J Klein, C Kofahl, E Ziegler
Development and psychometric properties of a brief generic cancer knowledge scale for patients (BCKS-10)
Cancer causes & control : CCC
recent decades several research studies mentioned potential mediating effect health literacy hl relationship socioeconomic position health prevention behaviors however study date investigated hypothesis hiv prevention behaviors present study aimed evaluate whether hl mediates relationship socioeconomic status ses preexposure prophylaxis prep uptake men sex men msm study based data collected enqute rapport au sexe report sex 2019 survey anonymous selfadministered online crosssectional survey france conducted february 16 2019 march 31 2019 data education level perceived financial situation used measures ses whereas hl assessed health literacy questionnaires ability actively engage health care providers scale mediation analyses performed modelbased causal moderated mediation analysis package r software analyses adjusted age place residence marital status social support study sample included 13629 msm median age 32 years majority education level higher upper secondary school 78 adequate hl level 73 almost twothirds perceived financial situation comfortable 62 overall prep uptake low 95 analyses show mediating effect hl relationship education prep uptake however total mediation effect hl observed relationship perceived financial situation uptake context prep uptake msm ability actively engage health care providers may offset effect difficult financial situation current french context prep also available general practitioner settings result could inform development training support policies health professionals way sexual health issues addressed consultations hlrp health literacy research practice 202371e61e70