Is diabetes-specific health literacy associated with diabetes-related outcomes in older adults?

Yamashita, Takashi; Kart, Cary S.

doi:10.1111/j.1753-0407.2011.00112.x

Cited by 42 publications

(47 citation statements)

References 24 publications

(66 reference statements)

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“…Study findings reinforces the literature that health status is related to health literacy particularly for older adults [10,11]. However, limited evidence investigating health literacy and older adults exists.…”

Section: Discussionsupporting

confidence: 75%

Health Literacy and Older Adults: Fall Prevention and Health Literacy in a Midwestern State

Chesser

Woods

Reyes

et al. 2018

JARH

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Falls continue to be a health concern for older adults. Gender and age are key predictors of falls, particularly for those with low health literacy. Data were collected by a State Health Department using the state-led supplemental question option for the Centers for Disease Control and Prevention (CDC) Behavior Risk Factor Surveillance System (BRFSS) survey. Specifically, trend data for respondents were examined by gender, geographic location and health literacy rate. Results indicated the highest mean number falls occurred with men for those within the metropolitan statistical area (MSA) city code, lowest in suburban areas. Females reported to have a higher estimated mean number of falls and injuries than males. For males, the number of falls and injuries tended to decrease with higher health literacy. The findings support the importance of addressing fall prevention for older adults. Long term implications for improving fall prevention and health literacy for older adults include impact on individual outcomes.

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Section: Discussionsupporting

confidence: 75%

Health Literacy and Older Adults: Fall Prevention and Health Literacy in a Midwestern State

Chesser

Woods

Reyes

et al. 2018

JARH

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“…Several studies have reported that poor health literacy acts as a barrier to chronic disease care [78,79]. Health literacy includes the ability to perform reading and numerical tasks [80], which may overlap with the domains of EF.…”

Section: Challenges In Identifying Impaired Ex-ecutive Function and Mmentioning

confidence: 99%

Executive Function and Diabetes Mellitus - A Stone Left Unturned?

Thabit

Tun²,

McDermott³

et al. 2012

CDR

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Diabetes mellitus (DM) is a chronic medical condition that is dependent upon patients self-caring and managing their condition to achieve optimal control. Adherence to medical therapy, making decisions related to lifestyle changes, and self-treating hypoglycaemia for example, require planning and organisational skills that are under the control of a specific domain of cognitive function known as executive function. Executive function has been shown by functional imaging studies such as magnetic resonance imaging to be under the influence of the frontal and prefrontal cortical system. It is now recognised that even in subjects with apparently normal cognition, DM may be associated with impaired executive function (IEF). The exact cause of IEF in DM is still not fully understood. However cerebral microvascular disease and chronic dysglycaemia have been postulated as possible factors contributing to functional neuronal dysfunction leading to IEF. IEF may adversely affect patients' abilities to self-manage their diabetes care, potentially cause worsening glycaemic control and difficulty managing risk factors. Several bedside assessment tools to screen for IEF are currently available and have been shown to correlate with functional status. However, more studies are needed to validate these tests against diabetes self-care assessment tools. Until then, clinicians and healthcare workers managing patients with DM should be aware of the potential for IEF in their patients as specific behaviour and education intervention may be needed to help manage patients with diabetes and IEF.

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“…These studies show that, in patients with diabetes mellitus, health literacy leads to greater diabetes knowledge, is associated with self-efficacy and self-care behaviours and leads to a better glycaemic control (6)(7)(8)(9)(10) . Health literacy additionally is associated with improved adherence to diabetes medication (19) .…”

Section: Health Literacy In Diabetes Patientsmentioning

confidence: 99%

“…For individuals who already suffer from diabetes mellitus, health literacy is a prerequisite to manage the disease with its challenges in lifestyle changes, adherence to the established therapy and navigation through the health-care system. In fact, in patients with diabetes mellitus, diabetes knowledge and health literacy are highly associated with each other and lead to better outcomes in diabetes (6)(7)(8)(9)(10) . Most research regarding health knowledge and health literacy associated with diabetes mellitus has focused on patients with diagnosed and treated diabetes only.…”

mentioning

confidence: 99%

Health information regarding diabetes mellitus reduces misconceptions and underestimation of consequences in the general population

Dörner

Lackinger

Schindler

et al. 2012

Public Health Nutr.

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Objective: To evaluate self-assessed knowledge about diabetes mellitus, to assess determinants of health knowledge and to evaluate consequences of health knowledge on appraisal about consequences of the disease. Design: Population-based computer-assisted web interview survey, supplemented with a paper-and-pencil survey via post. Setting: Representative sample of the general Austrian population aged 15 years and older. Subjects: Men (n 1935) and women (n 2065) with and without diabetes mellitus. Results: Some 20?5 % of men and 17?7 % of women with diabetes, and 46?2 % of men and 36?7 % of women without diabetes, rated their knowledge about diabetes mellitus to be 'very bad' or 'rather bad'. Individuals with diabetes and individuals with a family member with diabetes rated their information level more often as 'very good' or 'rather good', with adjusted OR (95 % CI) of 1?7 (1?1, 2?8) and 2?1 (1?6, 2?7), respectively, in men and 2?7 (1?5, 4?8) and 2?7 (2?1, 3?5), respectively, in women. Additional significant influencing factors on diabetes knowledge were age and educational level in both sexes, and city size in men. Independent of personal diabetes status, diabetes knowledge was associated with a lower perception of restrictions on daily life of diabetes patients and with a lower probability of underestimating health consequences of diabetes. Conclusions: Health knowledge is associated with fewer misconceptions and less underestimation of health consequences in individuals both with and without diabetes mellitus. Thus health information about diabetes is important on the individual level towards disease management as well as on the public health level towards disease prevention.

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Is diabetes-specific health literacy associated with diabetes-related outcomes in older adults?

Cited by 42 publications

References 24 publications

Health Literacy and Older Adults: Fall Prevention and Health Literacy in a Midwestern State

Health Literacy and Older Adults: Fall Prevention and Health Literacy in a Midwestern State

Executive Function and Diabetes Mellitus - A Stone Left Unturned?

Health information regarding diabetes mellitus reduces misconceptions and underestimation of consequences in the general population

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