Health Literacy Association With Diabetes Self-care Behaviour and Glycemic Control: A Scoping Review

Main Article Content

Roszita Ibrahim
Siti Bazlina Mohd Rawi

Abstract

Chronic uncontrolled diabetes can lead to multiple complications that can affect quality of life but with health literacy (HL), individuals can understand and act on healthcare providers' advice and seek treatment at healthcare facilities. This brief review summarises and to discover current observational studies on association between HL and diabetes self-care behaviour and glycaemic control in individual with Type 2 Diabetes mellitus. The literature search was performed using four databases; Web of Science, Scopus, Google Scholar, and PubMed. The search was limited to 2018–2023 articles. This review encompassed a total of twenty studies. The results show that health literacy (HL) is strongly linked to diabetes self-care in type 2 diabetics. However, HL association with glycaemic control is inconclusive. This review indicated that individuals’ HL level is needed to understand and act on health advice and seek treatment at healthcare facilities. 

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How to Cite
Ibrahim, R., & Mohd Rawi, S. B. (2024). Health Literacy Association With Diabetes Self-care Behaviour and Glycemic Control: A Scoping Review. Malaysian Journal of Medicine and Health Sciences, 20(6), 331–340. https://doi.org/10.47836/mjmhs20.6.41
Section
Review Article

References

World Health Organization. WHO Global Report on Diabetes 20162016.

Lin X, Xu Y, Pan X, Xu J, Ding Y, Sun X, et al. Global, regional, and national burden and trend of diabetes in 195 countries and territories: an analysis from 1990 to 2025. Scientific Reports. 2020;10(1):14790 DOI: 10.1038/s41598-020-71908-9.

Goyal R, Jialal I. Diabetes mellitus Type 2. StatPearls. Treasure Island (FL): StatPearls PublishingCopyright © 2022, StatPearls Publishing LLC.; 2022.

Eva JJ, Kassab YW, Neoh CF, Ming LC, Wong YY, Abdul Hameed M, et al. Self-Care and Self-Management Among Adolescent T2DM Patients: A Review. Frontiers in Endocrinology. 2018;9 DOI: 10.3389/fendo.2018.00489.

Saad AMJ, Younes ZMH, Ahmed H, Brown JA, Al Owesie RM, Hassoun AAK. Self-efficacy, self-care and glycemic control in Saudi Arabian patients with type 2 diabetes mellitus: A cross-sectional survey. Diabetes Research and Clinical Practice. 2018;137:28-36 DOI: https://doi.org/10.1016/j.diabres.2017.12.014.

Banerjee M, Chakraborty S, Pal R. Diabetes self-management amid COVID-19 pandemic. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2020;14(4):351-4 DOI: https://doi.org/10.1016/j.dsx.2020.04.013.

Zhou Y, Liao L, Sun M, He G. Self-care practices of Chinese individuals with diabetes. Exp Ther Med. 2013;5(4):1137-42 DOI: 10.3892/etm.2013.945.

Kaiafa G, Veneti S, Polychronopoulos G, Pilalas D, Daios S, Kanellos I, et al. Is HbA1c an ideal biomarker of well-controlled diabetes? Postgrad Med J. 2021;97(1148):380-3 DOI: 10.1136/postgradmedj-2020-138756.

American Diabetes Association. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes—2022. Diabetes Care. 2021;45(Supplement_1):S17-S38 DOI: 10.2337/dc22-S002.

Mark Kutner, Elizabeth Greenberg, Ying Jin, Christine Paulsen. . US Department of Education NCES 2006–483. 2006.

Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health promotion international. 2000;15(3):259-67.

Liu C, Wang D, Liu C, Jiang J, Wang X, Chen H, et al. What is the meaning of health literacy? A systematic review and qualitative synthesis. Fam Med Community Health. 2020;8(2) DOI: 10.1136/fmch-2020-000351.

McDonald M SL. Health Literacy and Health Outcomes of Adults in the United States: Implications for Providers. . The Internet Journal of Allied Health Sciences and Practice 2018 Jan 01;16(4), Article 2 2018.

Marciano L, Camerini AL, Schulz PJ. The Role of Health Literacy in Diabetes Knowledge, Self-Care, and Glycemic Control: a Meta-analysis. J Gen Intern Med. 2019;34(6):1007-17 DOI: 10.1007/s11606-019-04832-y.

Alsaedi R, McKeirnan K. Literature Review of Type 2 Diabetes Management and Health Literacy. Diabetes Spectr. 2021;34(4):399-406 DOI: 10.2337/ds21-0014.

Asharani PV, Lau JH, Roystonn K, Devi F, Peizhi W, Shafie S, et al. Health Literacy and Diabetes Knowledge: A Nationwide Survey in a Multi-Ethnic Population. Int J Environ Res Public Health. 2021;18(17) DOI: 10.3390/ijerph18179316.

Kim SH. Health literacy and diabetes self-care activities: The mediating effect of knowledge and patient activation. Int J Nurs Pract. 2021;27(4):e12925 DOI: 10.1111/ijn.12925.

Niknami M, Mirbalouchzehi A, Zareban I, Kalkalinia E, Rikhtgarha G, Hosseinzadeh H. Association of health literacy with type 2 diabetes mellitus self-management and clinical outcomes within the primary care setting of Iran. Aust J Prim Health. 2018;24(2):162-70 DOI: 10.1071/py17064.

BA AL, Alhalal EA. Effects of health literacy on type 2 diabetic patients' glycemic control, self-management, and quality of life. Saudi Med J. 2022;43(5):465-72 DOI: 10.15537/smj.2022.43.5.20210917.

White A, Buschur E, Harris C, Pennell ML, Soliman A, Wyne K, et al. Influence of Literacy, Self-Efficacy, and Social Support on Diabetes-Related Outcomes Following Hospital Discharge. Diabetes Metab Syndr Obes. 2022;15:2323-34 DOI: 10.2147/dmso.S327158.

Tavares VB, Farias AL, Silva A, Souza JSE, Silva HPD, Bastos M, et al. Amazon Amandaba-Sociodemographic Factors, Health Literacy, Biochemical Parameters and Self-Care as Predictors in Patients with Type 2 Diabetes ellitus: A Cross-Sectional Study. Int J Environ Res Public Health. 2023;20(4) DOI: 10.3390/ijerph20043082.

İlhan N, Telli S, Temel B, Aştı T. Health literacy and diabetes self-care in individuals with type 2 diabetes in Turkey. Prim Care Diabetes. 2021;15(1):74-9 DOI: 10.1016/j.pcd.2020.06.009.

Doubova SV, Infante C, Villagrana-Gutiérrez GL, Martínez-Vega IP, Pérez-Cuevas R. Adequate health literacy is associated with better health outcomes in people with type 2 diabetes in Mexico. Psychol Health Med. 2019;24(7):853-65 DOI: 10.1080/13548506.2019.1574356.

Finbråten HS, Guttersrud Ø, Nordström G, Pettersen KS, Trollvik A, Wilde-Larsson B. Explaining variance in health literacy among people with type 2 diabetes: the association between health literacy and health behaviour and empowerment. BMC Public Health. 2020;20(1):161 DOI: 10.1186/s12889-020-8274-z.

Chen SY, Hsu HC, Wang RH, Lee YJ, Hsieh CH. Glycemic Control in Insulin-Treated Patients With Type 2 Diabetes: Empowerment Perceptions and Diabetes Distress as Important Determinants. Biol Res Nurs. 2019;21(2):182-9 DOI: 10.1177/1099800418820170.

Luo H, Patil SP, Cummings DM, Bell RA, Wu Q, Adams AD. Health Literacy, Self-management Activities, and Glycemic Control Among Adults With Type 2 Diabetes: A Path Analysis. J Public Health Manag Pract. 2020;26(3):280-6 DOI: 10.1097/PHH.0000000000000984.

Sayeed SKJB, Moniruzzaman M, Hossain KJ, Mehzabin R. Association of Functional Health Literacy with Glycemic Control: A Cross Sectional Study in Urban Population of Bangladesh. Journal of Medicine. 2019;20(1):19-24 DOI: 10.3329/jom.v20i1.38816.

Hashim SA, Barakatun-Nisak MY, Abu Saad H, Ismail S, Hamdy O, Mansour AA. Association of Health Literacy and Nutritional Status Assessment with Glycemic Control in Adults with Type 2 Diabetes mellitus. Nutrients. 2020;12(10):3152. DOI: 10.3390/nu12103152

Hussein SH, Albatineh AN, Almajran A, Ziyab AH. Association of health literacy and other risk factors with glycemic control among patients with type 2 diabetes in Kuwait: A cross-sectional study. Primary Care Diabetes. 2021;15(3):571-7 DOI: https://doi.org/10.1016/j.pcd.2021.01.011.

Saeed H, Saleem Z, Naeem R, Shahzadi I, Islam M. Impact of health literacy on diabetes outcomes: a cross-sectional study from Lahore, Pakistan. Public Health. 2018;156:8-14 DOI: 10.1016/j.puhe.2017.12.005.

Mashi AH, Aleid D, Almutairi S, Khattab F, AlMuqawed AN, Khan S, et al. The association of health literacy with glycemic control in Saudi patients with type 2 diabetes. Saudi Med J. 2019;40(7):675-80 DOI: 10.15537/smj.2019.7.24277.

Tan WY, M I. Health Literacy Among Adult Type 2 Diabetes mellitus Patients in Klang Health District Malaysia. JUMMEC 2020:23(Suppl 1). 2020.

Alvarez PM, Young LA, Mitchell M, Blakeney TG, Buse JB, Vu MB, et al. Health Literacy, Glycemic Control, and Physician-Advised Glucose Self-Monitoring Use in Type 2 Diabetes. Diabetes Spectr. 2018;31(4):344-7 DOI: 10.2337/ds18-0064.

RobatSarpooshi D, Mahdizadeh M, Alizadeh Siuki H, Haddadi M, Robatsarpooshi H, Peyman N. The Relationship Between Health Literacy Level and Self-Care Behaviors in Patients with Diabetes. Patient Related Outcome Measures. 2020;11:129-35 DOI: 10.2147/PROM.S243678.

Tavakoly Sany SB, Esmaeily A, Lael-Monfared E, Tehrani H, Ferns G, Jafari A. Organizing framework to investigate associations between diabetes knowledge, health literacy, and self-care behaviors in patients with type 2 diabetes based on the extended parallel process model. J Diabetes Metab Disord. 2020;19(2):1283-92 DOI: 10.1007/s40200-020-00642-w.

Maleki Chollou K, Gaffari-Fam S, Babazadeh T, Daemi A, Bahadori A, Heidari S. The Association of Health Literacy Level with Self-Care Behaviors and Glycemic Control in a Low Education Population with Type 2 Diabetes mellitus: A Cross-Sectional Study in Iran. Diabetes Metab Syndr Obes. 2020;13:1685-93 DOI: 10.2147/dmso.S253607.

Yarmohammadi S, Momenyan S, Ghaffari M, Ali R, Azizpour M. Impact of functional, communicative and critical health literacy on glycemic control among patients with type 2 diabetes, and the mediating role of self-care. Psychol Res Behav Manag. 2019;12:427-35 DOI: 10.2147/prbm.S207466.

Levic M, Bogavac-Stanojevic N, Krajnovic D. The Instruments Used to Assess Health Literacy and Pharmacotherapy Literacy of Diabetes mellitus Type 2 Patients: A Scoping Review. Front Public Health. 2021;9:747807 DOI: 10.3389/fpubh.2021.747807.

Karimy M, Koohestani HR, Araban M. The association between attitude, self-efficacy, and social support and adherence to diabetes self-care behavior. Diabetology & Metabolic Syndrome. 2018;10(1):86 DOI: 10.1186/s13098-018-0386-6.

Li FR, Yang HL, Zhou R, Zheng JZ, Chen GC, Zou MC, et al. Diabetes duration and glycaemic control as predictors of cardiovascular disease and mortality. Diabetes Obes Metab. 2021;23(6):1361-70 DOI: 10.1111/dom.14348.

Boye KS, Thieu VT, Lage MJ, Miller H, Paczkowski R. The Association Between Sustained HbA1c Control and Long-Term Complications Among Individuals with Type 2 Diabetes: A Retrospective Study. Adv Ther. 2022;39(5):2208-21 DOI: 10.1007/s12325-022-02106-4.

Ran X, Chen Y, Jiang K, Shi Y. The Effect of Health Literacy Intervention on Patients with Diabetes: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2022;19(20) DOI: 10.3390/ijerph192013078.

Hennerich H. Health, Wealth and Education: Is There a Link for Countries? https://www.stlouisfed.org/open-vault/2021/july/health-wealth-education-link-countries 2021 [

Mounier-Jack S, Mayhew SH, Mays N. Integrated care: learning between high-income, and low- and middle-income country health systems. Health Policy and Planning. 2017;32(suppl_4):iv6-iv12 DOI: 10.1093/heapol/czx039.

Langlois EV, McKenzie A, Schneider H, Mecaskey JW. Measures to strengthen primary health-care systems in low- and middle-income countries. Bull World Health Organ. 2020;98(11):781-91 DOI: 10.2471/blt.20.252742.

LaMorte WW. Three Methods for Minimizing Confounding in the Study Design Phase https://sphweb.bumc.bu.edu/otlt/MPH-Modules/PH717-QuantCore/PH717-Module11-Confounding-EMM/PH717-Module11-Confounding-EMM4.html 2021 [

Kahlert J, Gribsholt SB, Gammelager H, Dekkers OM, Luta G. Control of confounding in the analysis phase - an overview for clinicians. Clin Epidemiol. 2017;9:195-204 DOI: 10.2147/clep.S129886.