Health Literacy Among In-Care Older HIV Diagnosed Persons with Multimorbidity: MMP NYS (Excluding NYC)

Older persons living with diagnosed HIV (PLWDH) are also at risk for age-related chronic conditions. With conflicting results on studies assessing health literacy and durable viral suppression, this study is the first in assessing this relationship using representative data on older in-care HIV-diag...

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Bibliographic Details
Published in:AIDS and behavior 2020-04, Vol.24 (4), p.1092-1105
Main Authors: Maduka, Doris O., Swanson, Megan R., Markey, Katie, Anderson, Bridget J., Tracy, Melissa, Manganello, Jennifer A.
Format: Article
Language:English
Subjects:
Access
Age
Antiretroviral drugs
Chronic conditions
Chronic illnesses
Comorbidity
Health education
Health literacy
Health Psychology
Health services
HIV
Human immunodeficiency virus
Infectious Diseases
Medical diagnosis
Medicine
Medicine & Public Health
Multimorbidity
Older people
Original Paper
Public Health
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Summary:Older persons living with diagnosed HIV (PLWDH) are also at risk for age-related chronic conditions. With conflicting results on studies assessing health literacy and durable viral suppression, this study is the first in assessing this relationship using representative data on older in-care HIV-diagnosed persons with multimorbidity. Weighted data collected 2009–2014 from the Medical Monitoring Project (MMP) was used. Health literacy was assessed using the three-item Brief Health Literacy Screen (BHLS). The mean health literacy score was 11.22 (95% CI 10.86–11.59), and the mean multimorbidity was 4.75 (SE = 0.32). After adjusting, health literacy (OR 0.87, 95% CI 0.77–0.99) was found to be significantly associated with durable viral suppression. Adequate health literacy can help with achieving durable viral suppression. For these persons, addressing health literacy might increase their ability to access and navigate the healthcare system, thereby helping them stay engaged and maintain adherence to HIV care.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-019-02627-0