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Patient Health Literacy and Communication with Providers Among Women Living with HIV: A Mixed Methods Study.
Budhwani, Henna; Gakumo, C Ann; Yigit, Ibrahim; Rice, Whitney S; Fletcher, Faith E; Whitfield, Samantha; Ross, Shericia; Konkle-Parker, Deborah J; Cohen, Mardge H; Wingood, Gina M; Metsch, Lisa R; Adimora, Adaora A; Taylor, Tonya N; Wilson, Tracey E; Weiser, Sheri D; Sosanya, Oluwakemi; Goparaju, Lakshmi; Gange, Stephen; Kempf, Mirjam-Colette; Turan, Bulent; Turan, Janet M
Journal Title
AIDS and behavior
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Publication Date
2021-10-12
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26
Publication Issue
5
Publication Begin
1422
Publication End
1430
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nihms-1759661.pdf
Adobe PDF, 106.5 KB
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Abstract
In this mixed-methods study, we examine the relationship between provider communication and patient health literacy on HIV continuum of care outcomes among women living with HIV in the United States. We thematically coded qualitative data from focus groups and interviews (Nā=ā92) and conducted mediation analyses with quantitative survey data (Nā=ā1455) collected from Women's Interagency HIV Study participants. Four qualitative themes related to provider communication emerged: importance of respect and non-verbal cues; providers' expressions of condescension and judgement; patient health literacy; and unclear, insufficient provider communication resulting in diminished trust. Quantitative mediation analyses suggest that higher health literacy is associated with higher perceived patient-provider interaction quality, which in turn is associated with higher levels of trust in HIV providers, improved antiretroviral medication adherence, and reduced missed clinical visits. Findings indicate that enhancing provider communication and bolstering patient health literacy could have a positive impact on the HIV continuum of care.
Citation
Budhwani H, Gakumo CA, Yigit I, Rice WS, Fletcher FE, Whitfield S, Ross S, Konkle-Parker DJ, Cohen MH, Wingood GM, Metsch LR, Adimora AA, Taylor TN, Wilson TE, Weiser SD, Sosanya O, Goparaju L, Gange S, Kempf MC, Turan B, Turan JM. Patient Health Literacy and Communication with Providers Among Women Living with HIV: A Mixed Methods Study. AIDS Behav. 2022 May;26(5):1422-1430. doi: 10.1007/s10461-021-03496-2. Epub 2021 Oct 12. PMID: 34642834; PMCID: PMC9001740.