Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Higher health literacy is associated with better glycemic control in adults with type 1 diabetes: a cohort study among 1399 Danes

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. Prevalence, incidence and mortality of type 1 and type 2 diabetes in Denmark 1996-2016

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Proglucagon peptide secretion profiles in type 2 diabetes before and after bariatric surgery: 1-year prospective study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Effect of motivational interviewing on gestational weight gain and fetal growth in pregnant women with type 2 diabetes

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Systematic review and meta-analysis of dietary carbohydrate restriction in patients with type 2 diabetes

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Health literacy meets the life-course perspective: towards a conceptual framework

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Reasons for Nonadherence to Statins - A Systematic Review of Reviews

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

Vis graf over relationer

Aim: Self-management of diabetes is influenced by a range of factors including the ability to access, understand, appraise, and use of health information in everyday life, which can collectively be called health literacy. We investigated associations between nine domains of health literacy and HbA1c level in people with type 1 diabetes.

Methods: A cross-sectional study was conducted with 1399 people with type 1 diabetes attending a Danish specialist diabetes clinic. Health literacy was assessed using the nine-domain Health Literacy Questionnaire. The association between health literacy and HbA1c was analyzed using linear regression with adjustment for age, sex, educational attainment and diabetes duration.

Results: Of the 1399 participants, 50% were women, mean age was 54 years, and mean HbA1c was 61 mmol/mol (7.8%). Higher health literacy scores were associated with lower HbA1c levels across eight of nine health literacy domains. This association remained significant after adjusting for educational attainment. Among the domains, 'Actively managing my health' had the strongest impact on HbA1c. This was in turn predicted by 'Appraising health information', 'Having sufficient information to manage health', and 'Social support for health'.

Conclusions: Higher health literacy levels are associated with lower HbA1c regardless of educational background. This study highlights the importance of healthcare provision to respond to the health literacy levels of people with diabetes and to the possible need to provide program designed to enhance health literacy.

OriginalsprogEngelsk
TidsskriftBMJ open diabetes research & care
Vol/bind5
Udgave nummer1
Sider (fra-til)e000437
ISSN2052-4897
DOI
StatusUdgivet - 2017

ID: 52168541