High electronic health literacy is associated with current HIV high-risk behavior among an urban, community-based sample of HIV-positive women
Among HIV-positive women, we know little about electronic health (eHealth) literacy or its relationship with health behaviors. We sought to examine the relationship between eHealth literacy and current HIV high-risk behaviors among HIV-positive women.
From February to April 2014, we recruited HIV-positive women from community-based organizations in the Bronx, NY. Participants completed an interview which collected data on Internet use, eHealth literacy and socio-demographic, risk behavior, and clinical characteristics. We assessed eHealth literacy using a validated scale; scores were dichotomized at the median (low/high). Current HIV high-risk behavior was defined as any high-risk sexual or drug use behavior in the last 30 days (yes/no). We performed Chi-square tests and multivariate logistic regression.
Among our sample (n=103), median age was 49, 56.7% were non-Hispanic Black, 38.3% Hispanic. Sixty-one percent were Internet users. In bivariate analysis, among Internet users, compared to those with low eHealth literacy, women with high eHealth literacy were less likely to be depressed, to report fair/poor health status and to report being prescribed antiretrovirals, and more likely to report a current HIV high-risk behavior. In multivariate analysis, compared to those with low eHealth literacy, high ehealth literacy women were more likely to report current HIV high-risk behavior (aOR= 3.90, 95%CI: 1.05-14.56).
Among HIV-positive women, we found high eHealth literacy was associated with current HIV high-risk behavior. This finding suggests that HIV-positive women who are comfortable using the Internet are appropriate targets for risk reduction interventions and such interventions may be delivered via the Internet.
Learning Areas:Administer health education strategies, interventions and programs
Advocacy for health and health education
Assessment of individual and community needs for health education
Communication and informatics
Planning of health education strategies, interventions, and programs
Social and behavioral sciences
Describe the proportion of current Internet users among an urban, community-based sample of HIV-positive women Evaluate the relationship between electronic health literacy and HIV high-risk behaviors among HIV-positive women living in an urban setting
Keyword(s): Internet, Women and HIV/AIDS
Qualified on the content I am responsible for because: I am responsible for the conception and design of the study, acquisition of data, analysis and interpretation of results, and drafting and critical revision of the abstract. I am the research coordinator for NIH-funded study focused on the development and testing of an adherence intervention of HIV+ women.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.