Health literacy and health outcomes in HIV seropositive persons

Inadequate health literacy has been associated with worse health status and more hospitalizations. We examined the influence of personal characteristics and health literacy on body change distress, depressive symptoms, and HIV symptom intensity in a convenience sample of 489 HIV‐seropositive adults...

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Bibliographic Details
Published in:Research in nursing & health 2007-12, Vol.30 (6), p.620-627
Main Authors: Nokes, Kathleen M., Coleman, Christopher Lance, Cashen, Margaret, Dole, Pamela, Sefcik, Elizabeth, Hamilton, Mary Jane, Kirksey, Kenn M., Huang, Emily Hai, Apinya, Jumpamool, Holzemer, William
Format: Article
Language:English
Subjects:
Adult
Adult literacy
Aged
Biological and medical sciences
Clinical outcomes
Depression
Educational Measurement
Educational Status
Female
Health care
Health education
Health Knowledge, Attitudes, Practice
health literacy
health outcomes
Health problems
Health status
HIV
HIV Seropositivity - epidemiology
HIV Seropositivity - therapy
HIV/AIDS
Human immunodeficiency virus
Human viral diseases
Humans
Immunodeficiencies
Immunodeficiencies. Immunoglobulinopathies
Immunopathology
Infectious diseases
Male
Measuring instruments
Medical sciences
Middle Aged
Miscellaneous
Nursing
Patient Compliance - statistics & numerical data
Patient Education as Topic
Psychological distress
Public health. Hygiene
Public health. Hygiene-occupational medicine
Quality of Life
REALM
Reproducibility of Results
Social Class
Surveys and Questionnaires
United States - epidemiology
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
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Summary:Inadequate health literacy has been associated with worse health status and more hospitalizations. We examined the influence of personal characteristics and health literacy on body change distress, depressive symptoms, and HIV symptom intensity in a convenience sample of 489 HIV‐seropositive adults throughout the United States. Health literacy was measured with the Rapid Estimate of Adult Literacy in Medicine (REALM) instrument. Those with higher health literacy scores reported more body change distress, depressive symptoms, and HIV symptom intensity. Being Latino and having higher health literacy scores were associated with poorer health outcomes. These results challenge the utility of the REALM to examine the relationship between health literacy and adverse health status. © 2007 Wiley Periodicals, Inc. Res Nurs Health 30:620–627, 2007
ISSN:0160-6891
1098-240X
DOI:10.1002/nur.20219