Alfabetización en salud en pacientes con diabetes tipo 2un estudio transversal con el cuestionario HLS-EU-Q47

  1. M.J. Fernández-Silva 1
  2. A. Alonso-González 2
  3. E. González-Pérez 2
  4. J.J. Gestal-Otero 3
  5. G.J. Díaz-Grávalos 4
  1. 1 Centro de Saúde A Ponte. Ourense, España
  2. 2 Universidad de Vigo, Ourense, España
  3. 3 Universidad de Santiago de Compostela, Santiago de Compostela, España
  4. 4 Centro de Saúde de Cea. Cea (Ourense), España
Revista:
Semergen: revista española de medicina de familia

ISSN: 1138-3593

Ano de publicación: 2019

Número: 1

Páxinas: 30-36

Tipo: Artigo

DOI: 10.1016/J.SEMERG.2018.08.003 DIALNET GOOGLE SCHOLAR

Outras publicacións en: Semergen: revista española de medicina de familia

Obxectivos de Desenvolvemento Sustentable

Resumo

Objective The aim of this study was to determine the level of health literacy of diabetic patients aged 50 to 75 years, from Ourense, Spain, as well as its relationship with the glycated haemoglobin (HbA1c) concentration and cardiovascular risk of the patient. Material and methods Cross-sectional study using a self-completed questionnaire. From a multi-stage sampling, urban, type 2 diabetic patients were randomly included. The level of health literacy, using the HLS-EU-Q47 questionnaire, the last concentration of HbA1c, and both total and fatal cardiovascular risk at 10 year follow-up, measured using the UKPDS (U.K. Prospective Diabetes Study) algorithm, were determined. The age, gender, level of education, level of social support, social class, and comorbidities were used as covariates. Results A total of 103 patients were analysed. Out of all the patients, 81.5% (84) had an unsuitable health literacy level (29.1% had an inadequate level and 52.4% had a problematic level). A clear association was seen between a higher level of health literacy and higher levels of education. Moreover, the level of health literacy was seen to be inversely related to the level of control of the patients’ diabetes measured on the basis of their HbA1c (P=.03) concentration. However, no such association was found with the cardiovascular risk (P=.3). Conclusions The results of the present study show that the level of literacy of the analysed population was insufficient, and that its improvement could result in a better outcome in the treatment of diabetic patients.

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