首页|LitKDM2 study: the impact of health Literacy and knowledge about the disease on the metabolic control of type 2 diabetes mellitus
LitKDM2 study: the impact of health Literacy and knowledge about the disease on the metabolic control of type 2 diabetes mellitus
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NSTL
Springer Nature
Aims Diabetes mellitus (DM) is a common chronic disease with serious individual and socioeconomic consequences。 Low health literacy (HL) has been associated with higher morbimortality。 Health knowledge about DM (HK-DM) may also influence individual health。 We aimed to assess HL and HK-DM in patients with type 2 DM and their associations with metabolic control。 Methods Our sample comprised 194 diabetic patients from a primary care health centre。 We collected clinical and demographic data and applied two validated questionnaires， the Newest Vital Sign (NST) and Diabetes Knowledge Test (DKT)， to assess HL and HK-DM， respectively。 Metabolic control was defined as HbA1c < 7。0%。 Participants were classified according to the NST as having "high likelihood of limited HL" (HLL-HL)， "possibility of limited HL" (PL-HL)， or "adequate HL" (A-HL) and by the DKT as having "low"， "average" and "good" HK。 Statistical analysis included logistic regression models， using p < 0。05 as a cut-off for statistical significance。 Results Overall， 72。7 and 34。7% of participants had HLL-HL and low HK-DM， respectively。 A-HL (OR = 6。02; 95% CI: 1。691-21。450) and PL-HL (OR = 4。78; 95% CI: 1。350-16。899) were significantly associated with better metabolic control than HLL-HL。 We did not find a significant association between HK-DM and metabolic control。 Conclusions HL seems to be associated with better metabolic control。 We also found a high prevalence of illiteracy and scarce knowledge about DM。 Primary care physicians should promote HL to help patients achieve better metabolic control。
Health literacyDiabetes health knowledgeType 2 diabetes mellitusMetabolic controlPrimary health carePREVALENCEVALIDATIONBURDENASSOCIATIONPROJECTIONSOUTCOMESADULTSMETER
de Abreu, Isabel Ralha、Baia, Catarina、Silva, Jorge Manuel、Santos, Ana Matos、Oliveira, Mafalda、Castro, Filipa、Mozes, Monica、Ferreira, Rute、Alves, Luis Amorim
NSTL
Springer Nature
