Nancy S. Morris|Charles D. MacLean|Benjamin Littenberg
Literacy and health outcomes: a cross-sectional study in 1002 adults with diabetes
University of Vermont|University of Vermont|University of Vermont
inconsistent findings reported literature contribute lack complete understanding association literacy health outcomes evaluated association literacy physiologic control diabetes complications among adults diabetes crosssectional study 1002 english speaking adults diabetes randomly selected vermont diabetes information system clusterrandomized trial diabetes decision support system regionwide sample primary care practices conducted july 2003 march 2005 literacy assessed shorttest functional health literacy adults outcome measures included glycated hemoglobin low density lipoprotein blood pressure selfreported complications adjusting sociodemographic characteristics duration diabetes diabetes education depression alcohol use medication use find significant association literacy glycemic control beta coefficent 0001 95 confidence interval ci 001 001 p 88 systolic blood pressure beta coefficent 008 95 ci 010 026 p 39 diastolic blood pressure beta coefficent 003 95 ci 012 007 p 59 low density lipoprotein beta coefficent 004 95 ci 027 036 p 77 found association literacy report diabetes complications findings suggest literacy measured stofhla associated glycated hemoglobin blood pressure lipid levels selfreported diabetes complications crosssectional study older adults diabetes relatively good glycemic control additional studies examine optimal measurement health literacy relationship health outcomes time needed