title: Assessing the influence of health literacy on HIV-positive women's cervical cancer prevention knowledge and behaviors.
abstract: Women living with HIV (WLH) bear a disproportionate burden of cervical cancer and may face challenges understanding health information. The purpose of this study was to assess the influence of health literacy on WLH cervical cancer screening knowledge and behaviors. WLH were recruited from clinic- and community-based settings in the southeastern USA. The majority of women completing a questionnaire assessing factors related to cervical cancer were African American (90 %). About 38 % of women reported low health literacy. Compared to women with high health literacy, these women were more likely to report having had ≥ 2 Pap tests during the year after HIV diagnosis (p=0.02), and less likely to have had a Pap test <1 year previously (p=0.05). There was no difference in cervical cancer or human papillomavirus knowledge among those with low versus high health literacy. Results revealed mixed finding on the influence of health literacy on screening knowledge and behaviors.
authors.affiliation: Department of Preventive Medicine and Biometrics, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD, 20814, USA. shalanda.bynum@usuhs.edu
authors.forename: Shalanda A
authors.initials: SA
authors.lastname: Bynum
authors.forename: Lisa T
authors.initials: LT
authors.lastname: Wigfall
authors.forename: Heather M
authors.initials: HM
authors.lastname: Brandt
authors.forename: Donna L
authors.initials: DL
authors.lastname: Richter
authors.forename: Saundra H
authors.initials: SH
authors.lastname: Glover
authors.forename: James R
authors.initials: JR
authors.lastname: Hébert
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000208:ethnology / Q000517:prevention & control / Q000523:psychology; D000328:Adult; D001741:Black or African American; D000368:Aged; D001364:Awareness; D005260:Female; D019983:Guideline Adherence; D006679:HIV Seropositivity / Q000208:ethnology / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D057220:Health Literacy; D006801:Humans; D008875:Middle Aged; D030361:Papillomavirus Infections / Q000208:ethnology / Q000517:prevention & control / Q000523:psychology; D053918:Papillomavirus Vaccines / Q000008:administration & dosage; D015144:Southeastern United States; D002583:Uterine Cervical Neoplasms / Q000208:ethnology / Q000517:prevention & control* / Q000523:psychology*; D014626:Vaginal Smears / Q000523:psychology*; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines
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