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Getting the right message: a content analysis and application of the health literacy INDEX tool to online HIV resources in Australia
Health Education Research ( IF 2.221 ) Pub Date : 2020-12-15 , DOI: 10.1093/her/cyaa042
Corie Gray 1 , Gemma Crawford 1 , Roanna Lobo 1 , Bruce Maycock 2
Affiliation  

Health literacy is considered by some as a determinant of health. Research suggests that different levels of health literacy may be associated with human immunodeficiency virus (HIV) knowledge and behaviour, including willingness to test. This study assessed the health literacy demands of existing Australia HIV prevention resources available online using a health literacy assessment and content analysis. Two reviewers assessed 66 resources using the Health Literacy INDEX. Sixty-one (92%) scored below 50%, with an average score of 35.5%. A coding frame was developed to conduct a content analysis of the resources excluding videos, multiple webpages and booklets (n = 52). We coded for six categories of knowledge: HIV knowledge (100% of resources), transmission (96%), acquired immune deficiency syndrome (AIDS) knowledge (88%), testing (87%), consequence of infection (85%) and prevention (77%). We found that resources required a reading grade above grade 8, and very few resources considered audience appropriateness. There were missed opportunities to encourage HIV prevention or testing. Some resources used incorrect language to refer towards people living with HIV, and transmission and prevention messages were often inconsistent. Guidelines for developing HIV prevention resources are warranted to improve health literacy, accessibility and appropriateness of resources and ensure consistent messages and framing of HIV risk.

中文翻译:

得到正确的信息:健康素养INDEX工具的内容分析和在澳大利亚在线艾滋病毒资源中的应用

有些人认为健康素养是健康的决定因素。研究表明,不同程度的健康素养可能与人类免疫缺陷病毒(HIV)的知识和行为(包括测试意愿)有关。这项研究使用健康素养评估和内容分析评估了澳大利亚现有在线艾滋病预防资源对健康素养的需求。两名评论者使用“健康素养指数”评估了66种资源。六十一(92%)的分数低于50%,平均分数为35.5%。开发了一个编码框架以对除视频,多个网页和小册子之外的资源进行内容分析(n = 52)。我们对六类知识进行了编码:HIV知识(资源的100%),传播(96%),获得性免疫缺陷综合症(AIDS)的知识(88%),检测(87%),感染的后果(85%)和预防(77%)。我们发现,资源要求阅读等级高于8年级,很少有资源被认为适合受众。错过了鼓励艾滋病毒预防或检测的机会。一些资源使用错误的语言来指称艾滋病毒感染者,并且传播和预防信息常常不一致。应当制定用于开发艾滋病毒预防资源的指南,以提高健康素养,资源的可及性和适当性,并确保传达一致的信息并确定艾滋病毒的风险。
更新日期:2020-12-15
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