Iris van der Heide|Ellen Uiters|Jany Rademakers|Jeroen N. Struijs|Albertine J. Schuit|Caroline Baan
Associations Among Health Literacy, Diabetes Knowledge, and Self-Management Behavior in Adults with Diabetes: Results of a Dutch Cross-Sectional Study
National Institute for Public Health and the Environment
various studies examined association health literacy selfmanagement behavior explored ways occurs present study examines extent health literacy associated diabetes selfmanagement behavior extent diabetes knowledge mechanism association study based crosssectional data retrieved patient registrations questionnaires completed 2010 sample included 1714 predominantly type 2 diabetes patients mean age 67 years diabetes selfmanagement indicated hba1c level glucose selfcontrol selfreported monitoring glucose levels physical activity smoking multilevel analyses applied based multiple imputed data lower health literacy significantly associated less diabetes knowledge higher hba1c level less selfcontrol glucose level less physical activity participants diabetes knowledge less likely smoke likely control glucose levels diabetes knowledge mediator association health literacy glucose selfcontrol health literacy smoking study indicates higher health literacy may contribute participation certain selfmanagement activities cases diabetes knowledge diabetes knowledge health literacy skills may important targets interventions promoting diabetes selfmanagement