Evidence map›Paper›PMID 42020633›Full record

ArticleCommunity mental health journal2026

The Role of Health Literacy in Cardiometabolic Disease among People with Serious Mental Illness.

Ahana Gupta, Jane Burke-Miller, Lisa Razzano

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Article in Community mental health journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Ahana GuptaCollege of Medicine, University of Illinois at Chicago, Chicago, USA. agupt47@uic.edu.
Jane Burke-MillerCollege of Medicine, Department of Psychiatry, University of Illinois at Chicago, Chicago, USA.
Lisa RazzanoCollege of Medicine, Department of Psychiatry, University of Illinois at Chicago, Chicago, USA.

Funding

ACL HHS 90DPHF0001
6 · The paper itself

Abstract

objectivePeople with serious mental illness (SMI) face higher morbidity and mortality due to cardiovascular disease (CVD). Low health literacy (HL) is a risk factor for CVD, but the relationship between HL and CVD is understudied in people with SMI. This study examined the association between HL and (1) prevalence of metabolic syndrome (MetS) and (2) risk and prevalence of CVD in people with SMI.

methodsParticipants with diagnosed SMI were enrolled in this cross-sectional study at a behavioral health agency (N = 140). HL was measured using the Health Literacy Questionnaire (HLQ) and participants were categorized by low, moderate, or high HL. MetS was determined by National Cholesterol Education Program’s Adult Treatment Panel (NCEP ATP) III criteria. CVD risk was calculated using the Framingham 10-year risk score. Prevalent CVD included self-reported history of myocardial infarction, congestive heart failure, and/or other heart disease.

resultsMost participants identified as Black (61%) and male (64%) with education levels varying from less than high school to some college or more. In multivariable models, low HL was associated with increased prevalence of MetS (p = 0.013), risk of CVD (p = 0.030), and prevalence of CVD (p = 0.037) after adjusting for age, gender, race, ethnicity, education, nicotine dependence, and depression, anxiety, and stress symptoms. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Low HL is associated with poorer cardiometabolic health in people with SMI. Prospective studies adequately powered to examine the relationships between HL, MetS, and CVD in this population are warranted.

Indexed as

Cardiometabolic diseaseCardiovascular diseaseHealth literacyMetabolic syndromeSerious mental illness

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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.