Pamela Chen|Shandell Elmer|Michele L. Callisaya|Karen Wills|TM Greenaway|Tania Winzenberg
Associations of health literacy with diabetic foot outcomes: a systematic review and meta?analysis
University of Tasmania|University of Tasmania|University of Tasmania|University of Tasmania|University of Tasmania|University of Tasmania
people diabetes low health literacy role latter diabetic foot disease unclearto determine systematic review metaanalysis health literacy associated diabetic foot disease risk factors foot carewe searched pubmed embase cinahl web science scopus science direct studies screened data extracted two independent reviewers studies english valid reliable measures health literacy published tests association included data extracted associations outcomes health literacy metaanalyses performed using random effects modelssixteen articles included systematic review 11 metaanalysis people inadequate health literacy odds diabetic foot disease twice people adequate health literacy statistically significant odds ratio 199 95 ci 083 478 two studies 1278 participants statistically significant difference health literacy levels people without peripheral neuropathy standardized mean difference 014 95 ci 047 018 two studies 399 participants association health literacy foot care correlation coefficient 001 95 ci 007 010 seven studies 1033 participantsthere insufficient data exclude associations health literacy diabetic foot disease risk factors health literacy appears unlikely role foot care contribution low health literacy diabetic foot disease requires definitive assessment robust longitudinal studies