PMID- 38265342
OWN - NLM
STAT- MEDLINE
DCOM- 20240125
LR  - 20240204
IS  - 1414-431X (Electronic)
IS  - 0100-879X (Print)
IS  - 0100-879X (Linking)
VI  - 57
DP  - 2024
TI  - Health literacy and diabetic retinopathy.
PG  - e13066
LID - S0100-879X2024000100551 [pii]
LID - 10.1590/1414-431X2023e13066 [doi]
LID - e13066
AB  - Health literacy (HL) is defined as a cognitive and social skill that determines 
      the motivation and ability of individuals to understand and use information to 
      promote and maintain proper health. Inadequate HL has been associated with worse 
      outcomes in diabetes control, poor self-care, and higher hospitalization rates 
      for some chronic diseases. We hypothesized that HL influences the prevalence of 
      diabetic retinopathy (DR) among individuals with type 2 diabetes mellitus (T2DM) 
      and that inadequate glycemic control would mediate this association. This was a 
      cross-sectional study carried out with 288 participants of the "Brazilian 
      Diabetes Study" cohort. Inclusion criteria were people diagnosed with T2DM aged 
      between 40 and 70 years and ability to read and write. In the adequate HL group, 
      DR was found in 16.5% of participants and in the inadequate HL group, it was 
      found in 32.8% (P=0.0081). Individuals with inadequate HL had a higher risk of 
      having DR, and this association was still statistically significant after 
      adjusting for HbA1c, low-density lipoprotein cholesterol, systolic blood 
      pressure, and diastolic blood pressure. In conclusion, HL is related to DR 
      without the mediation of classical clinical variables.
FAU - Breder, J C
AU  - Breder JC
AUID- ORCID: 0000-0002-7424-5233
AD  - Faculdade de Enfermagem, Universidade Estadual de Campinas, Campinas, SP, Brasil.
FAU - Breder, I
AU  - Breder I
AUID- ORCID: 0000-0003-4787-9916
AD  - Departamento de Cardiologia, Laboratorio de Aterosclerose e Biologia Vascular, 
      Universidade Estadual de Campinas, Campinas, SP, Brasil.
FAU - Barreto, J
AU  - Barreto J
AUID- ORCID: 0000-0003-1914-316X
AD  - Departamento de Cardiologia, Laboratorio de Aterosclerose e Biologia Vascular, 
      Universidade Estadual de Campinas, Campinas, SP, Brasil.
FAU - Fernandes, V
AU  - Fernandes V
AUID- ORCID: 0000-0003-2602-7925
AD  - Departamento de Oftalmologia, Hospital de Clinicas, Universidade Estadual de 
      Campinas, Campinas, SP, Brasil.
FAU - Zanchetta, F
AU  - Zanchetta F
AUID- ORCID: 0000-0002-5934-9683
AD  - Faculdade de Enfermagem, Universidade Estadual de Campinas, Campinas, SP, Brasil.
FAU - Oliveira, B A
AU  - Oliveira BA
AUID- ORCID: 0000-0002-7313-5630
AD  - Faculdade de Enfermagem, Universidade Estadual de Campinas, Campinas, SP, Brasil.
FAU - Chaves, F
AU  - Chaves F
AUID- ORCID: 0000-0002-6299-6443
AD  - Faculdade de Ciencias Medicas, Universidade Estadual de Campinas, Campinas, SP, 
      Brasil.
FAU - Sposito, A
AU  - Sposito A
AUID- ORCID: 0000-0001-7127-2052
AD  - Departamento de Cardiologia, Laboratorio de Aterosclerose e Biologia Vascular, 
      Universidade Estadual de Campinas, Campinas, SP, Brasil.
FAU - Lima, M H M
AU  - Lima MHM
AUID- ORCID: 0000-0001-6521-8324
LA  - eng
PT  - Journal Article
DEP - 20240122
PL  - Brazil
TA  - Braz J Med Biol Res
JT  - Brazilian journal of medical and biological research = Revista brasileira de 
      pesquisas medicas e biologicas
JID - 8112917
SB  - IM
MH  - Humans
MH  - Adult
MH  - Middle Aged
MH  - Aged
MH  - *Diabetic Retinopathy
MH  - *Diabetes Mellitus, Type 2
MH  - Cross-Sectional Studies
MH  - *Health Literacy
MH  - Brazil
PMC - PMC10802231
EDAT- 2024/01/24 12:43
MHDA- 2024/01/25 06:44
PMCR- 2024/01/22
CRDT- 2024/01/24 10:13
PHST- 2023/06/29 00:00 [received]
PHST- 2023/12/11 00:00 [accepted]
PHST- 2024/01/25 06:44 [medline]
PHST- 2024/01/24 12:43 [pubmed]
PHST- 2024/01/24 10:13 [entrez]
PHST- 2024/01/22 00:00 [pmc-release]
AID - S0100-879X2024000100551 [pii]
AID - 10.1590/1414-431X2023e13066 [doi]
PST - epublish
SO  - Braz J Med Biol Res. 2024 Jan 22;57:e13066. doi: 10.1590/1414-431X2023e13066. 
      eCollection 2024.