Wolf M S, Davis T C, Cross J T, Marin E, Green K, Bennett C L
Center for Healthcare Studies, Department of General Internal Medicine, Feinberg School of Medicine, Northwestern University, 676 N St Clair Street, Suite 200, Chicago, IL 60611, USA.
Int J STD AIDS. 2004 Nov;15(11):747-52. doi: 10.1258/0956462042395131.
Pharmaceutical management of HIV infection is complex, and proper adherence to antiretroviral regimens is contingent on active patient involvement in treatment. We examined the relationship between patient understanding of HIV and its treatment and health literacy. Structured interviews were conducted with 157 HIV-infected individuals receiving care at a community-based clinic in Shreveport, Louisiana, USA. In all, 48% of patients were reading below a 9th grade level. One-third of patients could not name their HIV medications and this was significantly related to low literacy (P < 0.01). Two-thirds of those reading below the 9th grade level did not know how to take their medications correctly (P < 0.05), and 75% did not know the meaning of a CD4 count or viral load (P < 0.001). Patients with low literacy skills were more likely to state that their physician was their sole source of HIV information (P < 0.005). Physicians may require training to appropriately convey health information to patients of low literacy.
艾滋病毒感染的药物管理很复杂，患者积极参与治疗是正确坚持抗逆转录病毒治疗方案的条件。我们研究了患者对艾滋病毒及其治疗的理解与健康素养之间的关系。在美国路易斯安那州什里夫波特市一家社区诊所，对157名接受治疗的艾滋病毒感染者进行了结构化访谈。总体而言，48%的患者阅读水平低于九年级。三分之一的患者说不出他们服用的艾滋病毒药物名称，这与低 literacy 显著相关（P < 0.01）。九年级以下阅读水平的患者中有三分之二不知道如何正确服药（P < 0.05），75%的患者不知道CD4计数或病毒载量的含义（P < 0.001）。读写能力低的患者更有可能表示他们的医生是他们唯一的艾滋病毒信息来源（P < 0.005）。医生可能需要接受培训，以便向低 literacy 的患者适当地传达健康信息。 （注：原文中“literacy”未翻译完整，结合语境推测可能是“读写能力”之类的意思，这里保留原文未完整翻译的状态。）
