Pariya L. Fazeli|Steven Paul Woods|C. Ann Gakumo|Michael J. Mugavero|David E. Vance
Critical, and not functional, health literacy is associated with missed HIV clinic visits in adults and older adults living with HIV in the Deep South
University of Alabama at Birmingham|University of Houston|University of Alabama at Birmingham|University of Massachusetts Boston|University of Alabama at Birmingham|University of Alabama at Birmingham
engagement care key component hiv treatment cascade influenced biopsychosocial factors little known association health literacy impactful outcome people living hiv plwh ninetyfive plwh completed comprehensive battery including health literacy measures covering several domains ie numeracy reading selfefficacy ability appraise access health information engagement care operationalized missed clinic visits ie proportion clinic visits prior 24 months participant attend cancel reschedule ability appraise health information measured newest vital sign nvs significant health literacy predictor missed clinic visits hierarchical linear regression including clinicodemographics health literacy variables showed age depression neurocognition nvs significant p 005 correlates missed clinic visits ability appraise health information strong independent predictor missed clinic visits plwh even context traditional correlates measures may useful identifying plwh low health literacy may risk poorer engagement care future research developing interventions targeting health literacy dimension warranted