Department of Psychology, University of Houston, 126 Heyne Building, Houston, TX, 77004-5022, USA.
AIDS Behav. 2019 Mar;23(3):676-683. doi: 10.1007/s10461-018-2350-8.
HIV-associated neurocognitive impairment is an independent predictor of low general health literacy, which can be associated with poor disease outcomes (e.g., viremia). Given the increasing frequency with which health behaviors occur in an online environment (e.g., health information seeking, provider interactions), there is a specific need to understand the predictors of electronic health (eHealth) literacy of persons living with HIV disease. In this study, 90 HIV+ persons completed the eHealth Literacy Scale (eHEALS), which measures one's awareness, skills and evaluation of online health resources. Participants also completed a comprehensive battery of clinical neurocognitive tests and well-validated performance-based measures of general health literacy capacity (e.g., knowledge, numeracy). Results showed that, independent of education, lower neurocognitive function was moderately related to lower eHEALS scores, particularly in the domains of learning and motor skills. Of particular note, general health literacy capacity emerged as a significant mediator of the relationship between neurocognition and eHealth literacy. Thus, the adverse effects of neurocognition on health literacy capacity carries a downstream adverse influence on HIV+ persons' awareness, skills, and evaluation of health-related resources in the online environment.
HIV 相关神经认知障碍是一般健康低水平的独立预测因素，而一般健康低水平可能与较差的疾病结果（例如，病毒血症）相关。鉴于健康行为越来越频繁地发生在网络环境中（例如，寻求健康信息、与提供者互动），因此特别需要了解 HIV 感染者电子健康（eHealth）素养的预测因素。在这项研究中，90 名 HIV+ 个体完成了电子健康素养量表（eHEALS），该量表衡量一个人对在线健康资源的意识、技能和评估。参与者还完成了一系列全面的临床神经认知测试以及经过充分验证的一般健康素养能力的基于表现的衡量标准（例如，知识、计算能力）。结果表明，独立于教育程度，较低的神经认知功能与较低的 eHEALS 评分中度相关，尤其是在学习和运动技能方面。值得注意的是，一般健康素养能力是神经认知和电子健康素养之间关系的重要中介因素。因此，神经认知对健康素养能力的不利影响对 HIV+ 个体在网络环境中对与健康相关的资源的意识、技能和评估产生了下游的不利影响。
