Yohan Robinson, Luca Ragazzoni, Francesco Della Corte, Johan von Schreeb
Teaching extent and military service improve undergraduate self-assessed knowledge in disaster medicine: An online survey study among Swedish medical and nursing students
Frontiers in public health
obtaining understanding interpreting acting health information enables people diabetes engage make health decisions various contexts hence inadequate health literacy hl could pose problem making selfcare decisions selfmanagement diabetes applying multidimensional instruments assess hl possible differentiate domains functional communicative critical hl primarily study aimed measure prevalence inadequate hl among type 2 diabetes mellitus patients analyze predictors influencing health literacy levels secondly analyzed different selfreported measures unidimensional instruments brief health literacy instruments brief4 abbreviated version brief3 multidimensional instruments functional communicative critical health literacy instrument fcchl findings crosssectional study conducted within one primary care institution serbia march september 2021 data collected serbian versions brief4 brief3 fcchlsr12 chisquare test fishers exact test simple logistic regression used measure association associated factors health literacy level multivariate analyses performed significant predictors univariate analyses overall 350 patients participated study primarily males 554 mean age 615 years sd 105 ranging 31 82 years prevalence inadequate hl estimated 422 fcchlsr12 369 brief3 338 brief4 variations assessment marginal adequate hl different instruments highest association shown brief3 total fcchlsr12 score 0204 p 001 total fcchlsr12 score correlates better abbreviated brief instrument brief3 brief4 0190 p 001 instruments indicated highest levels communicative hl domain lowest functional hl domain significant difference functional hl functional hl fcchlsr12 brief3 brief4 p 0006 0008 respectively depending applied instruments identified several variables sociodemographic access healthrelated information empowermentrelated indicators type therapy frequency drug administration could significantly predict inadequate hl probability inadequate hl increased older age fewer children lower education level higher consumption alcohol high education associated lower probability inadequate hl three instruments results obtained indicate patients study may functionally illiterate differences functional level could observed assessed unidimensional multidimensional instruments proportion patients inadequate hl approximately similar assessed three instruments according association hl educational level dmt2 patients investigate methods improvement