Relationship Between Health Literacy and Unintentional and Intentional Medication Nonadherence in Medically Underserved Patients With Type 2 Diabetes

The Diabetes Educator
Jessica H FanKimberly Kaphingst

Abstract

The purpose of this study was to investigate the relationship between health literacy and overall medication nonadherence, unintentional nonadherence, and intentional nonadherence. Limited health literacy may be associated with worse diabetes outcomes, but the literature shows mixed results, and mechanisms remain unclear. Medication adherence is associated with diabetes outcomes and may be a mediating factor. Distinguishing between unintentional and intentional nonadherence may elucidate the relationship between health literacy and nonadherence in patients with type 2 diabetes. Cross-sectional study of 208 patients with type 2 diabetes recruited from a primary care clinic in St. Louis, Missouri. Information was obtained from written questionnaire and patient medical records. Bivariate and multivariable regression were used to examine predictors of medication nonadherence. The majority of patients in the study were low income, publicly insured, and African American, with limited health literacy and a high school/GED education or less. In multivariable models, limited health literacy was significantly associated with increased unintentional nonadherence but not intentional nonadherence. Results suggest differences in factors affe...Continue Reading

References

Jun 1, 1997·American Journal of Public Health·D W BakerJ Nurss
Sep 16, 1998·Clinical Therapeutics·R Balkrishnan
Jul 23, 2002·JAMA : the Journal of the American Medical Association·Dean SchillingerAndrew B Bindman
Oct 23, 2002·Journal of General Internal Medicine·Carol E GolinNeil S Wenger
Jul 23, 2003·The American Journal of Gastroenterology·Maida J SewitchPatricia L Dobkin
Oct 10, 2003·American Journal of Public Health·Somnath SahaLisa A Cooper
Mar 5, 2004·Patient Education and Counseling·Dean SchillingerJohn Piette
Jul 22, 2004·The Annals of Pharmacotherapy·Johnson GeorgeKay Stewart
Nov 25, 2004·Diabetes Care·Manel PladevallJennifer Elston Lafata
Apr 27, 2005·The American Journal of Medicine·Richard R Rubin
May 24, 2005·Medical Care·Michael C SokolRobert S Epstein
Jun 16, 2005·The Annals of Pharmacotherapy·Kathryn P LowryHayden B Bosworth
Sep 27, 2006·Archives of Internal Medicine·P Michael HoDavid J Magid
Mar 21, 2008·Journal of Advanced Nursing·Ying Ho TangVincent T F Yeung
Feb 3, 2009·Journal of Behavioral Medicine·Devin M MannEthan A Halm
Nov 6, 2009·Medical Care·David C ChanNiteesh K Choudhry
Nov 10, 2009·Diabetes Research and Clinical Practice·J E ShawP Z Zimmet
Dec 15, 2010·Journal of Clinical Epidemiology·Donald E Morisky, M Robin DiMatteo
Sep 29, 2011·Journal of Health Communication·Chandra Y OsbornRichard O White
Oct 6, 2011·Journal of General Internal Medicine·Lee A LindquistDavid W Baker
Jun 2, 2012·International Journal of Medical Informatics·M VervloetD H de Bakker
Jul 3, 2013·Current Medical Research and Opinion·Suellen M CurkendallAudrey J Weiss
Mar 29, 2014·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Christopher R CarpenterRichard T Griffey
Jun 21, 2014·The Diabetes Educator·Stacy Cooper BaileyDean Schillinger
Dec 23, 2014·Diabetes Technology & Therapeutics·Maria Miller ThurstonSally A Huston
Sep 12, 2015·Journal of the American Board of Family Medicine : JABFM·Melody S GoodmanKimberly A Kaphingst

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Citations

Jun 6, 2018·Circulation·Jared W MagnaniUNKNOWN American Heart Association Council on Epidemiology and Prevention; Council on Cardiovascular Disease in the Young; Council o
Dec 18, 2019·Oncology Nursing Forum·Julie Kieffer Campbell
Jul 10, 2018·International Journal of Paediatric Dentistry·Ramon Targino FirminoSaul Martins Paiva
Aug 30, 2018·International Journal of Clinical Pharmacy·Alemayehu B MekonnenZenahbezu Abay
Aug 11, 2018·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·Hanna M Seidling, Ronja Woltersdorf
Apr 4, 2019·Pediatric Blood & Cancer·Marianne E McPherson YeeAngela G Brega
Jan 31, 2021·Journal of General Internal Medicine·Marcee E WilderMelissa L McCarthy

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