SynthesisPloS one2019
Prevalence of limited health literacy among patients with type 2 diabetes mellitus: A systematic review.
Synthesis in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 59 papers, 1 of them a synthesis that pooled it.
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Who cites it
59 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health literacy and tuberculosis control: systematic review and meta-analysis.Bulletin of the World Health Organization · 2024Pooled it
- Study of the psychometric properties of the HLS-EU-12 questionnaire in rural Bangladesh.PloS one · 2025Trial
- Social Media-Delivered Patient Education to Enhance Self-management and Attitudes of Patients with Type 2 Diabetes During the COVID-19 Pandemic: Randomized Controlled Trial.Journal of medical Internet research · 2022Trial
- Family Health Literacy, Family Functioning, and Type 2 Diabetes Self-Management in the Context of Informal Caregiving: An Embedded Mixed-Methods Multiple-Case Study.Healthcare (Basel, Switzerland) · 2026Article
- Health Literacy and Type 1 Diabetes Mellitus: A Mixed Method Study.Health literacy research and practice · 2026Article
- Development and qualitative formative assessment of pictorial paper-based and digital carbohydrate-counting educational resources for diabetes management.Journal of clinical and translational science · 2026Article
- The relationship of the nutritional literacy level of individuals with diabetes on nutrition, quality of life, and metabolic control.BMC public health · 2025Article
- Intermittent Use of Continuous Glucose Monitoring in Type 2 Diabetes Is Preferred: A Qualitative Study of Patients' Experiences.The science of diabetes self-management and care · 2025Article
- Experiences With a Novel Micro-Choice-Based Concentrated Group Intervention for People With Type 2 Diabetes: A Qualitative Study.The science of diabetes self-management and care · 2025Article
- Health literacy levels and predictors among type 2 diabetes patients in Qatar: An analytical cross-sectional study.Qatar medical journal · 2025Article
- Factors influencing health-related quality of life among people with uncontrolled type II diabetes mellitus in Wenzhou, China: A cross-sectional study.Belitung nursing journal · 2025Article
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- Health literacy among people at risk or with type 2 diabetes in Norwegian primary care-A cross sectional study.PloS one · 2024Article
- Associated Factors Influencing Quality of Life and Knowledge Among Type 2 Diabetic Patients: A Cross-Sectional Study.Current diabetes reviews · 2024Article
- Health literacy and diabetic retinopathy.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2024Article
- Relationship between health literacy and health-related quality of life in Korean adults with chronic diseases.PloS one · 2024Article
- Analysis of Influencing Factors Related to Health Literacy of Diabetic Patients: A Survey Based on DHLEIS.Journal of diabetes research · 2024Article
- Health Literacy Among Non-Communicable Disease Service Seekers: A Nationwide Finding from Primary Health Care Settings of Bangladesh.Health literacy research and practice · 2024Article
- Type 2 Diabetes Mellitus and Sarcopenia as Comorbid Chronic Diseases in Older Adults: Established and Emerging Treatments and Therapies.Diabetes & metabolism journal · 2023Review
Corrections and comments
- Erratum issued
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth literacy (HL) skills are essential to enable self-management and shared decision-making in patients with type 2 diabetes mellitus (T2DM). Limited HL in these patients is associated with poorer outcomes. It is not clear what the burden of limited HL in patients with T2DM across countries and what factors influence it.
methodsA systematic review was conducted according to the PRISMA guidelines. The study protocol was registered with PROSPERO (CRD42017056150). We searched MEDLINE, EMBASE, PsycINFO, CINAHL and ERIC for articles published up to January 2017. Articles that measured HL levels in adult patients with T2DM; that used validated HL tools; and that were reported in English were included. Two reviewers assessed studies for eligibility and quality, and extracted the data. Prevalence of limited HL is calculated from the number of patients with less than adequate HL over the total number of patients with T2DM in the study. Meta-analysis and meta-regression analysis were conducted using the Open Meta-analyst software.
resultsTwenty-nine studies involving 13,457 patients with T2DM from seven countries were included. In total, seven different HL measurement tools were used. The prevalence of limited HL ranged from 7.3% to 82%, lowest in Switzerland and the highest in Taiwan. Meta-regression analysis of all included studies showed the country of study (p<0.001), HL tool used (p = 0.002), and the country's region (p<0.001) contributed to the variation findings. Thirteen studies in the USA measured functional HL. The pooled prevalence of inadequate functional HL among patients with T2DM in the USA was 28.9% (95% CI: 20.4-37.3), with high heterogeneity (I2 = 97.9%, p <0.001). Studies were done in the community as opposed to a hospital or primary care (p = 0.005) and populations with education level lower than high school education (p = 0.009) reported a higher prevalence of limited HL.
conclusionThe prevalence of limited HL in patients with T2DM varied widely between countries, HL tools used and the country's region. Pooled prevalence showed nearly one in three patients with T2DM in the USA had limited functional HL. Interactions with healthcare providers and educational attainment were associated with reported of prevalence in the USA.
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