Health Literacy and Adherence to Antiretroviral Therapy Among HIV-Infected Youth

被引：25

作者：

Navarra, Ann-Margaret ^{[1
]}

Neu, Natalie ^{[2
]}

Toussi, Sima ^{[3
]}

Nelson, John ^{[4
]}

Larson, Elaine L. ^{[1
]}

机构：

[1] Columbia Univ, Sch Nursing, New York, NY 10027 USA

[2] Columbia Univ, Med Ctr, Div Pediat Infect Dis, New York, NY USA

[3] Weill Cornell Med Coll, Div Pediat Infect Dis, New York, NY USA

[4] New York Presbyterian Hosp, New York, NY USA

来源：

JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE | 2014年 / 25卷 / 03期

基金：

美国国家卫生研究院;

关键词：

adherence; antiretroviral adherence; beliefs; functional literacy; health literacy; HIV-infected adolescents; media use; SELF-REPORTED ADHERENCE; MEDICATION ADHERENCE; ADOLESCENTS; CHILDREN; PEOPLE; PREDICTORS; OUTCOMES; IMPACT; COHORT; ADULTS;

D O I：

10.1016/j.jana.2012.11.003

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Health literacy has been associated with adherence to antiretroviral therapy (ART) in HIV-infected adults, but this association has not been demonstrated in HIV-infected adolescents. Using an expanded health literacy model, we examined the relationship between health literacy, functional literacy, beliefs about ART, media use, and adherence to ART. A convenience sample of HIV-infected adolescents (n = 50) was recruited for this cross-sectional study. The primary outcome of adherence was measured with 3-day self-reports. Health literacy as measured by the Test of Functional Health Literacy in Adults (TOFHLA) was not predictive of adherence (p = .15). Participants with higher positive outcome expectancy scores regarding ART were more likely to report 100% adherence, and participants with below-grade-level reading were less likely to report 100% adherence (p < .05). Our findings highlight the importance of assessing both health beliefs and reading skills as part of adherence support for HIV-infected youth.

引用

页码：203 / 213

页数：11