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Health literacy and cardiovascular complications in people with type 2 Diabetes

2021-12-30Journal article Open access
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dc.contributor.authorVieira, Maria
dc.contributor.authorRosendo, Inês
dc.contributor.authorGomes, Pedro
dc.contributor.authorSantiago, Luiz Miguel de Mendonça Soares
dc.contributor.authorDomingues, Ana Catarina
dc.contributor.authorSimões, José Augusto Rodrigues
dc.date.accessioned2022-06-20T08:45:31Z
dc.date.available2022-06-20T08:45:31Z
dc.date.issued2021-12-30
dc.description.abstractBackground Cardiovascular complications are the main causes of death for type 2 diabetes. Their relationship to socioeconomic factors, such as health literacy, is not well known. Objectives To study the relationship between health literacy and cardiovascular complications (acute myocardial infarction, cerebrovascular accident, transient ischemic attack and ischemic heart disease) in type 2 diabetes patients and to understand the relationship of type 2 diabetes mellitus associated cardiovascular disease with empowerment and therapy adherence. Material and methods A cross-sectional study with a convenience sample of people with type 2 diabetes in central Portugal. Socio--demographic and clinical characteristics (blood pressure, LDL cholesterol, hemoglobin A1c and history of cardiovascular diseases) were collected, and validated scales were applied to assess health literacy, adherence to therapy, empowerment and quality of life. Bivariate inferential analysis between literacy, other variables and cardiovascular diseases, with subsequent Logistic Regression, was performed. Results A sample of n = 202, mean age 68.11 ± 10.19 years, n = 116 (57.4%) males was studied. Higher health literacy was significantly associated with a lower prevalence of cardiovascular diseases (p = 0.015). This relationship was independent of the remaining variables (OR = 0.947; 95% CI: 0.913–0.982; p = 0.003). Significant relationships were demonstrated between cardiovascular disease and quality of life (p = 0.001), adherence to total therapy (p = 0.045), general diet (p = 0.002), physical activity (p = 0.027), age (p = 0.004) and LDL cholesterol (p = 0.036). Conclusions The independent relationship between health literacy and cardiovascular disease in people with type 2 diabetes, when confirmed, will indicate that health literacy promotion acts as an important health policy measure to be adopted.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationVieira M, Rosendo I, Gomes P, Miguel Santiago L, Catarina Domingues A, Augusto Simões J. Health literacy and cardiovascular complications in people with type 2 Diabetes. Family Medicine & Primary Care Review. 2021;23(4):488-493. doi:10.5114/fmpcr.2021.110367.pt_PT
dc.identifier.doi10.5114/fmpcr.2021.110367pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.6/12264
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/pt_PT
dc.subjectDiabetes mellitus type 2pt_PT
dc.subjectHealth literacypt_PT
dc.subjectSelf carept_PT
dc.subjectQuality of lifept_PT
dc.subjectEmpowermentpt_PT
dc.subjectTreatment adherence and compliancept_PT
dc.titleHealth literacy and cardiovascular complications in people with type 2 Diabetespt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage493pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage488pt_PT
oaire.citation.titleFamily Medicine & Primary Care Reviewpt_PT
oaire.citation.volume23pt_PT
person.familyNameRosendo Carvalho e Silva Caetano
person.familyNameSantiago
person.familyNameRodrigues Simões
person.givenNameInês
person.givenNameLuiz Miguel
person.givenNameJosé Augusto
person.identifierL-4695-2016
person.identifier.ciencia-id891E-AFFC-7698
person.identifier.ciencia-idAB13-2946-9E61
person.identifier.ciencia-idE419-CED2-38BA
person.identifier.orcid0000-0001-8838-6021
person.identifier.orcid0000-0002-9343-2827
person.identifier.orcid0000-0003-2264-7086
person.identifier.ridP-9545-2018
person.identifier.scopus-author-id36896116500
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationf09189dd-985f-4290-8b3e-8642a6b6a55f
relation.isAuthorOfPublicationd369cbf1-cade-4706-8910-63a567b6e838
relation.isAuthorOfPublication919b504d-aaa9-40ee-a1a5-40e1e0a57f6f
relation.isAuthorOfPublication.latestForDiscoveryf09189dd-985f-4290-8b3e-8642a6b6a55f

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