Adina Abdullah|Chirk Jenn Ng|Su May Liew|Subashini Ambigapathy|Paranthaman|Karuthan Chinna
Prevalence of limited health literacy and its associated factors in patients with type 2 diabetes mellitus in Perak, Malaysia: a cross-sectional study
University of Malaya|University of Malaya|University of Malaya|Ministry of Health|Ministry of Health|Taylor's University
objective limited health literacy patients type 2 diabetes mellitus t2dm led poorer diabetes knowledge less medication adherence increased healthcare cost purpose paper report prevalence limited health literacy patients t2dm identify factors associated design crosssectional study conducted january march 2018 data patients sociodemographic characteristics diabetes knowledge perceived social support health literacy level collected health literacy level measured using european health literacy survey questionnaire hlseuq47 setting patients recruited four primary care clinics perak malaysia participants adult patients diagnosed t2dm attended study clinics study period primary outcome variable patients hlseuq47 general index 33 points classified limited health literacy results prevalence limited health literacy 653 n279 bivariate analysis patients ethnicity p004 highest education level plt0001 monthly income p0003 health insurance p0007 english language fluency plt0001 malay language fluency p0021 attending diabetes education sessions plt0001 perceived social support plt0001 diabetes knowledge p0019 factors associated limited health literacy logistic regression fluent english associated limited health literacy or236 95 ci 130 430 whereas high perceived social support or052 95 ci 040 069 attended diabetes education sessions or042 95 ci 027 068 associated adequate health literacy conclusion prevalence limited health literacy high among patients t2dm perak malaysia strategies improve health literacy patients must consider influences english fluency attendance diabetes education sessions social support may need adopt universal approach addressing limited health literacy