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AIDS and Behavior
Published in: AIDS and Behavior 8/2018

01-08-2018 | Original Paper

Health Literacy and Demographic Disparities in HIV Care Continuum Outcomes

Authors: Peter F. Rebeiro, Tristan D. McPherson, Kathryn M. Goggins, Megan Turner, Sally S. Bebawy, William B. Rogers, Lauren Brinkley-Rubinstein, Anna K. Person, Timothy R. Sterling, Sunil Kripalani, April C. Pettit

Published in: AIDS and Behavior | Issue 8/2018

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Abstract

Studies evaluating the association between human immunodeficiency virus (HIV) infection continuum of care outcomes [antiretroviral (ART) adherence, retention in care, viral suppression] and health literacy have yielded conflicting results. Moreover, studies from the southern United States, a region of the country disproportionately affected by the HIV epidemic and low health literacy, are lacking. We conducted an observational cohort study among 575 people living with HIV (PLWH) at the Vanderbilt Comprehensive Care Clinic (Nashville, Tennessee). Health literacy was measured using the brief health literacy screen, a short tool which can be administered verbally by trained clinical personnel. Low health literacy was associated with a lack of viral suppression, but not with poor ART adherence or poor retention. Age and racial disparities in continuum of care outcomes persisted after accounting for health literacy, suggesting that factors in addition to health literacy must be addressed in order to improve outcomes for PLWH.
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Metadata
Title
Health Literacy and Demographic Disparities in HIV Care Continuum Outcomes
Authors
Peter F. Rebeiro
Tristan D. McPherson
Kathryn M. Goggins
Megan Turner
Sally S. Bebawy
William B. Rogers
Lauren Brinkley-Rubinstein
Anna K. Person
Timothy R. Sterling
Sunil Kripalani
April C. Pettit
Publication date
01-08-2018
Publisher
Springer US
Published in
AIDS and Behavior / Issue 8/2018
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-018-2092-7

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