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Health Literacy and Demographic Disparities in HIV Care Continuum Outcomes.

Publication ,  Journal Article
Rebeiro, PF; McPherson, TD; Goggins, KM; Turner, M; Bebawy, SS; Rogers, WB; Brinkley-Rubinstein, L; Person, AK; Sterling, TR; Kripalani, S; Pettit, AC
Published in: AIDS Behav
August 2018

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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Published In

AIDS Behav

DOI

EISSN

1573-3254

Publication Date

August 2018

Volume

22

Issue

8

Start / End Page

2604 / 2614

Location

United States

Related Subject Headings

  • White People
  • Viral Load
  • United States
  • Tennessee
  • Social Class
  • Retention in Care
  • Public Health
  • Middle Aged
  • Medication Adherence
  • Male
 

Citation

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Rebeiro, P. F., McPherson, T. D., Goggins, K. M., Turner, M., Bebawy, S. S., Rogers, W. B., … Pettit, A. C. (2018). Health Literacy and Demographic Disparities in HIV Care Continuum Outcomes. AIDS Behav, 22(8), 2604–2614. https://doi.org/10.1007/s10461-018-2092-7
Rebeiro, Peter F., Tristan D. McPherson, Kathryn M. Goggins, Megan Turner, Sally S. Bebawy, William B. Rogers, Lauren Brinkley-Rubinstein, et al. “Health Literacy and Demographic Disparities in HIV Care Continuum Outcomes.AIDS Behav 22, no. 8 (August 2018): 2604–14. https://doi.org/10.1007/s10461-018-2092-7.
Rebeiro PF, McPherson TD, Goggins KM, Turner M, Bebawy SS, Rogers WB, et al. Health Literacy and Demographic Disparities in HIV Care Continuum Outcomes. AIDS Behav. 2018 Aug;22(8):2604–14.
Rebeiro, Peter F., et al. “Health Literacy and Demographic Disparities in HIV Care Continuum Outcomes.AIDS Behav, vol. 22, no. 8, Aug. 2018, pp. 2604–14. Pubmed, doi:10.1007/s10461-018-2092-7.
Rebeiro PF, McPherson TD, Goggins KM, Turner M, Bebawy SS, Rogers WB, Brinkley-Rubinstein L, Person AK, Sterling TR, Kripalani S, Pettit AC. Health Literacy and Demographic Disparities in HIV Care Continuum Outcomes. AIDS Behav. 2018 Aug;22(8):2604–2614.
Journal cover image

Published In

AIDS Behav

DOI

EISSN

1573-3254

Publication Date

August 2018

Volume

22

Issue

8

Start / End Page

2604 / 2614

Location

United States

Related Subject Headings

  • White People
  • Viral Load
  • United States
  • Tennessee
  • Social Class
  • Retention in Care
  • Public Health
  • Middle Aged
  • Medication Adherence
  • Male