Chandra Y. Osborn|Sujeev S. Bains|Leonard E. Egede
Health Literacy, Diabetes Self-Care, and Glycemic Control in Adults with Type 2 Diabetes
Vanderbilt University|Medical University of South Carolina|Medical University of South Carolina|Ralph H. Johnson VA Medical Center
although limited health literacy barrier disease management associated poor glycemic control mechanisms underlying relationships health literacy diabetes outcomes unknown examined relationships health literacy determinants diabetes selfcare glycemic control adults type 2 diabetespatients diabetes recruited outpatient primary care clinic collected information demographics health literacy diabetes knowledge diabetes fatalism social support diabetes selfcare hemoglobin a1c values extracted medical record structural equation models tested predicted pathways linking health literacy diabetes selfcare glycemic controlno direct relationship observed health literacy diabetes selfcare glycemic control health literacy direct effect social support r 020 p 005 social support indirect effect diabetes selfcare r 007 glycemic control r 001 diabetes knowledge r 022 p 005 less fatalism r 022 p 005 social support r 027 p 001 independent direct predictors diabetes selfcare selfcare related glycemic control r 020 p 005our findings suggest health literacy indirect effect diabetes selfcare glycemic control association social support suggests patients limited health literacy enhancing social support would facilitate diabetes selfcare improved glycemic control