Latent structure of health literacy and its association with health-related management and decision-making in HIV.
Latent structure of health literacy and its association with health-related management and decision-making in HIV.
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DOI：
10.1080/08870446.2020.1817453
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发表时间：
2021-08
影响因子：
3.3
通讯作者：
Woods SP
中科院分区：
文献类型：
--
作者：
Matchanova A;Babicz M;Medina LD;Fazeli PL;Vance DE;Woods SP
确定艾滋病毒感染者 (PLWH) 健康素养的潜在结构及其与健康管理和决策的关系。参与者包括来自南加州和阿拉巴马州的 220 名感染者和 123 名血清阴性参与者，他们完成了一系列经过充分验证的健康素养测量，以及对健康管理自我效能、健康相关决策、抑郁症和基本临床实验室测量的评估。对艾滋病毒参与者进行的探索性因素分析表明，一系列健康素养测量（包括健康词汇阅读、言语理解、算数和自我报告问题）之间的共同差异最好用单一因素来解释。同样，PLWH 的验证性因素分析也支持单因素结构，但基于基于健康素养的核心绩效衡量标准，重新指定了四项测试解决方案。在针对人口统计数据进行调整的分析中，与艾滋病病毒携带者相比，艾滋病病毒感染者的健康素养综合得分显着较低。在感染者中，较低的健康素养与较低的健康管理自我效能和较差的健康相关决策独立相关。研究结果表明，算术、文字识别、言语理解和推理构成了健康素养的统一结构，与血清阴性者相比，感染者的健康素养较低，并且与健康管理和决策的重要下游方面独立相关。
Determine the latent structure of health literacy in persons living with HIV (PLWH) and its association with health management and decision-making. Participants included 220 PLWH and 123 seronegative participants from Southern California and Alabama who completed a battery of well-validated health literacy measures, along with assessments of health management self-efficacy, health-related decision-making, depression, and basic clinical laboratory measures. Exploratory factor analysis in HIV− participants showed that the shared variance between a battery of health literacy measures, including health word reading, verbal comprehension, numeracy, and self-reported problems was best explained by a single factor. Similarly, a confirmatory factor analysis in PLWH also supported a single factor structure, but for a re-specified four-test solution based on the core performance-based measures of health literacy. In analyses adjusting for demographics, PLWH demonstrated significantly lower health literacy composite scores as compared to their HIV− counterparts. Among PLWH, lower health literacy was independently associated with lower self-efficacy for health management and poorer health-related decision-making. Findings suggest that numeracy, word recognition, and verbal comprehension and reasoning comprise a unitary construct of health literacy that is lower in PLWH as compared to seronegatives and is independently associated with important downstream aspects of health management and decision-making.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
DOI：
10.1111/acem.12310
发表时间：
2014-02
期刊：
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
影响因子：
--
作者：
Griffey RT;Melson AT;Lin MJ;Carpenter CR;Goodman MS;Kaphingst KA
通讯作者：
Kaphingst KA
影响因子：
5.7
作者：
Baker, DW;Gazmararian, JA;Peel, J
通讯作者：
Peel, J
影响因子：
4.5
作者：
Housten AJ;Lowenstein LM;Hoover DS;Leal VB;Kamath GR;Volk RJ
通讯作者：
Volk RJ
影响因子：
5.7
作者：
Chew, Lisa D.;Griffin, Joan M.;VanRyn, Michelle
通讯作者：
VanRyn, Michelle