Department of Psychology, University of Connecticut, Storrs, CT 06269, USA.
AIDS Patient Care STDS. 2013 Jun;27(6):326-32. doi: 10.1089/apc.2013.0056. Epub 2013 May 23.
Health literacy is known to influence medication adherence among people living with HIV/AIDS. People who experience difficulty reading health information may benefit from asking others to assist them with reading, interpreting, and understanding medical information. We examined medical chart-abstracted HIV viral load, medication adherence assessed by unannounced pill counts, and adherence improvement strategies among 245 individuals with lower-health literacy who do not request assistance, and 229 who do request assistance with reading and understanding health information. Participants were people living with HIV who were taking antiretroviral therapy and scored below 90% correct on a standardized test of functional health literacy. After controlling for health literacy scores, requesting informational assistance was associated with strategies used to improve adherence; individuals who asked for assistance were significantly more likely to use multiple adherence strategies. However, despite requesting informational assistance and using more adherence strategies, participants who requested informational assistance evidenced poorer treatment adherence and poorer suppression of HIV replication. Requesting assistance was more common among those with the poorest health literacy and therefore greatest challenges to adherence. People living with HIV who have poor health literacy skills may benefit from medication adherence programs and requests for assistance afford opportunities for social interventions.
健康素养会影响艾滋病毒/艾滋病患者的药物依从性。阅读健康信息有困难的人可能会受益于寻求他人帮助他们阅读、解释和理解医疗信息。我们检查了 245 名健康素养较低的患者的医疗图表摘录的 HIV 病毒载量、未经宣布的药丸计数评估的药物依从性以及他们改善依从性的策略，这些患者没有要求帮助，以及 229 名要求帮助阅读和理解健康信息的患者。参与者是正在接受抗逆转录病毒治疗的艾滋病毒感染者，他们在一项标准化的功能性健康素养测试中得分低于 90%。在控制健康素养评分后，请求信息援助与用于改善依从性的策略相关联；寻求帮助的个体更有可能使用多种依从性策略。然而，尽管请求了信息援助并使用了更多的依从性策略，请求信息援助的参与者的治疗依从性和 HIV 复制抑制情况更差。在健康素养最差、最难以遵守的人群中，请求帮助的情况更为常见。健康素养较差的艾滋病毒感染者可能会受益于药物依从性计划，并且对援助的请求为社会干预提供了机会。
