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Health Literacy and Health Outcomes in Diabetes: A Systematic Review

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TLDR
There is little sufficient or consistent evidence suggesting that it is independently associated with processes or outcomes of diabetes-related care, and it may be premature to routinely screen for low health literacy as a means for improving diabetes- related health-related outcomes.
Abstract
BACKGROUND Low health literacy is considered a potential barrier to improving health outcomes in people with diabetes and other chronic conditions, although the evidence has not been previously systematically reviewed.

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Measurement properties and comparative performance of health literacy screening questions in a predominantly low income African American population with diabetes.

TL;DR: The weighted summative score of the 6-SQ and the item "difficulty understanding written information" performed better than the 3-S Q in identifying patients with inadequate HL and could be applied in studies using these screening questions for better classification of inadequate HL.
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Patients' Experiences of Diabetes Self-Management Education According to Health-Literacy Levels

TL;DR: Patients’ experiences with diabetes self-management education revealed differences in their health-literacy dimensions, which need to be accommodated according to patients’ health- Literacy levels to obtain better outcomes.
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Health education services utilization and its determinants among migrants: a cross-sectional study in urban-rural fringe areas of Beijing, China

TL;DR: Wang et al. as discussed by the authors explored the determinant factors associated with health education utilization as a key aspect in basic public health services for migrants in Beijing, China, and revealed that 61.6% of migrants desired to receive health education, while only 53.8% of them received in the past year.
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Association of Acculturation and Health Literacy with Prevalent Dysglycemia and Diabetes Control Among Latinos in the Boston Area Community Health (BACH) Survey

TL;DR: Among an insured primarily foreign born Spanish speaking Latino population, with a long residence period in the US and good healthcare utilization, higher levels of acculturation were not associated with dysglycemia and lower levels of ACC were associated with worse diabetes control.
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The Variables Associated With Health Promotion Behaviors Among Urban Black Women

TL;DR: The development and incorporation of interventions to promote health promotion behaviors should include readiness for change, health literacy, BMI, and education, especially among urban Black women in order to reduce critical health disparities.
References
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A systematic review of the literature

TL;DR: Physicians should consider modification of immunosuppressive regimens to decrease the risk of PTD in high-risk transplant recipients and Randomized trials are needed to evaluate the use of oral glucose-lowering agents in transplant recipients.
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Low Health Literacy and Health Outcomes: An Updated Systematic Review

TL;DR: Low health literacy was consistently associated with more hospitalizations; greater use of emergency care; lower receipt of mammography screening and influenza vaccine; poorer ability to demonstrate taking medications appropriately; poorer able to interpret labels and health messages; and, among elderly persons, poorer overall health status and higher mortality rates.
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The evolving concept of health literacy.

TL;DR: The paper concludes that both conceptualizations are important and are helping to stimulate a more sophisticated understanding of the process of health communication in both clinical and community settings, as well as highlighting factors impacting on its effectiveness.
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Literacy and health outcomes

TL;DR: Low literacy is associated with several adverse health outcomes and future research, using more rigorous methods, will better define these relationships and guide developers of new interventions.
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Association of health literacy with diabetes outcomes.

TL;DR: Inadequate health literacy may contribute to the disproportionate burden of diabetes-related problems among disadvantaged populations and efforts should focus on developing and evaluating interventions to improve diabetes outcomes among patients with inadequate health literacy.
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