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Does Limited Health Literacy Explain Racial/Ethnic Disparities in Diabetes Control?

Health Literacy and Type 2 Diabetes Control

Disparities Research

Nearly half of all American adults (90 million people) have difficulty understanding and using health information. While the problem of limited health literacy is pervasive, the elderly, the poor, and racial and ethnic minorities are more likely to affected. Limited health literacy is estimated to cost the health care system billions of dollars in avoidable health care costs each year, as people with limited health literacy are more likely to be hospitalized and to use emergency services. Previous research has demonstrated that diabetics with limited health literacy knew less about their disease and how to manage it properly. Using this as motivation, NERI researchers used preliminary data from the Boston Area Community Health (BACH) III Survey to examine the role of limited health literacy on type 2 diabetes control.

 

Relevant Presentations

AcademyHealth, 2012, Orlando, FL

Session: Patient Perceptions, Provider Communication, Health Literacy, and Disparities Presentation: Does Limited Health Literacy Explain Racial/Ethnic Disparities in Diabetes Control? (View PDF)
Rebecca S. Piccolo, ScM, PMP  

 

2012 Science of Eliminating Health Disparities Summit, National Harbor, MD

Poster: Does Limited Health Literacy Explain Racial/Ethnic Disparities in Diabetes Control? (View PDF)
Rebecca S. Piccolo, ScM, PMP

 






Marceau, L., McKinlay, J. B., Shackelton, R., & Link, C. (Epub ahead of print). The relative contribution of patient, provider and organizational influences to the appropriate diagnosis and management of diabetes mellitus. Journal of Evaluation in Clinical Practice.

Siegrist, J., Shackelton, R., Link, C., Marceau, L., von dem Knesebeck, O., McKinlay, J. (2010). Work stress of primary care physicians in the US, UK and German health care system. Social Science and Medicine, 71(2), 298-304.

Von dem Knesebeck, O., Bonte, M., Siegrist, J., Marceau, L., Link, C., & McKinlay, J. (2010). Diagnosis and therapy of depression in the elderly--influence of patient and physician characteristics. Psychother Psychosom Med Psychol, 60(3-4), 98-103.

Konrad, T. R., Link, C. L., Shackelton, R. J., Marceau, L. D., von dem Knesebeck, O., Siegrist, J., et al. (2010). It's about time: Physicians' perceptions of time constraints in primary care medical practice in three national healthcare systems. Medical Care, 48(2), 95-100.

Von dem Knesebeck, O., Gerstenberger, E., Link, C., Marceau, L., Roland, M., Campbell, S., et al. (2010). Differences in the diagnosis and management of type 2 diabetes in 3 countries (US, UK, and Germany): Results from a factorial experiment. Medical Care, 48(4), 321-326.

Grant, R. W., Lutfey, K. E., Gerstenberger, E., Link, C. L., Marceau, L. D., & McKinlay, J. B. (2009). The decision to intensify therapy in patients with type 2 diabetes: results from an experiment using a clinical case vignette. The Journal of the American Board of Family Medicine, 22(5), 513-520.

Maserejian, N. N., Lutfey, K. E., & McKinlay, J. B. (2009). Do physicians attend to base rates? Prevalence data and statistical discrimination in the diagnosis of coronary heart disease. Health Services Research, 44(6), 1933-1949.

Shackelton, R. J., Marceau, L. D., Link, C. L., & McKinlay, J. B. (2009). The intended and unintended consequences of clinical guidelines. Journal of Evaluation in Clinical Practice, 15(6), 1035-1042.

Shackelton, R., Link, C., Marceau, L., & McKinlay, J. (2009). Does the culture of a medical practice affect the clinical management of diabetes by primary care providers? Journal of Health Services Research and Policy, 14(2), 96-103.

Jackson, C.B., Botelho, E.M., Welch, L.C., Joseph J., & Tennstedt, S.L. (2012). Talking With Others About Stigmatized Health Conditions: Implications for Managing Symptoms. Qualitative Health Research, Epub ahead of print.

Link, C.L., Stern, T.A., Piccolo, R.S., Marceau, L.D., Arber, S., Adams, A., Siegrist, J., von dem Knesebeck, O., McKinlay, J.B. (2011). Diagnosis and Management of Depression in 3 Countries: Results From a Clinical Vignette Factorial Experiment. The Primary Care Companion for CNS Disorders, 13(5), e1-e7.

Lutfey, K.E., Campbell, S.M., Marceau, L.D., Roland, M.O., McKinlay, J.B. (2012). Influences of organizational features of healthcare settings on clinical decision making: Qualitative results from a cross-national factorial experiment. Health, 16(1), 40-56.

Marceau L, McKinlay J, Shackelton, R, Link C. (2011). The relative contribution of patient, provider and organizational influences to the appropriate diagnosis and management of diabetes mellitus. Journal of Evaluation in Clinical Practice, 17(6),1122-8.

McKinlay, J.B., Marceau, L.D., Piccolo, R.J. (2012). Do doctors contribute to the social patterning of disease? The case of race/ethnic disparities in diabetes mellitus. Medical Care Research and Review, 69(2),176-93.

McKinlay J.B., & Marceau, L.D. (2011). New wine in an old bottle: does alienation provide an explanation of the origins of physician discontent? International Journal of Health Services, 41(2), 301-35.

Oka, M., Link, C.L., Kawachi, I. (2011). Disparities in the prevalence of obesity in Boston: results from the Boston Area Community Health (BACH) survey. Public Health Reports, 126(5), 700-7.

Shackelton-Piccolo, R., McKinlay, J.B., Marceau, L.D., Goroll, A.H., Link, C.L. (2011). Differences between internists and family practitioners in the diagnosis and management of the same patient with coronary heart disease. Medical Care Research and Review, 68(6), 650-66.

Welch, L.C., Lutfey, K.E., Gerstenberger, E., Grace, M. (2012). Gendered uncertainty and variation in physicians' decisions for coronary heart disease: the double-edged sword of "atypical symptoms". Journal of Health and Social Behavior, 53(3), 313-28.

Welch, L.C., Botelho, E.M., Joseph, J.J., Tennstedt, S.L. (2012). A qualitative inquiry of patient-reported outcomes: the case of lower urinary tract symptoms. Nursing Research, 61(4), 283-90.

Welch, L.C., Botelho, E.M., Tennstedt, S.L. (2011). Race and ethnic differences in health beliefs about lower urinary tract symptoms. Nursing Research, 60(3), 165-72.

McKinlay, J.B. & Marceau, L.D. (2012). From cottage industry to a dominant mode of primary care: stages in the diffusion of a health care innovation (retail clinics). Social Science & Medicine, 75(6), 1134-41.

Heretic's Corner
10/4/2011 - Posted by NERI Upstream
For example, how useful is it to encourage households in poverty (experiencing food insecurity) to consume more costly “healthful” diets (lean meats, whole grains and fresh vegetables and fruit). The examples are endless............