|Title||Is diabetes-specific health literacy associated with diabetes-related outcomes in older adults?|
|Publication Type||Journal Article|
|Year of Publication||2011|
|Authors||Yamashita, T, Kart, CS|
|Date Published||2011 Jun|
|Keywords||Adult, Aged, Aged, 80 and over, Blood Glucose, Diabetes Mellitus, Type 2, Glycated Hemoglobin A, Health Literacy, Humans, Logistic Models, Middle Aged, Multivariate Analysis, Self Care, Socioeconomic factors, Surveys and Questionnaires, United States|
BACKGROUND: The present study examined the association between a measure of diabetes-specific health literacy and three different Type 2 diabetes outcome indicators in a national sample of older adults.
METHODS: Data were taken from the Health and Retirement Study (HRS) 2003 Diabetes module and the HRS 2002 core wave. Analysis was performed on data from 1318 respondents aged 42-96 years [mean (±SD) 67.96 ± 8.65 years] who submitted responses on all relevant independent variable measures along with an HbA1c test kit. The index of diabetes-specific health literacy was constructed from responses to 10 diabetes self-care regimen items (α = 0.927).
RESULTS: Using a multivariate regression strategy to analyze weighted data, the diabetes-specific health literacy index was significantly and positively associated with self-graded assessment of diabetes self-care (R2 = 0.231). However, diabetes-specific health literacy was not independently associated with the HbA1c level or the average number of days five recommended self-management behaviors were practiced each week.
CONCLUSIONS: No previous single study has focused on the relationship between diabetes-specific health literacy and multiple diabetes-related outcomes. The direct association of diabetes-specific health literacy with patients' assessment of their self-care practice acumen is useful information for the design of effective patient intervention and/or communication strategies. Health literacy is a broad, multidimensional construct that bridges basic literacy skills and various health and illness contexts. Because it is so important to adults engaged in the self-management of chronic illness, indicators of disease-specific knowledge and/or understanding should be included in efforts to measure health literacy.
Yamashita, Takashi Kart, Cary S Australia Journal of diabetes J Diabetes. 2011 Jun;3(2):138-46. doi: 10.1111/j.1753-0407.2011.00112.x.
|User Guide Notes|
|Endnote Keywords|| |
Aged, 80 and over/Blood Glucose/ metabolism/Blood Glucose/ metabolism/Diabetes Mellitus/Type 2 Diabetes/Health Literacy/Health Literacy/HbA1c/Logistic Models/Middle Aged/Multivariate Analysis/Self Care/methods/Self Care/methods/Socioeconomic Factors
|Endnote ID|| |
|Alternate Journal||J Diabetes|