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- W2029459877 abstract "BACKGROUND: Low health literacy has been associated with worse adherence to antiretroviral therapy (ART) and higher HIV-RNA levels, but these relationships have not been evaluated in longitudinal analyses. METHODS: We evaluated literacy using the Rapid Estimate of Adult Literacy in Medicine (REALM) (≤6th grade, 7th to 8th grade, ≥9th grade) in the HIV-Alcohol Longitudinal Cohort study of HIV-infected persons with a history of alcohol problems, conducted from 1997 to 2001. We tested HIV-RNA levels and administered a standardized questionnaire regarding demographics, substance use, receipt of ART, and adherence with ART, every 6 months for up to 7 occasions. Among the 235 subjects on ART, we investigated the relationship between literacy and 2 outcomes: 100% 3-day self-reported adherence and HIV-RNA suppression (<500 copies). RESULTS: Subjects’ literacy levels were the following: 14% ≤6th grade, 29% 7th to 8th grade, and 57% ≥9th grade. In 66% of the observations (478/725), subjects reported 100% 3-day adherence with ART. Of the 685 HIV-RNA assays from these subjects, 62% had <500 copies. In unadjusted analyses, subjects with the lowest literacy level (≤6th grade) had a higher odds of adherence (odds ratio [OR] 2.23, 95% confidence interval 1.15 to 4.30) and HIV-RNA suppression (OR 2.01, 95% confidence interval 1.03 to 3.90) compared with those with ≥9th grade literacy. This trend persisted but was no longer statistically significant in adjusted models of adherence (AOR 1.93, 95% confidence interval 0.86 to 4.31) and HIV-RNA suppression (AOR 1.70, 95% confidence interval 0.79 to 3.65). CONCLUSION: Contrary to our hypothesis, low literacy was not associated with a lower odds of adherence or virologic suppression in this longitudinal analysis of HIV-infected patients with a history of alcohol problems. Indeed, trends in these data suggest the possibility that low literacy may be associated with a higher odds of adherence and virologic suppression. These counterintuitive findings underscore the need to pursue a fuller understanding of the mechanisms by which literacy affects health outcomes." @default.
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- W2029459877 date "2006-08-01" @default.
- W2029459877 modified "2023-10-11" @default.
- W2029459877 title "Health literacy, antiretroviral adherence, and HIV-RNA suppression" @default.
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- W2029459877 cites W1646365943 @default.
- W2029459877 cites W1847168837 @default.
- W2029459877 cites W1963511353 @default.
- W2029459877 cites W1967649176 @default.
- W2029459877 cites W1977664132 @default.
- W2029459877 cites W1978136073 @default.
- W2029459877 cites W1984814658 @default.
- W2029459877 cites W1990008686 @default.
- W2029459877 cites W1994858669 @default.
- W2029459877 cites W1997019131 @default.
- W2029459877 cites W2003986688 @default.
- W2029459877 cites W2008663331 @default.
- W2029459877 cites W2008854521 @default.
- W2029459877 cites W2009226311 @default.
- W2029459877 cites W2012890076 @default.
- W2029459877 cites W2024204564 @default.
- W2029459877 cites W2026807206 @default.
- W2029459877 cites W2030235211 @default.
- W2029459877 cites W2042972934 @default.
- W2029459877 cites W2048698611 @default.
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- W2029459877 cites W2054488397 @default.
- W2029459877 cites W2054897163 @default.
- W2029459877 cites W2057815816 @default.
- W2029459877 cites W2058161128 @default.
- W2029459877 cites W2059205030 @default.
- W2029459877 cites W2062071417 @default.
- W2029459877 cites W2063053956 @default.
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- W2029459877 cites W2147356729 @default.
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- W2029459877 cites W2166670196 @default.
- W2029459877 cites W2167311298 @default.
- W2029459877 cites W2175366968 @default.
- W2029459877 cites W2614223197 @default.
- W2029459877 cites W2746562707 @default.
- W2029459877 cites W4243230195 @default.
- W2029459877 cites W4254121089 @default.
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- W2029459877 doi "https://doi.org/10.1111/j.1525-1497.2006.00527.x" @default.
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