The patient-provider relationship mediates the relationship between health literacy and resilience in young South Africans newly diagnosed with HIV
Bibliographic record
Abstract
South African adolescents and young adults (AYAs) with HIV experience worse HIV-related clinical and psychological outcomes compared to older South Africans. Psychological resilience is protective against poorer outcomes, but little is known about disparities in psychological resilience among AYAs with HIV nor the mechanisms by which these differences arise. This study analyzed baseline data from a cohort of 100 AYA ages 18-24 years in Cape Town and Buffalo City. Mediation analyses revealed that high health literacy was associated with a more satisfactory patient-provider relationship, a more satisfactory patient-provider relationship was associated with a greater degree of psychological resilience, and the indirect effect of health literacy on psychological resilience was significant. These findings suggest that high health literacy and strong patient-provider relationships may be associated with greater psychological resilience among AYAs with HIV. By identifying these modifiable factors, this study highlights how public health interventions aimed at strengthening health literacy and the patient-provider relationship may enhance psychological resilience in this vulnerable population.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.010 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.006 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".