Faculty Collaboration Database

Associations between health literacy and health outcomes in a predominantly low-income african american population with type 2 diabetes. J Health Commun 2015;20(5):581-8

Date

04/01/2015

Pubmed ID

25826448

DOI

10.1080/10810730.2015.1012235

Scopus ID

2-s2.0-84928756137 (requires institutional sign-in at Scopus site)   26 Citations

Abstract

Inadequate health literacy has been associated with poorer health behaviors and outcomes in individuals with diabetes or depression. This study was conducted to examine the associations between inadequate health literacy and behavioral and cardiometabolic parameters in individuals with type 2 diabetes and to explore whether these associations are affected by concurrent depression. The authors used cross-sectional data from a study of 343 predominantly African Americans with type 2 diabetes. Inadequate health literacy was significantly and modestly associated with diabetes knowledge (r = -0.34) but weakly associated with self-efficacy (r = 0.16) and depressive symptoms (r = 0.24). In multivariate regression models, there were no associations between health literacy and A1c, blood pressure, or body mass index or control of any of these parameters. There was no evidence that depression was an effect-modifier of the associations between health literacy and outcomes. Although inadequate health literacy was modestly associated with worse knowledge and weakly associated with self-efficacy, it was not associated with any of the cardiometabolic parameters the authors studied. Because this study showed no association between health literacy and behavioral and cardiometabolic outcomes, it is unseemly and premature to embark on trials or controlled interventions to improve health literacy for the purposes of improving patient-related outcomes in diabetes.

Author List

Al Sayah F, Majumdar SR, Egede LE, Johnson JA

Author

Leonard E. Egede MD Center Director, Chief, Professor in the Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Aged
Blood Pressure
Body Mass Index
Cross-Sectional Studies
Depression
Diabetes Mellitus, Type 2
Female
Health Knowledge, Attitudes, Practice
Health Literacy
Humans
Male
Middle Aged
Multivariate Analysis
Poverty
Regression Analysis
Self Efficacy
Treatment Outcome