1. Chi-Wei Lin, I-Ting Liu, Ru-Yi Huang, Wei-Chieh Hung, Ching-Jung Ho
Health literacy and the care quality of newly diagnosed diabetic patients
Chi-Wei Lin, I-Ting Liu, Ru-Yi Huang, Wei-Chieh Hung, Ching-Jung Ho
E-Da Hospital/I-Shou University, Taiwan Health Evaluation and Promotion Association

2. Background
Diabetes is one of the important chronic disease in modern society, and the occurrence and prognosis of this disease is considered to be correlated with patients’ health belief and behavior.
Since health literacy is defined as “the ability to read, filter and understand health information in order to form sound judgments” by EU, it may also play an important role in the care of diabetic patients.

3. Insufficient ability for adequate diabetes care2
Diabetes in Taiwan
Prevalence: 1
Male %
Female %
Insufficient ability for adequate diabetes care2
Lack of knowledge
Negative attitude
Inappropriate health behavior
Chang, C.H., et al., Type 2 diabetes prevalence and incidence among adults in Taiwan during 1999–2004: a national health insurance data set study. Diabetic Medicine, (6): p
Ching-I Huang, Huey-Mei Jeng, Der-Chung Shen. Diabetes Knowledge, Attitude, Behavior and Demands in Diabetic Patients Health Promotion & Health Education Journal , 1998(18): p

4. Research Purpose
The health literacy in newly diagnosed diabetes patients in southern Taiwan.
Score distribution in Health Care, Disease Prevention, Health Promotion
The important attributes affecting health literacy and diabetes care outcome
Initial health literacy and the diabetes care outcome

5. theoretical Framework
WHO: Health literacy. The solid facts. Copenhagen, Denmark: WHO Regional Office for Europe, 2013.

6. Population Type 2 Diabetes patients Adult (>18 y/o)
Newly diagnosed (<1 year)
No obvious cognitive impairment

7. Tool

8. Methods
This research collects a newly diagnosed diabetes cohort in a large teaching hospital in Southern Taiwan
Evaluating the health literacy status in this population, and analyzing the relationship of the diabetes care outcome to the health literacy.

9. Results Initial enrolled patients: 78 Included in final analysis: 55
Inadequate (0–25) : 10 (18.2%)
Problematic (>25–33) : 21 (38.2%)
Sufficient (>33–42) : 10 (18.2%)
Excellent (>42–50) : 14 (25.5%)

10. Demographics in inadequate HL and higher HL participants
P value
Age
58.6
55.6
0.462
Gender (male/female)
3/7 (0.43)
22/23 (0.96)
0.318
BMI
27.5
26.8
0.579
Multiple Chronic Disease
(yes/no)
5/5 (1.00)
19/26 (0.73)
0.220
Marital Status (married/single)
7/3 (2.33)
44/1 (44.00)
0.016*
Education
(<6 year/high school/college)
6/4/0
11/26/8
0.061

11. clinical characteristic differences between inadequate HL and higher HL participants
P value
Glucose AC (mg/dL)
133.2
134.4
0.934
HbA1C (%)
8.6
7.3
0.359
Total Cholesterol (mg/dL)
202.3
203.5
0.956
HDL (mg/dL)
44.6
41.0
LDL(mg/dL)
109.3
108.3
0.943
Proteinuria
(yes/no)
5/2
10/15
0.209

12. attributes of adequately controlled DM patients (HbA1C <7%) in six months
OR (95% CI)
P value
Age (≥65 y/o vs. <65 y/o)
8.13 ( )
0.934
Gender (male vs. female)
0.76 ( )
0.802
BMI (≥27 vs. <27)
1.25 ( )
0.956
Initial HbA1C (≤7% vs. >7%)
17.24 ( )
0.026*
Inadequate Health Care HL
27.70 ( )
0.114
Inadequate Disease Prevention HL
0.001 ( )
0.051
Inadequate Health Promotion HL
( )
0.035*

13. The relationship between and HL and diabetic care outcome
Marital status, education and multiple disease condition is related to inadequate health literacy.
Diabetes care outcome (HbA1C) showed no obvious relationship with health literacy.
Short investigation period and small numbers of participants may limit the research result to reach statistical significance.