Chandra Y. Osborn|Michael K. Paasche?Orlow|Terry C. Davis|Michael S. Wolf
Health Literacy
Northwestern University|Boston University|Louisiana State University Health Sciences Center Shreveport|Northwestern University
backgroundlimited health literacy may contributing factor racial disparities health care study examined mediating effect limited health literacy relationship race hivmedication adherencemethodsa total 204 patients infected hiv recruited two clinics 2001 structured inperson interviews conducted obtain information patient demographics medication adherence health literacy multivariate regression models run 2006 examine associations among race literacy hivmedication adherence adjusting relevant covariatesresultsin adjusted analysis excluded literacy african americans 240 times likely nonadherent hivmedication regimen whites 95 confidence interval ci114508 literacy included final model effect estimates race diminished 25 nonsignificance literacy remained significant independent predictor nonadherence adjusted odds ratio aor212 95 ci193232conclusionsin study limited health literacy mediated relationship race hivmedication adherence investigators need consider potential utility responding literacy communication barriers health care part interventions reduce racial disparities limited health literacy may contributing factor racial disparities health care study examined mediating effect limited health literacy relationship race hivmedication adherence total 204 patients infected hiv recruited two clinics 2001 structured inperson interviews conducted obtain information patient demographics medication adherence health literacy multivariate regression models run 2006 examine associations among race literacy hivmedication adherence adjusting relevant covariates adjusted analysis excluded literacy african americans 240 times likely nonadherent hivmedication regimen whites 95 confidence interval ci114508 literacy included final model effect estimates race diminished 25 nonsignificance literacy remained significant independent predictor nonadherence adjusted odds ratio aor212 95 ci193232 study limited health literacy mediated relationship race hivmedication adherence investigators need consider potential utility responding literacy communication barriers health care part interventions reduce racial disparities