Gender Differences in Medication Management Capacity in HIV Infection: The Role of Health Literacy and Numeracy
- 364 Downloads
Health literacy is emerging as a key element for successful medication management and empirical support for the efficacy of numeracy in the health context is rising as well. Little is known, however, about their unique effects among women and men. Given the importance of accurate medication management for effective treatment of HIV, the relation of these variables to medication management needs to be assessed. We therefore tested the relation of health literacy (reading comprehension) and numeracy to one’s ability to manage a “mock” HIV regimen and whether men and women differed in these abilities. Results showed that women were less able than men to follow medication instructions and answer questions about the mock regimen. Numeracy mediated the relationship between gender and medication management. These findings highlight skills used in managing medication regimens and suggest avenues to target for identification and intervention in medication management among women and men with HIV.
KeywordsMedication management Health literacy Numeracy Gender
The authors would like to thank Michael Stirratt for his thoughtful review and helpful suggestions in the preparation of this manuscript. We would also like to thank Jesline Jean-Simon for her invaluable recruitment skills. This study was supported by funding from the National Institute of Mental Health grant number MH74664 to the lead author, D. Waldrop-Valverde.
- Berkman, N. D., DeWalt, D. A., Pignone, M. P., Sheridan, S. L., Lohr, K. N., Lux, L., et al. (2004). Literacy and health outcomes. Evidence report/technology assessment no. 87 (Prepared by RTI International—University of North Carolina evidence-based practice center under contract no. 290-02-0016). AHRQ Publication No. 04-E007-2. Rockville, MD: Agency for Healthcare Research and Quality.Google Scholar
- Casey, M. B., Nuttall, R. L., & Pezaris, E. (1997). Mediators of gender differences in mathematics college entrance test scores: A comparison of spatial skills with internalized beliefs and anxieties. Developmental Psychology, 33, 669–680. doi: 10.1037/0012-16184.108.40.2069.PubMedCrossRefGoogle Scholar
- DHHS. (2000). Healthy people 2010. Available online http://www.healthypeople.gov.
- Estrada, C. A., Martin-Hryniewicz, M., Peek, B. T., Collins, C., & Byrd, J. C. (2004). Literacy and numeracy skills and anticoagulation control. American Journal of Medical Science, 328, 705–710.Google Scholar
- Montori, V., Leung, T., Thompson, C., Chung, J., Capes, S., & Smith, S. (2004). Choice of risk representation to enable diabetes decision-making. Diabetes, 53(S2), A225.Google Scholar
- National Institute for Literacy (2005). 2003 National Assessment of Adult Literacy: A first look at the literacy of America’s adults in the 21st century. National Center for Educational Statistics. http://nces.ed.gov/naal/health_results.asp#GenderHealthLiteracy, http://nces.ed.gov/surveys/all/ib_performance.asp.
- National Science Foundation. (2001). Science and engineering degrees by race/ethnicity of recipients 1990–1998. Arlington, VA, USA: National Science Foundation.Google Scholar
- Woodcock, R.W., McGrew, K. S., & Mather, N. (2001). Woodcock Johnson III Tests of Achievement. Itasca, IL: Riverside Publishing.Google Scholar