) is increasingly used to assess depressive symptoms in medical settings, but it is not known whether PHQ‐9 scores are influenced by somatic symptoms common in medical illness. The objective was to assess whether SSc patients had higher somatic symptom scores on the PHQ‐9 than non–medically ill respondents from the general population matched on cognitive/affective scores. Methods SSc patients from the Canadian Scleroderma Research Group Registry were matched with respondents from a random population survey of Alberta, Canada residents who were without chronic disease on total PHQ‐9 cognitive/affective scores (5 items), sex, and, as close as possible, age. PHQ‐9 somatic scores (4 items) were compared between SSc patients and healthy Alberta survey respondents using t‐tests for unadjusted analyses and analysis of covariance to adjust for age differences that remained after matching. Results Somatic symptoms accounted for 64% of the total PHQ‐9 scores for 762 matched SSc patients (n = 837 total) compared to 56% for 762 matched Alberta population survey respondents (n = 3,304 total), a mean difference of 1.0 point, or 19% of the total scores for the SSc patients (Hedges's g = 0.38). After adjusting for age, the mean difference increased to 1.4 points, reflecting 25% of the SSc patients' total scores (Hedges's g = 0.55). Conclusion PHQ‐9 scores among patients with SSc may include a small to moderate amount of variance from somatic symptoms that are not necessarily related to depression.

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Section: Discussionmentioning

confidence: 99%

Differences in clinical characteristics and disease‐free survival for Latino, African American, and non‐Latino white men with localized prostate cancer

Latini

Elkin

Cooperberg

et al. 2006

Cancer

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“…Literacy difficulties are common among persons in care for HIV (Kalichman & Rompa, 2000). To reduce survey administration difficulties related to literacy limitations, data collection for low-literacy participants (those scoring below the 9th grade reading level on the Rapid Estimate of Adult Literacy in Medicine; Davis et al, 1993) and participants for whom clinic or research staff expressed concerns about their capacity to understand the written questionnaire was completed using either an audio computer-assisted self-interview (n = 19; ACASI) or a face-to-face interview with an RA (n = 15).…”

Section: Methodsmentioning

confidence: 99%

The association of benefit finding to psychosocial and health behavior adaptation among HIV+ men and women

et al. 2007

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Psychological and behavioral adaptation to HIV is integral to long-term survival. Although most research on coping with HIV has focused on factors associated with poor adaptation, recent research has expanded to include positive concomitants of adaptation, such as benefit finding. This study examined the occurrence of benefit finding among HIV+ men and women and evaluated the potential relevance of benefit finding to positive health behavior and psychosocial adaptation. HIV+ participants (N = 221) recruited during outpatient care completed self-report assessments of benefit finding, social support, depression, HAART adherence, substance use, and physical activity. In a series of multivariate analyses that controlled for demographic and health status variables, benefit finding was associated with lower depression scores, greater social support, and more physical activity, but showed no association to HAART adherence or substance use. The association of benefit finding to depression was partially mediated by differences in social support. Thus, benefit finding may improve psychological adjustment by motivating patients who experience stress-related growth to seek improved social support.

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“…Health-related quality of life is independently predicted by the level of one's health literacy [49,55,57]. Moreover, lower health literacy correlates with higher rates of complication [48], hospitalization [6,7,48], increased costs [27,53,62], and overall worse health [8,11,29,48,50,61].…”

Section: Introductionmentioning

confidence: 99%

Most American Academy of Orthopaedic Surgeons’ Online Patient Education Material Exceeds Average Patient Reading Level

Eltorai

Sharma

Wang

et al. 2015

Clinical Orthopaedics &Amp; Related Research

109

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Background Advancing health literacy has the potential to improve patient outcomes. The American Academy of Orthopaedic Surgeons' (AAOS) online patient education materials serve as a tool to improve health literacy for orthopaedic patients; however, it is unknown whether the materials currently meet the National Institutes of Health/ American Medical Association's recommended sixth grade readability guidelines for health information or the mean US adult reading level of eighth grade. Questions/purposes The purposes of this study were (1) to evaluate the mean grade level readability of online AAOS patient education materials; and (2) to determine what proportion of the online materials exceeded recommended (sixth grade) and mean US (eighth grade) reading level.Methods Reading grade levels for 99.6% (260 of 261) of the online patient education entries from the AAOS were analyzed using the Flesch-Kincaid formula built into Microsoft Word software. Results Mean grade level readability of the AAOS patient education materials was 9.2 (SD ± 1.6). Two hundred fifty-one of the 260 articles (97%) had a readability score above the sixth grade level. The readability of the AAOS articles exceeded the sixth grade level by an average of 3.2 grade levels. Of the 260 articles, 210 (81%) had a readability score above the eighth grade level, which is the average reading level of US adults. Conclusions Most of the online patient education materials from the AAOS had readability levels that are far too advanced for many patients to comprehend. Efforts to adjust the readability of online education materials to the needs of the audience may improve the health literacy of orthopaedic patients. Patient education materials can be made more comprehensible through use of simpler terms, shorter sentences, and the addition of pictures. More broadly, all health websites, not just those of the AAOS, should aspire to be comprehensible to the typical reader.

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Functional Health Literacy Is Associated With Health Status and Health-Related Knowledge in People Living With HIV-AIDS

Abstract: Health literacy is a significant factor in the health and treatment of persons living with HIV-AIDS. Interventions are needed to improve medical care and the health status of people with lower health literacy that are living with HIV-AIDS.

Cited by 186 publications

References 16 publications

Differences in clinical characteristics and disease‐free survival for Latino, African American, and non‐Latino white men with localized prostate cancer

Differences in clinical characteristics and disease‐free survival for Latino, African American, and non‐Latino white men with localized prostate cancer

The association of benefit finding to psychosocial and health behavior adaptation among HIV+ men and women

Most American Academy of Orthopaedic Surgeons’ Online Patient Education Material Exceeds Average Patient Reading Level

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