Limited health literacy is associated with poorer clinical outcomes in elderly with type 2 diabetes mellitus

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dc.authoridYılmazel, Gülay / 0000-0002-2487-5464
dc.authoridCici, Remziye / 0000-0003-3977-492X
dc.authorwosidYılmazel, Gülay / AAC-5444-2021
dc.contributor.authorYılmazel, Gülay
dc.contributor.authorCici, Remziye
dc.date.accessioned2021-11-01T15:01:52Z
dc.date.available2021-11-01T15:01:52Z
dc.date.issued2019
dc.departmentHitit Üniversitesi, Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü
dc.description.abstractBACKGROUND Diabetes mellitus is a significant global public health concern. Poor knowledge of disease and healthcare utilization is associated with poor health outcomes, leading to increasing burden of diabetes in many developing countries. The present study aimed to assess diabetes health literacy and clinical outcomes in elderly patients registered to the home health agency. METHODS A cross-sectional study was conducted in the city of Corum, Turkey, with 160 type 2 diabetic patients of both sexes and aged between 50-91 years. To identify health literacy, the Rapid Estimate of Adult Literacy in Medicine test was administered to the patients. Clinical parameters were based on routine medical examinations by measuring blood pressure levels, glycosylated hemoglobin, and lipoprotein levels. In order to identify the risk of depression, the Beck Depression Scale was used. RESULTS Of the patients, 85.0% had limited health literacy. The majority of patients (95.0%) had poor glycemic control and limited health literacy was associated with having high level of HbA1c (p<0.05). Adequate health literacy was associated with regular foot care (p<0.05). Also patients with limited health literacy were more likely to have depression (p<0.001). Limited health literacy increased the risk of poor glycemic control (OR=6.82;95% CI=1.34-9.78) and retinopathy (OR=6.91;95% CI=1.23-9.44). CONCLUSION Limited health literacy is consistently associated with poorer diabetes clinical outcomes in elderly type 2 diabetes melltius Contents of diabetes education should be arranged according to patients' health literacy level which requires visual and auditory teaching materials for patients with limited health literacy.
dc.identifier.citationYilmazel, G., & Cici, R. (2019). Limited health literacy is associated with poorer clinical outcomes in elderly with type 2 diabetes mellitus. Universa Medicina, 38(3), 179-185.
dc.identifier.doi10.18051/UnivMed.2019.v38.179-185
dc.identifier.endpage185en_US
dc.identifier.issn1907-3062
dc.identifier.issn2407-2230
dc.identifier.issue3en_US
dc.identifier.startpage179en_US
dc.identifier.urihttps://doi.org/10.18051/UnivMed.2019.v38.179-185
dc.identifier.urihttps://hdl.handle.net/11491/6735
dc.identifier.volume38en_US
dc.identifier.wosWOS:000526049400005
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.institutionauthorYılmazel, Gülay
dc.institutionauthorCici, Remziye
dc.language.isoen
dc.publisherWolters Kluwer Medknow Publications
dc.relation.ispartofUniversa Medicina
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectHealth Literacyen_US
dc.subjectDiabetes Mellitusen_US
dc.subjectOutcomesen_US
dc.subjectHome Health Agencyen_US
dc.titleLimited health literacy is associated with poorer clinical outcomes in elderly with type 2 diabetes mellitus
dc.typeArticle

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