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

Olesen, Kasper, Reynheim, Anne Louise F., Joensen, Lene, Ridderstråle, Martin, Kayser, Lars, Maindal, Helle T., Osborne, Richard H., Skinner, Timothy and Willaing, Ingrid 2017, Higher health literacy is associated with better glycemic control in adults with type 1 diabetes: a cohort study among 1399 Danes, BMJ Open Diabetes Research and Care, vol. 5, no. 1, doi: 10.1136/bmjdrc-2017-000437.

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Title Higher health literacy is associated with better glycemic control in adults with type 1 diabetes: a cohort study among 1399 Danes
Author(s) Olesen, Kasper
Reynheim, Anne Louise F.
Joensen, Lene
Ridderstråle, Martin
Kayser, Lars
Maindal, Helle T.
Osborne, Richard H.ORCID iD for Osborne, Richard H. orcid.org/0000-0002-9081-2699
Skinner, Timothy
Willaing, Ingrid
Journal name BMJ Open Diabetes Research and Care
Volume number 5
Issue number 1
Total pages 8
Publisher BMJ Publishing Group
Place of publication London, Eng.
Publication date 2017-08
ISSN 2052-4897
Keyword(s) Glycemic Control
Health Literacy
Summary 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.
Language eng
DOI 10.1136/bmjdrc-2017-000437
Field of Research 111711 Health Information Systems (incl Surveillance)
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2017, The Authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30106213

Document type: Journal Article
Collections: Faculty of Health
School of Health and Social Development
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