Maribel Barragán|Giselle Hicks|Mark Williams|Carlos Franco?Paredes|Wayne A. Duffus|Carlos del R??o
Low health literacy is associated with HIV test acceptance
Emory University|Emory University|Emory University|Emory University|Emory University|Emory University
centers disease control prevention proposed increasing proportion people learn hiv serostatus health care setting represents logical site accomplish goal however little known factors determine acceptability hiv testing health care settings particularly patients health literacyto evaluate association patients health literacy acceptance hiv testing among individuals urgent care center uccas part prospective study sought increase hiv testing ucc located innercity hospital serving indigent population surveyed patients offered hiv test providers accepted refused testing pretest counseling provided using lowliteracy brochure given patients upon registration clinic measured health literacy level using rapid estimate adult literacy medicine realm scalethree hundred seventytwo patients enrolled study univariate analysis statistically significant difference hiv test acceptors refusers found gender raceethnicity marital status income type health insurance educational level type test offered acceptors likely low literacy level odds ratio 1763 95 confidence interval ci 1084 2866 less 40 years old 1639 95 ci 1085 2475 multivariate analysis low health literacy shown predictor hiv test acceptance controlling age education 2017 95 ci 1190 3418low health literacy shown predictor hiv test acceptance patients presenting ucc poorer health literacy appear willing comply health care providers recommendations undergo hiv testing adequate health literacy optout strategy combined lowliteracy brochure used