Chandra Y. Osborn|Kerri L. Cavanaugh|Kenneth A. Wallston|Russell L. Rothman
Self-Efficacy Links Health Literacy and Numeracy to Glycemic Control
Vanderbilt University|Vanderbilt University|Vanderbilt University Medical Center|Vanderbilt University
mechanisms underlying relationship health literacy numeracy glycemic control unclear explored role diabetes selfefficacy predicted pathway linking health literacy numeracy glycemic control a1c adults type 1 type 2 diabetes mellitus n 383 enrolled crosssectional study primary care diabetes clinics three medical centers data collected included demographic information health literacy general numeracy a1c path models estimated relations among health literacy numeracy diabetes selfefficacy predictors a1c health literacy r 014 p 01 numeracy r 017 p 001 associated greater diabetes selfefficacy greater diabetes selfefficacy associated lower a1c levels r 025 p 001 considered combination numeracy related diabetes selfefficacy r 013 p 05 effect health literacy diabetes selfefficacy reduced nonsignificance r 006 p 30 health literacy numeracy associated greater diabetes selfefficacy greater diabetes selfefficacy associated lower a1c levels diabetes selfefficacy may important target interventions improve diabetes control promote health equity related health literacy general numeracy skills needed diabetes management