Functional health literacy and glycaemic control in older adults with type 2 diabetes: a cross-sectional study

To analyze the correlation between functional health literacy (FHL) and self-efficacy (SE) in people with type 2 Diabetes Mellitus. Cross-sectional study was conducted among September and October 2019, with 196 people with type 2 diabetes. Data were collected using the Functional Literacy in Health instrument (B-TOFHLA) and the Diabetes Management Self-Efficacy Scale for Patients with Type 2 Diabetes Mellitus (DMSES). Bivariate analysis was used to verify the relationship among the constructs. Most diabetics showed an average B-TOFHLA score of 74.75, considered adequate, and self-efficacy of 4.07, high. The association between SE and FHL in the bivariate analysis found no statistical significance ( p > .05), in the same sense as the B-TOFHLA score and the DMSES domains ( p > .05). Constructs were not related to each other in terms of skills arising from judgments and decisions with motivational confidence by the investigated audience.

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Low health literacy is associated with higher risk of type 2 diabetes: a cross-sectional study in Germany

BMC Public Health ◽

10.1186/s12889-021-10508-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Daniel Tajdar ◽

Dagmar Lühmann ◽

Regina Fertmann ◽

Tim Steinberg ◽

Hendrik van den Bussche ◽

...

Keyword(s):

Type 2 Diabetes ◽

Health Literacy ◽

Statistical Models ◽

Cross Sectional Study ◽

Diabetes Risk ◽

Sectional Study ◽

Cross Sectional ◽

Low Health Literacy ◽

The Individual

Abstract Background Low health literacy is believed to be associated with behaviours that increase the risk of type 2 diabetes. But there is limited knowledge on the relation between health literacy (HL) and diabetes risk, and whether improving HL could be a potential prevention strategy. Therefore, the main purpose of this study was to examine the link between HL and diabetes risk among non-diabetic adults. Methods We used data from the Hamburg Diabetes Prevention Survey, a population-based cross-sectional study in Germany. One thousand, two hundred and fifty-five non-diabetic subjects aged 18–60 years were eligible. The German Diabetes Risk Score (GDRS, ranging 0 to 123 points) was used to determine the individual risk of type 2 diabetes. The short version of the European Health Literacy Questionnaire (HLS-EU-Q16, ranging 0 to 16 points) was applied to assess the individual self-reported HL. Subjects were asked to self-estimate their diabetes risk, which was then compared with the calculated GDRS. Descriptive statistics were calculated to investigate group differences in the GDRS and self-estimated diabetes risk. Linear as well as logistic regression models were performed to analyse potential influencing variables of the GDRS as well as incorrect self-estimated diabetes risk. In three nested statistical models for each outcome, these analyses were adjusted for age, gender, educational level and the presence of chronic conditions. Results According to the criteria of the GDRS, 996 (79.4%) subjects showed “low risk”, 176 (14.0%) “still low risk”, 53 (4.2%) “elevated risk”, and 30 (2.4%) “high to very high risk” to develop type 2 diabetes within the next 5 years. In the statistical models including all control variables, subjects with “inadequate HL” scored 2.38 points higher on the GDRS (95% CI 0.378 to 4.336; P = 0.020) and had a 2.04 greater chance to estimate their diabetes risk incorrectly (OR 2.04; 95% CI 1.33 to 3.14; P = 0.001) compared to those with “sufficient HL”. Conclusion The risk of type 2 diabetes is increased in people with inadequate self-reported HL. People with high diabetes risk and inadequate HL might be provided with educational programs to improve diabetes knowledge and reduce behavioural risk factors.

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Association of health literacy and other risk factors with glycemic control among patients with type 2 diabetes in Kuwait: A cross-sectional study

Primary Care Diabetes ◽

10.1016/j.pcd.2021.01.011 ◽

2021 ◽

Author(s):

Shaimaa H. Hussein ◽

Ahmed N. Albatineh ◽

Abdullah Almajran ◽

Ali H. Ziyab

Keyword(s):

Risk Factors ◽

Type 2 Diabetes ◽

Health Literacy ◽

Glycemic Control ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Self-Care Adherence And Barriers To Good Glycaemic Control In Nepalese Type 2 Diabetes Mellitus Patients: A Hospital-Based Cross-Sectional Study

Journal of Multidisciplinary Healthcare ◽

10.2147/jmdh.s216842 ◽

2019 ◽

Vol Volume 12 ◽

pp. 817-826 ◽

Cited By ~ 2

Author(s):

Sushant Pokhrel ◽

Sneha Shrestha ◽

Alaska Timilsina ◽

Manisha Sapkota ◽

Mahendra Prasad Bhatt ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Glycaemic Control ◽

Self Care ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Good Glycaemic Control

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Association of Functional Health Literacy with Glycemic Control: A Cross Sectional Study in Urban Population of Bangladesh

Journal of Medicine ◽

10.3329/jom.v20i1.38816 ◽

2019 ◽

Vol 20 (1) ◽

pp. 19-24 ◽

Cited By ~ 1

Author(s):

Refat Mehzabin ◽

Kazi Jahangir Hossain ◽

Md. Moniruzzaman ◽

S K Jakaria Been Sayeed

Keyword(s):

Health Literacy ◽

Glycemic Control ◽

Cross Sectional Study ◽

Diabetes Duration ◽

Functional Health ◽

Diabetic Patients ◽

Functional Health Literacy ◽

Sectional Study ◽

Cross Sectional ◽

Inadequate Glycemic Control

Background: Diabetes mellitus is responsible for significant morbidity and mortality around the world though there is huge development regarding its treatment. Many studies showed that functional health literacy has a great impact on diabetes outcome. The study assessed the relationship between functional health literacy and glycemic control in a sample of urban diabetic patients. Materials and methods: A cross-sectional study was conducted in Bangladesh University of Health and Science Hospital, Jurain, Dhaka from January to December 2014 that included adult diabetic patients on the basis of defined selection criteria following the purposive sampling method. Functional health literacy was assessed with the short form Test of the Functional Health Literacy in Adults (s-TOFLA). Recent HbA1c was used as a measure of glycemic control and categorized into tight, fair and inadequate glycemic control. Regression models were controlled for demographic data, diabetes duration, treatment regimen, diabetes knowledge and assistance for taking medications. Results: Following the s-TOFLA scale, 60.5% of the diabetic patients had inadequate functional health literacy of them, 89.3% had inadequate glycemic control (HbA1c>8%). And those who had adequate functional health literacy (24%) of them 68.8% had tight glycemic control (HbA1c≤7%). Overall 63.0% of the respondents had inadequate glycemic control. In linear regression model low s-TOFLA scores, longer diabetes duration and lack of assistance for taking medications were associated with higher levels of HbA1c. In fully adjusted model s-TOFLA score was the variable which was more strongly associated with HbA1c (β = -0.60, P<0.001). Conclusions: The study found that low health literacy is consistently associated with inadequate glycemic control. J MEDICINE JUL 2019; 20 (1) : 19-24

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