ArticleDiabetes technology & therapeutics2011
Associations between health literacy, diabetes knowledge, self-care behaviors, and glycemic control in a low income population with type 2 diabetes.
Article in Diabetes technology & therapeutics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers, 4 of them syntheses that pooled it.
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Who cites it
119 citing papers in PubMed, 4 syntheses or guidelines pooled it, 287 citations in OpenAlex.
- Health literacy and medication adherence in adults from ethnic minority backgrounds with Type 2 Diabetes Mellitus: a systematic review.BMC public health · 2025Pooled it
- Individual-, Community-, and Health System-Level Barriers to Optimal Type 2 Diabetes Care for Inner-City African Americans: An Integrative Review and Model Development.The Diabetes educator · 2020Pooled it
- Impact of social determinants of health on outcomes for type 2 diabetes: a systematic review.Endocrine · 2014Pooled it
- Health literacy and health outcomes in diabetes: a systematic review.Journal of general internal medicine · 2013Pooled it
- The Impact of Video-Based Educational Materials with Voiceovers on Preferences for Glucose Monitoring Technology in Patients with Diabetes: A Randomised Study.The patient · 2023Trial
- A randomized controlled trial to test the efficacy of a diabetes behavioral intervention to prevent memory decline in older blacks/African Americans with diabetes and mild cognitive impairment.Contemporary clinical trials · 2022Trial
- Health literacy and exercise interventions on clinical outcomes in Chinese patients with diabetes: a propensity score-matched comparison.BMJ open diabetes research & care · 2020Trial
- Psychosocial and Behavioral Correlates of A1C and Quality of Life Among Young Adults With Diabetes.The Diabetes educator · 2018Trial
- The effect of a community-based self-help multimodal behavioral intervention in Korean American seniors with high blood pressure.American journal of hypertension · 2014Trial
- Impact of targeted health promotion on cardiovascular knowledge among American Indians and Alaska Natives.Health education research · 2013Trial
- Health literacy and the health belief model in type 2 diabetes mellitus: A bibliometric analysis of global research trends (1982-2026).Medicine · 2026Article
- Nature vs nurture of glucose homeostasis trajectories in children from the ALSPAC study.Diabetologia · 2026Article
- The association of early-onset diabetes mellitus with early-onset hypertension and premature all-cause mortality: a study based on NHANES.Diabetology & metabolic syndrome · 2026Article
- Association between health literacy and the need for hemodialysis in patients with type 2 diabetes: a case-control study.Scientific reports · 2026Article
- The Effect of Motivational Interviewing on Glycemic Control Among Saudi Persons with Type 2 Diabetes: A Feasibility Study.Saudi medical journal · 2026Article
- Correlation Between Health Literacy and Tacrolimus Variability in Solid Organ Transplant Recipients.Clinical transplantation · 2025Observational
- Socio-Demographic, Environmental, and Clinical Factors Influencing Diabetes Mellitus Control in Community Pharmacies of Lahore Pakistan.Healthcare (Basel, Switzerland) · 2025Article
- Does Food Habits and Malnutrition Affect Health Perception Among Diabetic Patients? A Mediation and Moderation Analysis.Healthcare (Basel, Switzerland) · 2025Article
- Diabetes knowledge and glycemic control among type 2 diabetes patients at public hospitals in Debre Berhan, Ethiopia.PloS one · 2025Article
- Race and ethnic disparities in insulin pump and continuous glucose monitor use between 2017 and 2024: a systematic review with a focus on health equity.Journal of health equity · 2025Article
59 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
2 authors at 1 institution in 2 countries.
Funding
Abstract
objectiveThis study assessed associations among health literacy, diabetes knowledge, self-care, and glycemic control in a low income, predominately minority population with type 2 diabetes.
methodsOne hundred twenty-five adults with diabetes were recruited from a primary care clinic. Subjects completed validated surveys to measure health literacy, diabetes knowledge, and self-care (medication adherence, diet, exercise, blood sugar testing, and foot care). Hemoglobin A1c values were extracted from the medical record. Spearman's correlation and multiple linear regression were used to assess the relationship among health literacy, diabetes knowledge, self-care, and glycemic control controlling for covariates.
resultsCronbach's α was 0.95 for the Revised Rapid Estimate of Adult Literacy in Medicine. The majority of the sample was <65 years old (50.7%), female (72.5%), and African American (71.4%), had less than a high school education (68.2%) and a household income < $15,000 (64.2%), and reported their health status as worse than last year (73.9%). In adjusted models that examined the associations among health literacy, diabetes knowledge, medication adherence, and self-care, health literacy was only significantly associated with diabetes knowledge (β = 0.55; 95% confidence interval [CI] 0.29, 0.82). In the final adjusted model for independent factors associated with glycemic control, both diabetes knowledge (β = 0.12; 95% CI 0.01, 0.23) and perceived health status (β = 1.14; 95% CI 0.13, 2.16) were significantly associated with glycemic control, whereas health literacy was not associated with glycemic control (β = -0.03; 95% CI -0.19, 0.13).
conclusionsDiabetes knowledge and perceived health status are the most important factors associated with glycemic control in this population. Health literacy appears to exert its influence through diabetes knowledge and is not directly related to self-care or medication adherence.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.