Health literacy and diabetic retinopathy

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-01-22 DOI:10.1590/1414-431X2023e13066

J. C. Breder, I. Breder, J. Barreto, V. Fernandes, F. Zanchetta, B. A. Oliveira, F. Chaves, A. Sposito, M.H.M. Lima, Short Communication

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Abstract

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.

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健康素养与糖尿病视网膜病变

健康素养（HL）被定义为一种认知和社会技能，它决定了个人理解和使用信息以促进和保持适当健康的动机和能力。健康素养不足与糖尿病控制效果较差、自我护理能力较差以及某些慢性病的住院率较高有关。我们的假设是，HL 会影响 2 型糖尿病（T2DM）患者中糖尿病视网膜病变（DR）的发病率，而血糖控制不足会介导这种关联。这是一项横断面研究，对象是 "巴西糖尿病研究 "队列中的 288 名参与者。纳入标准是年龄在 40 至 70 岁之间、具有读写能力的 T2DM 患者。在高密度脂蛋白血症充足组中，16.5% 的参与者发现了 DR，而在高密度脂蛋白血症不足组中，32.8% 的参与者发现了 DR（P=0.0081）。HL 不足的人患 DR 的风险更高，在调整 HbA1c、低密度脂蛋白胆固醇、收缩压和舒张压后，这种关联仍具有统计学意义。总之，HL与DR的关系不受传统临床变量的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.