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Prevalence of limited health literacy among patients with type 2 diabetes mellitus: A systematic review

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  • Adina Abdullah
  • Su May Liew
  • Hani Salim
  • Chirk Jenn Ng
  • Karuthan Chinna

Abstract

Background: Health literacy (HL) skills are essential to enable self-management and shared decision-making in patients with type 2 diabetes mellitus (T2DM). Limited HL in these patients is associated with poorer outcomes. It is not clear what the burden of limited HL in patients with T2DM across countries and what factors influence it. Methods: A systematic review was conducted according to the PRISMA guidelines. The study protocol was registered with PROSPERO (CRD42017056150). We searched MEDLINE, EMBASE, PsycINFO, CINAHL and ERIC for articles published up to January 2017. Articles that measured HL levels in adult patients with T2DM; that used validated HL tools; and that were reported in English were included. Two reviewers assessed studies for eligibility and quality, and extracted the data. Prevalence of limited HL is calculated from the number of patients with less than adequate HL over the total number of patients with T2DM in the study. Meta-analysis and meta-regression analysis were conducted using the Open Meta-analyst software. Results: Twenty-nine studies involving 13,457 patients with T2DM from seven countries were included. In total, seven different HL measurement tools were used. The prevalence of limited HL ranged from 7.3% to 82%, lowest in Switzerland and the highest in Taiwan. Meta-regression analysis of all included studies showed the country of study (p

Suggested Citation

  • Adina Abdullah & Su May Liew & Hani Salim & Chirk Jenn Ng & Karuthan Chinna, 2019. "Prevalence of limited health literacy among patients with type 2 diabetes mellitus: A systematic review," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-16, May.
    • Handle: RePEc:plo:pone00:0216402
    DOI: 10.1371/journal.pone.0216402
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    References listed on IDEAS

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    1. Sarah Mantwill & Silvia Monestel-Umaña & Peter J Schulz, 2015. "The Relationship between Health Literacy and Health Disparities: A Systematic Review," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-22, December.
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