Neurocognition, health-related reading literacy, and numeracy in medication management for HIV infection

Drenna Waldrop-Valverde, Deborah Jones, Felicia Gould, Mahendra Kumar, Raymond L. Ownby

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Successful medication management is an essential ingredient for effective treatment for HIV. Risk factors for poor medication adherence, including neurocognitive impairment and low health literacy, are common in HIV patients. To better understand the most salient risks for poor management of HIV medications, we tested the interrelation of neurocognitive functioning, reading literacy for health related information, and numeracy and their effect on self-management of a simulated HIV medication regimen. Cross-sectional data on 191 HIV-positive men and women recruited from HIV outpatient clinics in South Florida were collected. Exploratory factor analysis was conducted with literacy, numeracy, and neurocognitive scores and suggested that four factors were present representing executive skill, verbal memory, planning, and motor speed. Both the literacy and numeracy scores loaded on the executive factor. Adjusted analyses showed that executive and planning skills were significantly related to medication management. Findings suggest that patients must rely on higher order cognitive skills to successfully navigate medication self-management, and that efforts to simplify health information that merely lowers readability are likely to meet with limited success.

Original languageEnglish
Pages (from-to)477-484
Number of pages8
JournalAIDS Patient Care and STDs
Volume24
Issue number8
DOIs
StatePublished - Aug 1 2010

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HIV Infections
Reading
HIV
Health
Health Literacy
Self Care
Medication Adherence
Risk Management
Ambulatory Care Facilities
Statistical Factor Analysis
Literacy

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Neurocognition, health-related reading literacy, and numeracy in medication management for HIV infection. / Waldrop-Valverde, Drenna; Jones, Deborah; Gould, Felicia; Kumar, Mahendra; Ownby, Raymond L.

In: AIDS Patient Care and STDs, Vol. 24, No. 8, 01.08.2010, p. 477-484.

Research output: Contribution to journalArticle

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