ArticleThe Diabetes educator2016
Relationship Between Health Literacy and Unintentional and Intentional Medication Nonadherence in Medically Underserved Patients With Type 2 Diabetes.
Article in The Diabetes educator, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 5 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
35 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Health literacy and medication adherence in adults from ethnic minority backgrounds with Type 2 Diabetes Mellitus: a systematic review.BMC public health · 2025Pooled it
- A global systematic overview of socioeconomic factors associated with antidiabetic medication adherence in individuals with type 2 diabetes.Journal of health, population, and nutrition · 2023Pooled it
- Association between health literacy and medication adherence in chronic diseases: a recent systematic review.International journal of clinical pharmacy · 2023Pooled it
- The Impact of Social Determinants of Health on Medication Adherence: a Systematic Review and Meta-analysis.Journal of general internal medicine · 2021Pooled it
- Prevalence of limited health literacy among patients with type 2 diabetes mellitus: A systematic review.PloS one · 2019Pooled it
- Insights into cardiovascular health: Knowledge, attitudes, and practices in the Kurdistan region of Iraq.Public health in practice (Oxford, England) · 2026Article
- Health Literacy and Awareness of Family Health History in the All of Us Research Program.Public health genomics · 2026Article
- Linking health literacy to medication adherence in chronic disease management from a community pharmacy perspective.Frontiers in public health · 2026Article
- Dementia prevention requires moving beyond individual choice: the costs of effort and time intersect with social determinants of health.Neuroscience · 2025Review
- Structural Determinants of Health Literacy Among Formerly Incarcerated Individuals: Insights From the Survey of Racism and Public Health.Health literacy research and practice · 2025Article
- Associations between perceived discrimination over the life course, subjective social status, and health literacy: A racial/ethnic stratification analysis.PEC innovation · 2024Article
- Health Literacy and Adherence to Therapy in Type 2 Diabetes: A Cross-Sectional Study in Portugal.Health literacy research and practice · 2024Article
- Abandonment of prescriptions in medically underserved areas: Primary medication non-adherence in community pharmacies in the delta region of the United States.Exploratory research in clinical and social pharmacy · 2024Article
- Racial Composition of Social Environments Over the Life Course Using the Pictorial Racial Composition Measure: Development and Validation Study.JMIR public health and surveillance · 2024Article
- Associations between subjective social status and predictors of interest in genetic testing among women diagnosed with breast cancer at a young age.Cancer causes & control : CCC · 2024Article
- Racial segregation and genomics-related knowledge, self-efficacy, perceived importance, and communication among medically underserved patients.Genetics in medicine open · 2024Article
- Type 2 Diabetes Mellitus and Sarcopenia as Comorbid Chronic Diseases in Older Adults: Established and Emerging Treatments and Therapies.Diabetes & metabolism journal · 2023Review
- Continuity of Medication Use by US Adults With Diabetes, 2005-2019.JAMA network open · 2023Article
- Prevalence and Patient-Level Correlates of Intentional Non-Adherence to Immunosuppressive Medication After Heart-Transplantation-Findings From the International BRIGHT Study.Transplant international : official journal of the European Society for Organ Transplantation · 2023Article
- Chronic Medication Nonadherence and Potentially Preventable Healthcare Utilization and Spending Among Medicare Patients.Journal of general internal medicine · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
purposeThe purpose of this study was to investigate the relationship between health literacy and overall medication nonadherence, unintentional nonadherence, and intentional nonadherence. Limited health literacy may be associated with worse diabetes outcomes, but the literature shows mixed results, and mechanisms remain unclear. Medication adherence is associated with diabetes outcomes and may be a mediating factor. Distinguishing between unintentional and intentional nonadherence may elucidate the relationship between health literacy and nonadherence in patients with type 2 diabetes.
methodsCross-sectional study of 208 patients with type 2 diabetes recruited from a primary care clinic in St. Louis, Missouri. Information was obtained from written questionnaire and patient medical records. Bivariate and multivariable regression were used to examine predictors of medication nonadherence.
resultsThe majority of patients in the study were low income, publicly insured, and African American, with limited health literacy and a high school/GED education or less. In multivariable models, limited health literacy was significantly associated with increased unintentional nonadherence but not intentional nonadherence.
conclusionsResults suggest differences in factors affecting intentional and unintentional nonadherence. The findings also suggest interventions are needed to decrease unintentional nonadherence among patients with type 2 diabetes and limited health literacy. Efforts to address unintentional medication nonadherence among patients with type 2 diabetes with limited health literacy may improve patient health.
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