Understanding Health Literacy among Bisexual Living with HIV: A Preliminary study

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Sitthiphon Bunman
Prakasit Wannapaschaiyong
Aphicha Nomsir
Anan Malarat
Sonthaya Saiyasalee


OBJECTIVES: This preliminary study aims to evaluate health literacy among bisexual men living with HIV.

MATERIALS AND METHODS: A cross-sectional survey was conducted among 26 adult bisexual male HIV-infected patients in the HIV Clinic from October 2021 to May 2022. We applied the Thai version of the HIV-HLT to investigate health literacy among bisexual men living with HIV.

RESULTS: The average age of the participants was 41.34 ± 12.41 years. 61.5% were single and 34.6% had divorced marital status. 50% had finished their bachelor degrees. Approximately half of the participants had been diagnosed with HIV infection for more than 5 years. 57.7% had adequate HIV health literacy and 26.9% had inadequate HIV health literacy, respectively. The laboratory outcome showed that 96.2% had a CD4 count of more than 200 cells/cm3 and 76.9% had a viral load of less than 20 copies/ ml. CD4 and viral load were not associated with the level of health literacy. However, all participants had no previous history of opportunistic infections within the past 6 months.

CONCLUSION: Most bisexual men living with HIV have adequate health literacy. The level of health literacy is not associated with CD4 and viral load. However, opportunistic infections within the past 6 months are not reported. Therefore, a Thai version of HIV-HLT may be applied to measure health literacy among bisexual men living with HIV and could be a potential for clinical use.


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Bunman S, Wannapaschaiyong P, Nomsir A, Malarat A, Saiyasalee S. Understanding Health Literacy among Bisexual Living with HIV: A Preliminary study. BKK Med J [Internet]. 2023 Feb. 28 [cited 2023 Mar. 30];19(1):35. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/260900
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