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Functional Health Literacy Is Associated With Health Status and Health-Related Knowledge in People Living With HIV-AIDS

Kalichman, Seth C., Rompa, David·2000·Journal of Acquired Immune Deficiency Syndromes

Abstract

BACKGROUND: Poor health literacy is a prevalent barrier to medical care and people with lower health literacy experience greater illness severity than people with higher health literacy. Health literacy may therefore be an important factor in the health and treatment of people living with HIV-AIDS. METHODS: A community-recruited sample of 339 HIV-infected men and women completed surveys and interviews that assessed functional health literacy, health status, AIDS-related disease and treatment knowledge, and health care perceptions and experiences. Medical records were available for chart abstraction of health status for a subsample of participants. RESULTS: About 1 of 4 people living with HIV-AIDS demonstrated difficulty comprehending simple medical instructions and therefore lower health literacy. HIV-infected people with lower health literacy had lower CD4 cell counts, higher viral loads, were less likely to be taking antiretroviral medications, reported a greater number of hospitalizations, and reported poorer health than those with higher health literacy. In addition, after adjusting for years of formal education, lower health literacy was associated with poorer knowledge of one's HIV-related health status, poorer AIDS-related disease and treatment knowledge, and more negative health care perceptions and experiences. CONCLUSIONS: Health literacy is a significant factor in the health and treatment of persons living with HIV-AIDS. Interventions are needed to improve medical care and the health status of people with lower health literacy that are living with HIV-AIDS.

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Metadata

Authors
Kalichman, S. C., & Rompa, D.
Venue
Journal of Acquired Immune Deficiency Syndromes
Published
2000-12
Volume
25
Issue
4
Pages
337-344
ISSN
1525-4135 (ISSN-L)
OpenAlex
W2092556657
Cited by
338
References
0
FWCI
8.65
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Functional Health Literacy Is Associated With Health Status and Health-Related Knowledge in People Living With HIV-AIDS. https://app.cochat.ai/papers/10.1097/00042560-200012010-00007
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Kalichman, S. C., & Rompa, D. (2000). Functional Health Literacy Is Associated With Health Status and Health-Related Knowledge in People Living With HIV-AIDS. Journal of Acquired Immune Deficiency Syndromes. https://doi.org/10.1097/00042560-200012010-00007

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