Know Your Status: Health Literacy,
 Attitudes, and Beliefs Among African
   Americans Towards HIV Testing


            R....
Defining Health Literacy
• An individuals’ ability to obtain, process, and
  understand health information to make informe...
Context of Health Literacy




Minorities, Men, Elderly, Socioeconomic
Status, Self-Efficacy, Education*

5/19/2010       ...
Health Literacy & HIV/AIDS
Four Clinical Studies
         Authors                 Outcome              HL Measure
Kalichma...
The Present Research
Purpose:

Examine the relationship between health literacy,
attitudes and beliefs related to protecti...
Measures
DV: Attitude toward HIV Testing

1)   I don't know where to go to get tested.
2)   I don't know about the costs o...
OLS Regression Models
                                                       Model 
                             1        ...
Implications
Targeting only self-efficacy is unlikely to
reduce literacy-related disparities in health
related outcomes (D...
Know Your Status: Health Literacy,
 Attitudes, and Beliefs Among African
   Americans Towards HIV Testing


            R....
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Know Your Status: Health Literacy, Attitudes, and Beliefs Among African Americans Towards HIV Testing

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Know Your Status: Health Literacy, Attitudes, and Beliefs Among African Americans Towards HIV Testing

  1. 1. Know Your Status: Health Literacy, Attitudes, and Beliefs Among African Americans Towards HIV Testing R.V. Rikard E. Charles Gagum Department of Sociology & Department of Sociology & Anthropology North Carolina Anthropology North Carolina State University State University rvrikard@ncsu.edu  ecgagum@ncsu.edu  Presented at the 2010 Southern Sociological Society Meeting Atlanta, GA 5/19/2010 1
  2. 2. Defining Health Literacy • An individuals’ ability to obtain, process, and understand health information to make informed decisions about their health. -Institute of Medicine (2004) • The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions. -Health People 2010 5/19/2010 2
  3. 3. Context of Health Literacy Minorities, Men, Elderly, Socioeconomic Status, Self-Efficacy, Education* 5/19/2010 3
  4. 4. Health Literacy & HIV/AIDS Four Clinical Studies Authors Outcome HL Measure Kalichman, Highly Active Test of Functional Ramachandra, and Catz Antiretroviral Therapy Health Literacy for (1999) (HAART) drug Adults (TOFHLA) Adherence Barragan and colleagues Acceptance of HIV Rapid Estimate of (2004) Testing Adult Literacy in Medicine (REALM) Hicks et al. (2006) HIV/AIDS knowledge REALM Mayben and colleagues Delayed HIV Testing TOFHLA (2007)* 5/19/2010 4
  5. 5. The Present Research Purpose: Examine the relationship between health literacy, attitudes and beliefs related to protective sexual behavior and HIV testing among a non-clinical sample of African Americans. Hypotheses: 1) Controlling for social characteristics and personal resources, health literacy has a direct and significant effect on HIV testing. 2) Prior HIV testing has a direct impact on the respondents’ attitudes toward HIV testing. 3) Conservatism and beliefs related to condom use directly impact HIV testing attitudes. 5/19/2010 5
  6. 6. Measures DV: Attitude toward HIV Testing 1) I don't know where to go to get tested. 2) I don't know about the costs of getting tested. 3) I have never thought about getting tested. 4) I don't see a need to get tested because I am not at risk. 5) Getting tested would make me look sexually promiscuous. Reverse Coded Higher values = Greater level of agreement with statement. Alpha = 0.67 5/19/2010 6
  7. 7. OLS Regression Models Model    1    2    3    4    5    Varaible Name  Social Characteristics  Health Literacy  -0.740  ***  -0.610  ***  -0.518  ***  -0.523  ***  -0.496  ***  Sex  -0.378  -0.349  -0.394  -0.172  0.092  Age  -0.006  0.003  0.000  0.001  -0.002  Personal Resources  Self-Efficacy  -0.996  ***  -0.995  **  -1.456  ***  -1.353  ***  Education  -0.045  -0.035  -0.069  -0.055  Control  HIV Testing  -1.658  ***  -1.699  ***  -1.856  ***  Conservatism  Religious Importance  0.509  0.330  HIV Gay Disease  -1.382  ***  -1.299  ***  Condom Beliefs  Embarrassing  0.938  ***  Protection  0.127  Model F  7.72  ***  6.6  ***  7.9  ***  10.12  ***  9.89  ***  Adjusted R2  0.137  0.181  0.246  0.365  0.412  *Source: Community and Health Disparity Project, (N=172).. **p>.01;***p>.001  7
  8. 8. Implications Targeting only self-efficacy is unlikely to reduce literacy-related disparities in health related outcomes (DeWalt, Boone, and Pigone, 2007). 5/19/2010 8
  9. 9. Know Your Status: Health Literacy, Attitudes, and Beliefs Among African Americans Towards HIV Testing R.V. Rikard E. Charles Gagum Department of Sociology & Department of Sociology & Anthropology North Carolina Anthropology North Carolina State University State University rvrikard@ncsu.edu  ecgagum@ncsu.edu  Presented at the 2010 Southern Sociological Society Meeting Atlanta, GA 5/19/2010 9
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