Patient Health Literacy and Communication with Providers Among Women Living with HIV: A Mixed Methods Study

Henna Budhwani; C. Ann Gakumo; Ibrahim Yigit; Whitney S. Rice; Faith E. Fletcher; Samantha Whitfield; Shericia Ross; Deborah J. Konkle-Parker; Mardge H. Cohen; Gina M. Wingood; Lisa R. Metsch; Adaora A. Adimora; Tonya N. Taylor; Tracey E. Wilson; Sheri D. Weiser; Oluwakemi Sosanya; Lakshmi Goparaju; Stephen Gange; Mirjam Colette Kempf; Bulent Turan; Janet M. Turan

doi:10.1007/s10461-021-03496-2

Patient Health Literacy and Communication with Providers Among Women Living with HIV: A Mixed Methods Study

Henna Budhwani, C. Ann Gakumo, Ibrahim Yigit, Whitney S. Rice, Faith E. Fletcher, Samantha Whitfield, Shericia Ross, Deborah J. Konkle-Parker, Mardge H. Cohen, Gina M. Wingood, Lisa R. Metsch, Adaora A. Adimora, Tonya N. Taylor, Tracey E. Wilson, Sheri D. Weiser, Oluwakemi Sosanya, Lakshmi Goparaju, Stephen Gange, Mirjam Colette Kempf, Bulent TuranJanet M. Turan

Bloomberg School of Public Health

Research output: Contribution to journal › Article › peer-review

Abstract

In this mixed-methods study, we examine the relationship between provider communication and patient health literacy on HIV continuum of care outcomes among women living with HIV in the United States. We thematically coded qualitative data from focus groups and interviews (N = 92) and conducted mediation analyses with quantitative survey data (N = 1455) collected from Women’s Interagency HIV Study participants. Four qualitative themes related to provider communication emerged: importance of respect and non-verbal cues; providers’ expressions of condescension and judgement; patient health literacy; and unclear, insufficient provider communication resulting in diminished trust. Quantitative mediation analyses suggest that higher health literacy is associated with higher perceived patient–provider interaction quality, which in turn is associated with higher levels of trust in HIV providers, improved antiretroviral medication adherence, and reduced missed clinical visits. Findings indicate that enhancing provider communication and bolstering patient health literacy could have a positive impact on the HIV continuum of care.

Original language	English (US)
Pages (from-to)	1422-1430
Number of pages	9
Journal	AIDS and behavior
Volume	26
Issue number	5
DOIs	https://doi.org/10.1007/s10461-021-03496-2
State	Published - May 2022

Keywords

African American
HIV
Health communication
Health literacy
Latina

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health
Infectious Diseases
Social Psychology

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Budhwani, H., Gakumo, C. A., Yigit, I., Rice, W. S., Fletcher, F. E., Whitfield, S., Ross, S., Konkle-Parker, D. J., Cohen, M. H., Wingood, G. M., Metsch, L. R., Adimora, A. A., Taylor, T. N., Wilson, T. E., Weiser, S. D., Sosanya, O., Goparaju, L., Gange, S., Kempf, M. C., ... Turan, J. M. (2022). Patient Health Literacy and Communication with Providers Among Women Living with HIV: A Mixed Methods Study. AIDS and behavior, 26(5), 1422-1430. https://doi.org/10.1007/s10461-021-03496-2

Budhwani, H, Gakumo, CA, Yigit, I, Rice, WS, Fletcher, FE, Whitfield, S, Ross, S, Konkle-Parker, DJ, Cohen, MH, Wingood, GM, Metsch, LR, Adimora, AA, Taylor, TN, Wilson, TE, Weiser, SD, Sosanya, O, Goparaju, L, Gange, S, Kempf, MC, Turan, B & Turan, JM 2022, 'Patient Health Literacy and Communication with Providers Among Women Living with HIV: A Mixed Methods Study', AIDS and behavior, vol. 26, no. 5, pp. 1422-1430. https://doi.org/10.1007/s10461-021-03496-2

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abstract = "In this mixed-methods study, we examine the relationship between provider communication and patient health literacy on HIV continuum of care outcomes among women living with HIV in the United States. We thematically coded qualitative data from focus groups and interviews (N = 92) and conducted mediation analyses with quantitative survey data (N = 1455) collected from Women{\textquoteright}s Interagency HIV Study participants. Four qualitative themes related to provider communication emerged: importance of respect and non-verbal cues; providers{\textquoteright} expressions of condescension and judgement; patient health literacy; and unclear, insufficient provider communication resulting in diminished trust. Quantitative mediation analyses suggest that higher health literacy is associated with higher perceived patient–provider interaction quality, which in turn is associated with higher levels of trust in HIV providers, improved antiretroviral medication adherence, and reduced missed clinical visits. Findings indicate that enhancing provider communication and bolstering patient health literacy could have a positive impact on the HIV continuum of care.",

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author = "Henna Budhwani and Gakumo, {C. Ann} and Ibrahim Yigit and Rice, {Whitney S.} and Fletcher, {Faith E.} and Samantha Whitfield and Shericia Ross and Konkle-Parker, {Deborah J.} and Cohen, {Mardge H.} and Wingood, {Gina M.} and Metsch, {Lisa R.} and Adimora, {Adaora A.} and Taylor, {Tonya N.} and Wilson, {Tracey E.} and Weiser, {Sheri D.} and Oluwakemi Sosanya and Lakshmi Goparaju and Stephen Gange and Kempf, {Mirjam Colette} and Bulent Turan and Turan, {Janet M.}",

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doi = "10.1007/s10461-021-03496-2",

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AU - Gakumo, C. Ann

AU - Yigit, Ibrahim

AU - Rice, Whitney S.

AU - Fletcher, Faith E.

AU - Whitfield, Samantha

AU - Ross, Shericia

AU - Konkle-Parker, Deborah J.

AU - Cohen, Mardge H.

AU - Wingood, Gina M.

AU - Metsch, Lisa R.

AU - Adimora, Adaora A.

AU - Taylor, Tonya N.

AU - Wilson, Tracey E.

AU - Weiser, Sheri D.

AU - Sosanya, Oluwakemi

AU - Goparaju, Lakshmi

AU - Gange, Stephen

AU - Kempf, Mirjam Colette

AU - Turan, Bulent

AU - Turan, Janet M.

PY - 2022/5

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N2 - In this mixed-methods study, we examine the relationship between provider communication and patient health literacy on HIV continuum of care outcomes among women living with HIV in the United States. We thematically coded qualitative data from focus groups and interviews (N = 92) and conducted mediation analyses with quantitative survey data (N = 1455) collected from Women’s Interagency HIV Study participants. Four qualitative themes related to provider communication emerged: importance of respect and non-verbal cues; providers’ expressions of condescension and judgement; patient health literacy; and unclear, insufficient provider communication resulting in diminished trust. Quantitative mediation analyses suggest that higher health literacy is associated with higher perceived patient–provider interaction quality, which in turn is associated with higher levels of trust in HIV providers, improved antiretroviral medication adherence, and reduced missed clinical visits. Findings indicate that enhancing provider communication and bolstering patient health literacy could have a positive impact on the HIV continuum of care.

AB - In this mixed-methods study, we examine the relationship between provider communication and patient health literacy on HIV continuum of care outcomes among women living with HIV in the United States. We thematically coded qualitative data from focus groups and interviews (N = 92) and conducted mediation analyses with quantitative survey data (N = 1455) collected from Women’s Interagency HIV Study participants. Four qualitative themes related to provider communication emerged: importance of respect and non-verbal cues; providers’ expressions of condescension and judgement; patient health literacy; and unclear, insufficient provider communication resulting in diminished trust. Quantitative mediation analyses suggest that higher health literacy is associated with higher perceived patient–provider interaction quality, which in turn is associated with higher levels of trust in HIV providers, improved antiretroviral medication adherence, and reduced missed clinical visits. Findings indicate that enhancing provider communication and bolstering patient health literacy could have a positive impact on the HIV continuum of care.

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KW - Health communication

KW - Health literacy

KW - Latina

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Patient Health Literacy and Communication with Providers Among Women Living with HIV: A Mixed Methods Study

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Keywords

ASJC Scopus subject areas

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