1. Patient Health Literacy and Communication with Providers Among Women Living with HIV: A Mixed Methods Study
- Author
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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, and Turan, Janet M
- Subjects
Health Services and Systems ,Public Health ,Health Sciences ,Clinical Research ,HIV/AIDS ,Behavioral and Social Science ,Health Services ,7.1 Individual care needs ,Management of diseases and conditions ,8.1 Organisation and delivery of services ,Health and social care services research ,Infection ,Generic health relevance ,Good Health and Well Being ,Anti-Retroviral Agents ,Communication ,Female ,HIV Infections ,Health Literacy ,Humans ,Trust ,United States ,Health communication ,Health literacy ,HIV ,African American ,Latina ,Public Health and Health Services ,Social Work ,Public health - 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 (N = 92) and conducted mediation analyses with quantitative survey data (N = 1455) 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.
- Published
- 2022