The Relationship Between Health Literacy and Health Behaviour in People with Diabetes: A Danish Population-Based Study

Overview

Journal J Diabetes Res

Publisher Wiley

Specialty Endocrinology

Date 2016 Oct 21

PMID 27761473

Citations 49

Authors

Karina Friis

Benedicte Donslund Vind

Rebecca K Simmons

Helle Terkildsen Maindal

Affiliations

Soon will be listed here.

Abstract

. People with diabetes who have poor health behaviours are at greater risk for a range of adverse health outcomes. We aimed to investigate the relationship between health literacy and health behaviour (smoking, alcohol, physical activity, and diet) in people with diabetes. . The study was based on respondents aged 25 years or older from a population-based survey in 2013 who reported having diabetes ( = 1685). Two dimensions from the Health Literacy Questionnaire were used: "understand health information" and "actively engage with healthcare providers." We used logistic regression to examine the association between health literacy and health behaviour. . After adjustment for sociodemographic factors, individuals with diabetes who found it difficult to understand information about health had higher odds of being physically inactive (OR: 3.43, 95% CI: 2.14-5.51) and having unhealthy dietary habits (OR: 3.01, 95% CI: 1.63-5.58). Similar results were observed for individuals who found it difficult to actively engage with healthcare providers. No associations were found between the two dimensions of health literacy and smoking and alcohol consumption. . When developing health services and interventions to improve health behaviour among people with diabetes, our results suggest that they may benefit by including focus on health literacy.

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References

Geboers B, de Winter A, Luten K, Jansen C, Reijneveld S . The association of health literacy with physical activity and nutritional behavior in older adults, and its social cognitive mediators. J Health Commun. 2014; 19 Suppl 2:61-76. DOI: 10.1080/10810730.2014.934933. View

Toft U, Kristoffersen L, Lau C, Borch-Johnsen K, Jorgensen T . The Dietary Quality Score: validation and association with cardiovascular risk factors: the Inter99 study. Eur J Clin Nutr. 2006; 61(2):270-8. DOI: 10.1038/sj.ejcn.1602503. View

Parker R, Baker D, Williams M, Nurss J . The test of functional health literacy in adults: a new instrument for measuring patients' literacy skills. J Gen Intern Med. 1995; 10(10):537-41. DOI: 10.1007/BF02640361. View

Souza J, Apolinario D, Magaldi R, Busse A, Campora F, Jacob-Filho W . Functional health literacy and glycaemic control in older adults with type 2 diabetes: a cross-sectional study. BMJ Open. 2014; 4(2):e004180. PMC: 3927799. DOI: 10.1136/bmjopen-2013-004180. View

Osborne R, Batterham R, Elsworth G, Hawkins M, Buchbinder R . The grounded psychometric development and initial validation of the Health Literacy Questionnaire (HLQ). BMC Public Health. 2013; 13:658. PMC: 3718659. DOI: 10.1186/1471-2458-13-658. View

Bailey S, Brega A, Crutchfield T, Elasy T, Herr H, Kaphingst K . Update on health literacy and diabetes. Diabetes Educ. 2014; 40(5):581-604. PMC: 4174500. DOI: 10.1177/0145721714540220. View

Gaede P, Vedel P, Larsen N, Jensen G, Parving H, Pedersen O . Multifactorial intervention and cardiovascular disease in patients with type 2 diabetes. N Engl J Med. 2003; 348(5):383-93. DOI: 10.1056/NEJMoa021778. View

Buchbinder R, Batterham R, Elsworth G, Dionne C, Irvin E, Osborne R . A validity-driven approach to the understanding of the personal and societal burden of low back pain: development of a conceptual and measurement model. Arthritis Res Ther. 2011; 13(5):R152. PMC: 3308082. DOI: 10.1186/ar3468. View

Nutbeam D . Health promotion glossary. Health Promot. 1986; 1(1):113-27. DOI: 10.1093/heapro/1.1.113. View

10.

Von Wagner C, Knight K, Steptoe A, Wardle J . Functional health literacy and health-promoting behaviour in a national sample of British adults. J Epidemiol Community Health. 2007; 61(12):1086-90. PMC: 2465677. DOI: 10.1136/jech.2006.053967. View

11.

Friis K, Lasgaard M, Osborne R, Maindal H . Gaps in understanding health and engagement with healthcare providers across common long-term conditions: a population survey of health literacy in 29,473 Danish citizens. BMJ Open. 2016; 6(1):e009627. PMC: 4735217. DOI: 10.1136/bmjopen-2015-009627. View

12.

Al Sayah F, Majumdar S, Egede L, Johnson J . Associations between health literacy and health outcomes in a predominantly low-income african american population with type 2 diabetes. J Health Commun. 2015; 20(5):581-8. DOI: 10.1080/10810730.2015.1012235. View

13.

Ryden L, Standl E, Bartnik M, Van den Berghe G, Betteridge J, de Boer M . Guidelines on diabetes, pre-diabetes, and cardiovascular diseases: executive summary. The Task Force on Diabetes and Cardiovascular Diseases of the European Society of Cardiology (ESC) and of the European Association for the Study of Diabetes (EASD). Eur Heart J. 2007; 28(1):88-136. DOI: 10.1093/eurheartj/ehl260. View

14.

Schillinger D, Grumbach K, Piette J, Wang F, Osmond D, Daher C . Association of health literacy with diabetes outcomes. JAMA. 2002; 288(4):475-82. DOI: 10.1001/jama.288.4.475. View

15.

Bains S, Egede L . Associations between health literacy, diabetes knowledge, self-care behaviors, and glycemic control in a low income population with type 2 diabetes. Diabetes Technol Ther. 2011; 13(3):335-41. PMC: 3690006. DOI: 10.1089/dia.2010.0160. View

16.

Speirs K, Messina L, Munger A, Grutzmacher S . Health literacy and nutrition behaviors among low-income adults. J Health Care Poor Underserved. 2013; 23(3):1082-91. DOI: 10.1353/hpu.2012.0113. View

17.

Eyuboglu E, Schulz P . Do health literacy and patient empowerment affect self-care behaviour? A survey study among Turkish patients with diabetes. BMJ Open. 2016; 6(3):e010186. PMC: 4800124. DOI: 10.1136/bmjopen-2015-010186. View

18.

Kim S, Love F, Quistberg D, Shea J . Association of health literacy with self-management behavior in patients with diabetes. Diabetes Care. 2004; 27(12):2980-2. DOI: 10.2337/diacare.27.12.2980. View

19.

Adams R, Piantadosi C, Ettridge K, Miller C, Wilson C, Tucker G . Functional health literacy mediates the relationship between socio-economic status, perceptions and lifestyle behaviors related to cancer risk in an Australian population. Patient Educ Couns. 2013; 91(2):206-12. DOI: 10.1016/j.pec.2012.12.001. View

20.

Wolf M, Gazmararian J, Baker D . Health literacy and health risk behaviors among older adults. Am J Prev Med. 2006; 32(1):19-24. DOI: 10.1016/j.amepre.2006.08.024. View