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Prevalence of limited health literacy and its associated factors in patients with type 2 diabetes mellitus in Perak, Malaysia: a cross-sectional study.
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- Author(s): Abdullah A;Abdullah A; Ng CJ; Ng CJ; Liew SM; Liew SM; Ambigapathy S; Ambigapathy S; V P; V P; Chinna K; Chinna K
- Source:
BMJ open [BMJ Open] 2020 Nov 14; Vol. 10 (11), pp. e039864. Date of Electronic Publication: 2020 Nov 14.- Publication Type:
Journal Article; Research Support, Non-U.S. Gov't- Language:
English - Source:
- Additional Information
- Source: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
- Publication Information: Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
- Subject Terms:
- Abstract: Objective: Limited health literacy in patients with type 2 diabetes mellitus (T2DM) led to poorer diabetes knowledge, less medication adherence and increased healthcare cost. The purpose of this paper was to report the prevalence of limited health literacy in patients with T2DM and to identify factors that are associated with it.
Design: A cross-sectional study was conducted from January to March 2018; data on patients' sociodemographic characteristics, diabetes knowledge, perceived social support and health literacy level were collected. Health literacy level was measured using the European Health Literacy Survey Questionnaire (HLS-EU-Q47).
Setting: Patients were recruited from four primary care clinics in Perak, Malaysia.
Participants: Adult patients diagnosed with T2DM who attended the study clinics during the study period.
Primary Outcome Variable: Patients with HLS-EU-Q47 General Index of ≤33 points were classified as having limited health literacy.
Results: The prevalence of limited health literacy was 65.3% (n=279). In bivariate analysis, patients' ethnicity (p=0.04), highest education level (p<0.001), monthly income (p=0.003), having health insurance (p=0.007), English language fluency (p<0.001), Malay language fluency (p=0.021), attending diabetes education sessions (p<0.001), perceived social support (p<0.001) and diabetes knowledge (p=0.019) were factors associated with limited health literacy. In logistic regression, not being fluent in English was associated with limited health literacy (OR=2.36, 95% CI 1.30 to 4.30) whereas having high perceived social support (OR=0.52, 95% CI 0.40 to 0.69) and having attended diabetes education sessions (OR=0.42, 95% CI 0.27 to 0.68) were associated with adequate health literacy.
Conclusion: The prevalence of limited health literacy is high among patients with T2DM in Perak, Malaysia. Strategies to improve health literacy in these patients must consider the influences of English fluency, attendance at diabetes education sessions and social support, and may need to adopt a universal approach to addressing limited health literacy.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.) - References: BMC Public Health. 2013 Oct 10;13:948. (PMID: 24112855)
MMWR Morb Mortal Wkly Rep. 2014 Nov 21;63(46):1045-9. (PMID: 25412060)
Diabetes Educ. 2004 Mar-Apr;30(2):263-73. (PMID: 15095516)
Diabetes Res Clin Pract. 2017 Jun;128:40-50. (PMID: 28437734)
BMC Public Health. 2014 Jul 04;14:683. (PMID: 24996669)
Med J Malaysia. 2011 Aug;66(3):175-81. (PMID: 22111435)
Acta Diabetol. 2018 Jan;55(1):1-12. (PMID: 29129000)
Patient Educ Couns. 2009 Jun;75(3):328-33. (PMID: 19167857)
J Gen Intern Med. 2010 Sep;25(9):962-8. (PMID: 20480249)
J Health Commun. 2013;18 Suppl 1:172-84. (PMID: 24093354)
Diabetes Care. 1998 May;21(5):706-10. (PMID: 9589228)
BMC Public Health. 2012 Jan 25;12:80. (PMID: 22276600)
Diabetes Technol Ther. 2015 Mar;17(3):187-93. (PMID: 25531555)
J Epidemiol. 2017 Feb;27(2):80-86. (PMID: 28142016)
Asian J Psychiatr. 2010 Mar;3(1):3-6. (PMID: 23051129)
Can J Diabetes. 2015 Aug;39(4):259-65. (PMID: 25825150)
Diabetes Care. 2004 Dec;27(12):2980-2. (PMID: 15562219)
BMC Health Serv Res. 2015 Jun 27;15:249. (PMID: 26113118)
Semergen. 2019 Jan - Feb;45(1):30-36. (PMID: 30309699)
Diabetes Care. 2005 Jul;28(7):1574-80. (PMID: 15983303)
Am J Health Behav. 2007 Sep-Oct;31 Suppl 1:S27-35. (PMID: 17931133)
Health Expect. 2015 Oct;18(5):1180-93. (PMID: 23773311)
Med J Malaysia. 2010 Jun;65 Suppl A:143-9. (PMID: 21488476)
JAMA. 2004 Oct 13;292(14):1711-6. (PMID: 15479936)
Eur J Public Health. 2015 Dec;25(6):1053-8. (PMID: 25843827)
Diabetes Res Clin Pract. 2012 Apr;96(1):91-7. (PMID: 22553777)
Int J Family Med. 2012;2012:397039. (PMID: 22997575)
PLoS One. 2019 May 7;14(5):e0216402. (PMID: 31063470)
Diabetes Educ. 2007 Jan-Feb;33(1):144-51. (PMID: 17272800)
Diabetes Res Clin Pract. 2010 Nov;90(2):216-21. (PMID: 20832888)
Diabetes Educ. 2009 Sep-Oct;35(5):752-60. (PMID: 19783766)
Health Educ Behav. 2011 Apr;38(2):116-22. (PMID: 21191084)
Patient Educ Couns. 2015 Jul 10;:. (PMID: 26198546)
J Clin Epidemiol. 1996 Dec;49(12):1373-9. (PMID: 8970487) - Contributed Indexing: Keywords: epidemiology; general diabetes; primary care
- Publication Date: Date Created: 20201116 Date Completed: 20210308 Latest Revision: 20231112
- Publication Date: 20231112
- Accession Number: PMC7668359
- Accession Number: 10.1136/bmjopen-2020-039864
- Accession Number: 33191262
- Source:
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