Alfabetización en salud en pacientes con diabetes tipo 2un estudio transversal con el cuestionario HLS-EU-Q47
- M.J. Fernández-Silva 1
- A. Alonso-González 2
- E. González-Pérez 2
- J.J. Gestal-Otero 3
- G.J. Díaz-Grávalos 4
- 1 Centro de Saúde A Ponte. Ourense, España
- 2 Universidad de Vigo, Ourense, España
- 3 Universidad de Santiago de Compostela, Santiago de Compostela, España
- 4 Centro de Saúde de Cea. Cea (Ourense), España
ISSN: 1138-3593
Year of publication: 2019
Issue: 1
Pages: 30-36
Type: Article
More publications in: Semergen: revista española de medicina de familia
Abstract
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.
Bibliographic References
- D. Nutbeam Health promotion glossary Health Promot Int., 1 (1986), pp. 113-127 CrossRefView Record in ScopusGoogle Scholar
- K. Sørensen, S. Van den Broucke, J. Fullam, G. Doyle, J. Pelikan, Z. Slonska, et al. Health literacy and public health: A systematic review and integration of definitions and models BMC Public Health., 12 (2012), p. 80 View Record in ScopusGoogle Scholar
- K. Sørensen, S. Van den Broucke, J.M. Pelikan, J. Fullam, G. Doyle, Z. Slonska, et al. HLS-EU Consortium. Measuring health literacy in populations: Illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q) BMC Public Health, 13 (2013), p. 948 View Record in ScopusGoogle Scholar
- I. Van der Heide, E. Uiters, K. Sørensen, F. Röthlin, J. Pelikan, J. Rademakers, et al. EPHORT consortium Health literacy in Europe: The development and validation of health literacy prediction models Eur J Public Health. (2016), p. ckw078 View Record in ScopusGoogle Scholar
- M. Heisler, J.D. Piette, M. Spencer, E. Kieffer, S. Vijan The relationship between knowledge of recent HbA1c values and diabetes care understanding and self-management Diabetes Care., 28 (2005), pp. 816-822 CrossRefView Record in ScopusGoogle Scholar
- F. Soriguer, A. Goday, A. Bosch-Comas, E. Bordiú, A. Calle-Pascual, R. Carmena, et al. Prevalence of diabetes mellitus and impaired glucose regulation in Spain: The Di@bet.es Study Diabetologia., 55 (2012), pp. 88-93 CrossRefView Record in ScopusGoogle Scholar
- J.A. Aldrey Vázquez, D. del Río Franqueira Crónica de un envejecimiento anunciado: Galicia 2015-2030 In: XIV Congreso nacional de la población. Cambio demográfico y socioterritorial en un contexto de crisis AGE-Universidad Pablo de Olavide, Sevilla (2014), pp. 69-82 View Record in ScopusGoogle Scholar
- A. Luna Ruiz-Cabello La alfabetización en salud de la población española: variables relacionadas según los resultados del Proyecto Europeo de Alfabetización en Salud [tesis doctoral] Universidad de Murcia, Murcia (2015) Google Scholar
- A. Cabrera de León, M.C. Rodríguez Pérez, S. Domínguez Coello, C. Rodríguez Díaz, C. Rodríguez Alvarez, A. Aguirre Jaime, grupo CDC. Validación del modelo REI para medir la clase social en población adulta Rev Esp Salud Pública, 83 (2009), pp. 231-242 Google Scholar
- R.J. Stevens, V. Kothari, A.I. Adler, I.M. Stratton United Kingdom Prospective Diabetes Study (UKPDS) Group. The UKPDS risk engine: A model for the risk of coronary heart disease in type II diabetes (UKPDS 56) Clin Sci (Lond)., 101 (2001), pp. 671-679 View Record in ScopusGoogle Scholar
- F. Al Sayah, B. Williams, J.A. Johnson Measuring health literacy in individuals with diabetes: A systematic review and evaluation of available measures Health Educ Behav., 40 (2012), pp. 42-55 Google Scholar
- K. Sørensen, J.M. Pelikan, F. Röthlin, K. Ganahl, Z. Slonska, G. Doyle, et al., HLS-EU Consortium. Health literacy in Europe: Comparative results of the European health literacy survey (HLS-EU) Eur J Public Health, 25 (2015), pp. 1053-1058 CrossRefView Record in ScopusGoogle Scholar
- D.W. Baker, J.A. Gazmararian, J. Sudano, M. Patterson The association between age and health literacy among elderly persons J Gerontol B Psychol Sci Soc Sci., 55 (2000), pp. S368-S374 CrossRefGoogle Scholar
- R. Santesmases-Masana, L. González-de Paz, J. Real, A. Borràs-Santos, A. Sisó-Almirall, M.D. Navarro-Rubio Alfabetización en salud en pacientes con insuficiencia cardiaca atendidos en atención primaria Aten Primaria., 49 (2017), pp. 28-34 ArticleDownload PDFView Record in ScopusGoogle Scholar
- M.K. Paasche-Orlow, M.S. Wolf The causal pathways linking health literacy to health outcomes Am J Health Behav., 31 (Suppl 1) (2007), pp. S19-S26 Google Scholar
- J. Konfino, R. Mejía, M.P. Majdalani, E.J. Pérez-Stable Alfabetización en salud en pacientes que asisten a un hospital universitario Medicina (B Aires)., 69 (2009), pp. 631-634 View Record in ScopusGoogle Scholar
- M. Marmot, R. Wilkinson Social determinants of health (2.ª ed.), Oxford University Press, Oxford (2006) Google Scholar
- R.L. Sudore, K.M. Mehta, E.M. Simonsick, T.B. Harris, A.B. Newman, S. Satterfield, et al. Limited literacy in older people and disparities in health and healthcare access J Am Geriatr Soc., 54 (2006), pp. 770-776 CrossRefView Record in ScopusGoogle Scholar
- J.G. Souza, D. Apolinario, R.M. Magaldi, A.L. Busse, F. Campora, W. Jacob-Filho Functional health literacy and glycaemic control in older adults with type 2 diabetes: A cross-sectional study BMJ Open., 4 (2014), p. e004180, 10.1136/bmjopen-2013-004180 CrossRefView Record in ScopusGoogle Scholar
- D. Schillinger, K. Grumbach, J. Piette, F. Wang, D. Osmond, C. Daher, et al. Association of health literacy with diabetes outcomes JAMA., 288 (2002), pp. 475-482 View Record in ScopusGoogle Scholar
- C.K. Powell, E.G. Hill, D.E. Clancy The relationship between health literacy and diabetes knowledge and readiness to take health actions Diabetes Educ., 33 (2007), pp. 144-151 CrossRefView Record in ScopusGoogle Scholar
- D.A. DeWalt, R.S. Boone, M.P. Pignone Literacy and its relationship with self-efficacy, trust, and participation in medical decision making Am J Health Behav., 31 (Suppl 1) (2007), pp. S27-S35 Google Scholar
- B.S. Gerber, M. Pagcatipunan, E.V. Smith Jr., S.S. Basu, K.A. Lawless, L.I. Smolin, et al. The assessment of diabetes knowledge and self-efficacy in a diverse population using Rasch measurement J Appl Meas., 7 (2006), pp. 55-73 View Record in ScopusGoogle Scholar
- N.S. Morris, C.D. MacLean, B. Littenberg Literacy and health outcomes: A cross-sectional study in 1002 adults with diabetes BMC Fam Pract, 7 (2006), p. 49 View Record in ScopusGoogle Scholar
- K. Cavanaugh, M.M. Huizinga, K.A. Wallston, T. Gebretsadik, A. Shintani, D. Davis, et al. Association of numeracy and diabetes control Ann Intern Med., 148 (2008), pp. 737-746 CrossRefView Record in ScopusGoogle Scholar
- S. Marden, P.W. Thomas, Z.A. Sheppard, J. Knott, J. Lueddeke, D. Kerr Poor numeracy skills are associated with glycaemic control in type 1 diabetes Diabet Med., 29 (2012), pp. 662-669 CrossRefView Record in ScopusGoogle Scholar
- C.Y. Osborn, K. Cavanaugh, K.A. Wallston, R.O. White, R.L. Rothman Diabetes numeracy: An overlooked factor in understanding racial disparities in glycemic control Diabetes Care., 32 (2009), pp. 1614-1619 CrossRefView Record in ScopusGoogle Scholar
- M.V. Williams, D.W. Baker, R.M. Parker, J.R. Nurss Relationship of functional health literacy to patients ‘knowledge of their chronic disease. A study of patients with hypertension and diabetes Arch Intern Med., 158 (1998), pp. 166-172 View Record in ScopusGoogle Scholar
- A.S. Laramee, N. Morris, B. Littenberg Relationship of literacy and hearth failure in adults with diabetes BMC Health Serv Res., 7 (2007), p. 98 View Record in ScopusGoogle Scholar
- D.W. Baker, M.S. Wolf, J. Feinglass, J.A. Thompson, J.A. Gazmararian, J. Huang Health literacy and mortality among elderly persons Arch Intern Med., 167 (2007), pp. 1503-1509 CrossRefView Record in ScopusGoogle Scholar
- C. Hudon, M. Fortin, M.E. Poitras, J. Almirall The relationship between literacy and multimorbidity in a primary care setting BMC Fam Pract., 13 (2012), p. 33 View Record in ScopusGoogle Scholar
- A. Aranha, P. Patel, S. Panaich, L. Cardozo Health literacy and cardiovascular disease risk factors among the elderly: A study from a patient-centered medical home Am J Manag Care., 21 (2015), pp. 140-145 View Record in ScopusGoogle Scholar