SynthesisBMC public health2025
Health literacy and medication adherence in adults from ethnic minority backgrounds with Type 2 Diabetes Mellitus: a systematic review.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline 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
- Knowledge, Attitudes and Practices Towards Diabetes Self-Management Among People Living With Diabetes at Yumbe Regional Referral Hospital, Uganda.Health science reports · 2026Article
- A cross-sectional survey on exploring adherence to diabetes treatment regimens: Insights from Hail region, Saudi Arabia.Medicine · 2026Article
- The impact of social support on medication adherence among patients with heart failure: health literacy as a mediator.Scientific reports · 2026Article
- Integrating Acceptance and Commitment Therapy with intervention mapping to enhance self-care in type 2 diabetes: a conceptual framework.Frontiers in psychology · 2026Review
- Health literacy among residents in communities implementing healthy community initiatives: a cross-sectional study.Frontiers in public health · 2026Article
- Linking health literacy to medication adherence in chronic disease management from a community pharmacy perspective.Frontiers in public health · 2026Article
- Psychometric Validation of the Chinese Version of the Diabetes Health Literacy Scale Among Adults with Type 2 Diabetes Mellitus: Application of Factor Analysis and Item Response Theory.Diabetes, metabolic syndrome and obesity : targets and therapy · 2026Article
- Factors Associated with Medication Adherence and Glycemic Control among American Indian/Alaska Native Adults with Type 2 Diabetes Within a Commercial Health Care System: A System-Wide Cross-Sectional Study.Journal of racial and ethnic health disparities · 2025Article
- Article
- Multidimensional health status and its impact on health care consumption behavior among elderly people with chronic diseases: evidence from CHARLS in China.Frontiers in psychology · 2025Article
- The impact of health literacy on treatment adherence in COPD patients: chain mediation roles of self-efficacy and perceived disease threat.Frontiers in public health · 2025Article
- Health literacy levels and predictors among type 2 diabetes patients in Qatar: An analytical cross-sectional study.Qatar medical journal · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFor people living with Type 2 Diabetes Mellitus (T2DM), achieving optimal health outcomes requires optimal self-management and adherence to medical treatment. While some studies suggest an association between poor medication adherence and lower levels of health literacy, the evidence for this association remains inconclusive. This systematic review aimed to synthesise the evidence on the association between health literacy and medication adherence among adults from ethnic minority backgrounds living with T2DM.
methodsMedline (Ovid), The Cochrane Library, Embase (Ovid), PsycInfo (EBSCO), and the Cumulative Index to Nursing and Allied Health Literature (CINAHL) (EBSCO) were searched systematically for peer-reviewed literature, published until January 2024. Studies were included in this review if they assessed health literacy and medication adherence among ethnic minority people with T2DM. Two reviewers independently screened and selected the studies, extracted data from the included articles, and assessed the methodological quality of the studies. The methodological quality and bias in designing, conducting, and analysis of each study were evaluated using a standardised JBI critical appraisal tool.
resultsOf the total 6,318 identified studies, seven studies were included in the review. The total participant sample sizes across these studies varied from 53 to 408 participants. All included studies incorporated cross-sectional design for the research, with the majority conducted in the USA. Of the seven unique studies, only one study observed a significant association between health literacy and medication adherence among people from an ethnic minority background.
conclusionsEvidence on the association between health literacy and medication adherence in ethnic minority adults with T2DM is weak and inconsistent. To understand this association more clearly in ethnic minority populations and to address the disparities in cultural and linguistic considerations, well-designed studies are required.
trial registrationThis review is registered with PROSPERO (CRD42022328346).
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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.