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Functional health literacy, medication-taking self-efficacy and adherence to antiretroviral therapy.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); Feb2013, Vol. 69 Issue 2, p295-304, 10p, 1 Chart
- Publication Year :
- 2013
-
Abstract
- colbert a.m., sereika s.m. & erlen j.a. (2012) Functional health literacy, medication-taking self-efficacy and adherence to antiretroviral therapy. Journal of Advanced Nursing 69(2), 295-304. doi: 10.1111/j.1365-2648.2012.06007.x Abstract Aims. To report a study of the relationship between functional health literacy and medication adherence, as mediated by medication-taking self-efficacy, while controlling for the effect of key demographic variables (such as race, income and level of education). Background. Medication adherence is critical to successful HIV/AIDS self-management. Despite simplified regimens and the availability of tools to assist with medication-taking, adherence remains a challenge for many people living with HIV/AIDS. Design. Cross-sectional, secondary analysis. Methods. Data for this study of 302 adults living with HIV/AIDS who were taking antiretroviral medications were collected from January 2004-December 2007. Medication adherence was measured using electronic event monitors. Bivariate analyses and stepwise regression were conducted to examine the associations among functional health literacy, medication-taking self-efficacy and HIV medication adherence. Results. Overall, functional health literacy was much higher than expected; however, adherence in this sample was sub-optimal. Higher medication-taking self-efficacy was associated with higher medication adherence; however, functional health literacy was not significantly related to either medication adherence or self-efficacy beliefs. Hence, medication-taking self-efficacy did not mediate the relationship between functional health literacy and medication adherence. Conclusions. Medication adherence continues to be an issue for people living with HIV/AIDS. Additional research is needed to understand the disparate findings related to functional health literacy and medication adherence in this and other studies examining this association. [ABSTRACT FROM AUTHOR]
- Subjects :
- BLACK people
CHI-squared test
CONFIDENCE intervals
STATISTICAL correlation
DRUGS
EMPLOYMENT
HIV infections
HIV-positive persons
INCOME
HEALTH insurance
LITERACY
MARITAL status
PATIENT compliance
PROBABILITY theory
QUESTIONNAIRES
RESEARCH evaluation
RESEARCH funding
SCALES (Weighing instruments)
SELF medication
SELF-evaluation
STATISTICS
T-test (Statistics)
U-statistics
WHITE people
DATA analysis
MULTIPLE regression analysis
SECONDARY analysis
EDUCATIONAL attainment
RANDOMIZED controlled trials
CROSS-sectional method
HEALTH literacy
DATA analysis software
ANTI-HIV agents
DIARY (Literary form)
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 69
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 84740421
- Full Text :
- https://doi.org/10.1111/j.1365-2648.2012.06007.x