ArticleBMJ open diabetes research & care2017
Higher health literacy is associated with better glycemic control in adults with type 1 diabetes: a cohort study among 1399 Danes.
Article in BMJ open diabetes research & care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.
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Who cites it
40 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Definitions and measurement of health literacy in health and medicine research: a systematic review.BMJ open · 2022Pooled it
- Glycemic control among diabetic patients in Ethiopia: A systematic review and meta-analysis.PloS one · 2019Pooled it
- Degree of islet function preservation and continuous glucose monitoring in individuals undergoing total pancreatectomy with islet autotransplantation.Diabetologia · 2026Article
- Health Literacy and Type 1 Diabetes Mellitus: A Mixed Method Study.Health literacy research and practice · 2026Article
- Health literacy profiles of people living with type 2 diabetes: a cluster-based approach to inform tailored interventions-the Entred 3 study.BMJ open diabetes research & care · 2026Article
- The relationship of the nutritional literacy level of individuals with diabetes on nutrition, quality of life, and metabolic control.BMC public health · 2025Article
- Study protocol for exploring diabetes numeracy and health literacy across Europe (EDUCATE): A multicentre cross-sectional study.Diabetic medicine : a journal of the British Diabetic Association · 2025Article
- Hybrid closed-loop systems in UK type 1 diabetes care: National survey of healthcare professional awareness, confidence, and training needs.Diabetes, obesity & metabolism · 2025Article
- Ethnicity and socioeconomic status do not influence glycaemic outcomes of a tubeless hybrid closed-loop system (Omnipod® 5) in adults with type 1 diabetes.Diabetes, obesity & metabolism · 2025Observational
- Exploring the Association between Health Literacy and Diabetes Risk in Adults: Insights from a Pilot Study in Leiria.Portuguese journal of public health · 2025Article
- Health Literacy in People with Type 1 Diabetes: A Scoping Review.International journal of environmental research and public health · 2025Article
- Barriers and facilitators to accessing Non-Communicable Disease services among children, adolescents and young people with Type 1 Diabetes in Mozambique: a quantitative content analysis using the COM-B framework.Archives of public health = Archives belges de sante publique · 2025Article
- Health Literacy Among Young People With Type 1 Diabetes: A Qualitative Study of Patient Involvement.Diabetes spectrum : a publication of the American Diabetes Association · 2025Article
- Article
- Effects of Two COVID-19 Lockdowns on HbA1c Levels in Patients with Type 1 Diabetes and Associations with Digital Treatment, Health Literacy, and Diabetes Self-Management: A Multicenter, Observational Cohort Study Over 3 Years.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2024Article
- Social deprivation and diabetic kidney disease: A European view.Journal of diabetes investigation · 2024Review
- Association of Obesity With Health Literacy and Weight Perception Among Women Merchants in Abidjan, Côte d'Ivoire: A Cross-Sectional Study.Health literacy research and practice · 2024Article
- Validity testing of the Korean version of the Health Literacy Questionnaire (HLQ) and its application in people with chronic diseases.PloS one · 2024Article
- Relationships Among Health Literacy, Self-Efficacy, Self-Management, and HbA1c Levels in Older Adults with Diabetes in South Korea: A Cross-Sectional Study.Journal of multidisciplinary healthcare · 2024Article
- Correlation between Health and eHealth Literacy and a Healthy Lifestyle: A Cross-Sectional Study of Spanish Primary Healthcare Patients.Healthcare (Basel, Switzerland) · 2023Article
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Authors and funding
9 authors.
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No grant is acknowledged in the PubMed record.
Abstract
aimSelf-management of diabetes is influenced by a range of factors including the ability to access, understand, appraise, and use of health information in everyday life, which can collectively be called health literacy. We investigated associations between nine domains of health literacy and HbA1c level in people with type 1 diabetes.
methodsA cross-sectional study was conducted with 1399 people with type 1 diabetes attending a Danish specialist diabetes clinic. Health literacy was assessed using the nine-domain Health Literacy Questionnaire. The association between health literacy and HbA1c was analyzed using linear regression with adjustment for age, sex, educational attainment and diabetes duration.
resultsOf the 1399 participants, 50% were women, mean age was 54 years, and mean HbA1c was 61 mmol/mol (7.8%). Higher health literacy scores were associated with lower HbA1c levels across eight of nine health literacy domains. This association remained significant after adjusting for educational attainment. Among the domains, 'Actively managing my health' had the strongest impact on HbA1c. This was in turn predicted by 'Appraising health information', 'Having sufficient information to manage health', and 'Social support for health'.
conclusionsHigher health literacy levels are associated with lower HbA1c regardless of educational background. This study highlights the importance of healthcare provision to respond to the health literacy levels of people with diabetes and to the possible need to provide program designed to enhance health literacy.
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