Michael Ohl|Anna Harris|Diana Nurudtinova|Xueya Cai|Denise Drohobyczer|Edgar T. Overton
Do Brief Screening Questions or Provider Perception Accurately Identify Persons with Low Health Literacy in the HIV Primary Care Setting?
University of Iowa|Beth Israel Deaconess Medical Center|Washington University in St. Louis|University of Iowa|Philadelphia College of Osteopathic Medicine|Washington University in St. Louis
rapid accurate health literacy screening tools could assist interventions improve care hiv clinic setting prior studies described brief screening questions identification persons low health literacy performance questions hiv clinics unknown examined accuracy provider perception previously described brief screening questions identification low health literacy among 147 persons attending two hiv specialty clinics mean age 41 48 african american using short test functional health literacy adults stofhla reference measure combined prevalence marginal inadequate health literacy low health literacy 16 sensitivity specificity provider perception identifying persons low health literacy 047 079 screening question confident filling medical forms area receiver operator characteristic curve auroc 067 response somewhat question sensitivity 030 specificity 091 positive likelihood ratio 34 95 confidence interval ci 1864 negative likelihood ratio 076 95 ci 0414 educational attainment sensitive less specific measure low health literacy sensitivity 090 specificity 061 completed high school fewer years education overall accurate discriminator health literacy either provider perception screening questions auroc 079 p 005 comparison aurocs hiv providers often misjudge patients health literacy absence rapid accurate health literacy screening tools clinics caring persons hivaids implement clinicwide interventions improve health communication