BACKGROUND: People with lower-health literacy are vulnerable to health problems. Studies that have examined the association between literacy and medication adherence have relied on self-reported adherence, which is subject to memory errors, perhaps even more so in people with poor literacy. PURPOSE: To examine the association between health literacy and objectively assessed HIV treatment adherence. METHODS: Men and women (N = 145) receiving antiretroviral therapy completed a test of health literacy and measures of common adherence markers. Medication adherence was monitored by unannounced pill counts. RESULTS: Median adherence was 71%; participants with lower-health literacy also demonstrated poorer adherence compared to participants with higher literacy. Hierarchical regression showed literacy predicted adherence over and above all other factors. Sensitivity tests showed the same results for 80% and 90% adherence. CONCLUSIONS: The association between literacy and adherence appears robust and was confirmed using an objective measure of medication adherence.
BACKGROUND:People with lower-health literacy are vulnerable to health problems. Studies that have examined the association between literacy and medication adherence have relied on self-reported adherence, which is subject to memory errors, perhaps even more so in people with poor literacy. PURPOSE: To examine the association between health literacy and objectively assessed HIV treatment adherence. METHODS:Men and women (N = 145) receiving antiretroviral therapy completed a test of health literacy and measures of common adherence markers. Medication adherence was monitored by unannounced pill counts. RESULTS: Median adherence was 71%; participants with lower-health literacy also demonstrated poorer adherence compared to participants with higher literacy. Hierarchical regression showed literacy predicted adherence over and above all other factors. Sensitivity tests showed the same results for 80% and 90% adherence. CONCLUSIONS: The association between literacy and adherence appears robust and was confirmed using an objective measure of medication adherence.
Authors: Giselle Hicks; Maribel Barragan; Carlos Franco-Paredes; Mark V Williams; Carlos del Rio Journal: Fam Med Date: 2006 Nov-Dec Impact factor: 1.756
Authors: Seth C Kalichman; Christina M Amaral; Heidi Stearns; Denise White; Jody Flanagan; Howard Pope; Chauncey Cherry; Demetria Cain; Lisa Eaton; Moira O Kalichman Journal: J Gen Intern Med Date: 2007-03-28 Impact factor: 5.128
Authors: Jean-Jacques Parienti; Moupali Das-Douglas; Véronique Massari; David Guzman; Steven G Deeks; Renaud Verdon; David R Bangsberg Journal: PLoS One Date: 2008-07-30 Impact factor: 3.240
Authors: Kevin P High; Mark Brennan-Ing; David B Clifford; Mardge H Cohen; Judith Currier; Steven G Deeks; Sherry Deren; Rita B Effros; Kelly Gebo; Jörg J Goronzy; Amy C Justice; Alan Landay; Jules Levin; Paolo G Miotti; Robert J Munk; Heidi Nass; Charles R Rinaldo; Michael G Shlipak; Russell Tracy; Victor Valcour; David E Vance; Jeremy D Walston; Paul Volberding Journal: J Acquir Immune Defic Syndr Date: 2012-07-01 Impact factor: 3.731
Authors: Ana Lòpez-De Fede; John E Stewart; James W Hardin; Kathy Mayfield-Smith; Dawn Sudduth Journal: Public Health Rep Date: 2011 Sep-Oct Impact factor: 2.792
Authors: Chandra Y Osborn; Kenneth A Wallston; Adam Shpigel; Kerri Cavanaugh; Sunil Kripalani; Russell L Rothman Journal: Patient Educ Couns Date: 2013-02-21
Authors: R Fredericksen; B J Feldman; T Brown; S Schmidt; P K Crane; R D Harrington; S Dhanireddy; J McReynolds; W B Lober; D R Bangsberg; M M Kitahata; Heidi M Crane Journal: AIDS Behav Date: 2014-12
Authors: Shrinidhi Subramaniam; Carol-Ann Getty; August F Holtyn; Andrew Rodewald; Brian Katz; Brantley P Jarvis; Jeannie-Marie S Leoutsakos; Michael Fingerhood; Kenneth Silverman Journal: AIDS Behav Date: 2019-11
Authors: Rachel E Patzer; Marina Serper; Peter P Reese; Kamila Przytula; Rachel Koval; Daniela P Ladner; Josh M Levitsky; Michael M Abecassis; Michael S Wolf Journal: Clin Transplant Date: 2016-08-29 Impact factor: 2.863