Jessica Fan|Sarah Lyons|Melody S. Goodman|Melvin Blanchard|Kimberly A. Kaphingst
Relationship Between Health Literacy and Unintentional and Intentional Medication Nonadherence in Medically Underserved Patients With Type 2 Diabetes
Washington University in St. Louis|Washington University in St. Louis|Washington University in St. Louis|Washington University in St. Louis|Washington University in St. Louis
purpose purpose study investigate relationship health literacy overall medication nonadherence unintentional nonadherence intentional nonadherence limited health literacy may associated worse diabetes outcomes literature shows mixed results mechanisms remain unclear medication adherence associated diabetes outcomes may mediating factor distinguishing unintentional intentional nonadherence may elucidate relationship health literacy nonadherence patients type 2 diabetes methods crosssectional study 208 patients type 2 diabetes recruited primary care clinic st louis missouri information obtained written questionnaire patient medical records bivariate multivariable regression used examine predictors medication nonadherence results majority patients study low income publicly insured african american limited health literacy high schoolged education less multivariable models limited health literacy significantly associated increased unintentional nonadherence intentional nonadherence conclusions results suggest differences factors affecting intentional unintentional nonadherence findings also suggest interventions needed decrease unintentional nonadherence among patients type 2 diabetes limited health literacy efforts address unintentional medication nonadherence among patients type 2 diabetes limited health literacy may improve patient health