Observational study demonstrates worse glycemic control and higher retinopathy rates in primary care diabetes patients, highlighting literacy as a critical intervention target.
Among primary care patients with type 2 diabetes, inadequate health literacy is independently associated with worse glycemic control and higher rates of retinopathy. Inadequate health literacy may contribute to the disproportionate burden of diabetes-related problems among disadvantaged populations. Efforts should focus on developing and evaluating interventions to improve diabetes outcomes among patients with inadequate health literacy.
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Dean Schillinger (2002) studied this question.
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