Adequacy of health literacy and its effect on diabetes self-management: a meta-analysis

2020 ◽  
Vol 26 (6) ◽  
pp. 458
Author(s):  
Xiu-mei Guo ◽  
Xia Zhai ◽  
Bo-ru Hou
Keyword(s):  
Health Literacy ◽  
Low Income ◽  
Formal Education ◽  
Meta Analysis ◽  
Income Group ◽  
Self Management ◽  
Eligibility Criteria ◽  
Self Monitoring ◽  
Factors Affecting

This study evaluated the role of health literacy (HL) in the self-management of diabetes. A literature search was conducted in electronic databases and studies were selected using precise eligibility criteria. A meta-analysis was conducted to estimate the HL adequacy rate, factors affecting the adequacy of HL and correlations between HL and diabetes self-management variables. Thirty-three studies were included in the analysis. The HL adequacy rate was 67% (95% confidence interval (CI) 57, 76). Compared with patients with inadequate HL, patients with adequate HL were younger (mean difference –5.2 years; 95% CI −7.2, −3.2; P<0.00001), more likely to have a high school or higher level of education (odds ratio (OR) 8.39; 95% CI 5.03, 13.99]; P<0.00001) and were less likely to belong to a low-income group (OR 0.36; 95% CI 0.23, 0.56; P<0.00001). HL was positively correlated with self-monitoring (r=0.19; 95% CI 0.11, 0.27; P<0.00001), dietary and physical care (r=0.12; 95% CI 0.07, 0.18; P=0.009), diabetes knowledge (r=0.29; 95% CI 0.09, 0.45; P<0.001), self-efficacy (r=0.28; 95% CI 0.15, 0.41; P<0.00001), self-care (0.24; 95% CI 0.16, 0.31; P<0.00001), formal education (r=0.35; 95% CI 0.18, 0.53; P<0.00001) and social support (r=0.2; 95% CI 0.07, 0.33; P<0.00001). Patient age (r=−0.28; 95% CI −0.39, −0.17; P<0.00001) was inversely correlated with HL. In conclusion, 67% of diabetes patients had adequate HL, with a higher rate among better educated and higher income groups. HL had a statistically significant but weak positive correlation with diabetes self-management variables.

Anti-toxicant Properties of Saffron and Relevance to Protection from Toxins and Drugs

2020 ◽  
Vol 16 (3) ◽  
pp. 265-283
Author(s):  
Kyriaki Hatziagapiou ◽  
George I. Lambrou
Keyword(s):  
Redox Reactions ◽  
Case Reports ◽  
Meta Analysis ◽  
Reactive Oxygen ◽  
Crocus Sativus ◽  
Protective Effects ◽  
Nitrogen Species ◽  
Eligibility Criteria ◽  
Crocus Sativus L

Background: Reactive oxygen species and reactive nitrogen species, which are collectively called reactive oxygen nitrogen species, are inevitable by-products of cellular metabolic redox reactions, such as oxidative phosphorylation in the mitochondrial respiratory chain, phagocytosis, reactions of biotransformation of exogenous and endogenous substrata in endoplasmic reticulum, eicosanoid synthesis, and redox reactions in the presence of metal with variable valence. Among medicinal plants there is a growing interest in Crocus sativus L. It is a perennial, stemless herb, belonging to Iridaceae family, cultivated in various countries such as Greece, Italy, Spain, Israel, Morocco, Turkey, Iran, India, China, Egypt and Mexico. Objective: The present study aims to address the anti-toxicant role of Crocus sativus L. in the cases of toxin and drug toxification. Materials and Methods: An electronic literature search was conducted by the two authors from 1993 to August 2017. Original articles and systematic reviews (with or without meta-analysis), as well as case reports were selected. Titles and abstracts of papers were screened by a third reviewer to determine whether they met the eligibility criteria, and full texts of the selected articles were retrieved. Results: The authors focused on literature concerning the role of Crocus Sativus L. as an anti-toxicant agent. Literature review showed that Saffron is a potent anti-toxicant agent with a plethora of applications ranging from anti-oxidant properties, to chemotherapy protective effects. Conclusion: Literature findings represented in current review herald promising results for using Crocus Sativus L. and/or its active constituents as anti-toxicant, chemotherapy-induced protection and toxin protection.

scholarly journals Evaluation of the Effectiveness of Brazilian Community Restaurants for the Dimension of Low-Income People Access to Food

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2671
Author(s):  
Mateus Santana Sousa ◽  
Camila Silveira Silva Teixeira ◽  
Jamacy Costa Souza ◽  
Priscila Ribas de Farias Costa ◽  
Renata Puppin Zandonadi ◽  
...  
Keyword(s):  
Low Income ◽  
Formal Education ◽  
Average Energy ◽  
Secondary Data ◽  
Target Population ◽  
Service Capacity ◽  
The Public ◽  
The Government ◽  
Access To Food

This study aimed to evaluate the effectiveness of community restaurants (CRs), managed by the Government of the State of Bahia/Brazil, for the dimension of access to food. The study used secondary data obtained from the public opinion survey Profile of users of community restaurants in Salvador. The nutritional information was accessed through the analysis of CRs’ menus. Adequate effectiveness of access to food was considered when the CR served meals to 50% to 70% of the users considered the target audience (individuals served by the two CRs located in the city of Salvador/Bahia/Brazil). The participants (n = 1464; 778 as low-income individuals) were adult CR users from Salvador/Brazil. Most of the respondents were male, 40 to 54 years old, not white, had up to 9 years of formal education, without a partner, and living in the municipality of Salvador. The evaluated CRs are effective in serving 53.1% of the target population in their total service capacity. Meal provision only reached an estimated 0.7% of the socially vulnerable community in the district. The average energy value of the meal served by the CR units was 853.05 kcal/meal, with a mean energy density composition classified as average (1.15 kcal/g). The effectiveness of the evaluated community restaurants showed that these instruments were minimally effective in promoting access to food for the low-income population within their total daily service capacity, and the current quantity of these facilities was insufficient. However, these instruments stand out in the fundamental role of promoting the daily distribution of meals to the Brazilian population with the highest social vulnerability levels.

scholarly journals SOCIODEMOGRAPHIC FACTORS AFFECTING PATIENT COMPLIANCE TO LONG-TERM THERAPIES

2021 ◽  
pp. 59-62
Author(s):  
SHAKEEL AHMAD MIR
Keyword(s):  
Patient Compliance ◽  
Low Income ◽  
Income Group ◽  
Sociodemographic Factors ◽  
High Income Group ◽  
Factors Affecting ◽  
Validated Questionnaire ◽  
Adherence Scale ◽  
Study Population

Objective: The aim is to study the effect of various sociodemographic factors on patient compliance in long-term therapies. Methods: This is a questionnaire-based study of 195 adult outdoor patients suffering from chronic illnesses and receiving long-term drug therapy. Various sociodemographic factors were noted in a validated questionnaire. Questions about drugs being taken were asked. The compliance was measured by General Medication Adherence Scale. Results: The study population consists of 51.3% of males and 48.7% of females. About 39.0% of participants were literate and 61.0% were illiterate. About 72.3% belonged to the rural area, 13.3% urban, and 14.4% to the main city. About 33.3% were self-employed or unemployed, 17.4% government employees, and 49.3% were private employees. About 20.0% belonged to high-income group, and 40.0% to middle- and 40.0% to low-income group. Statistically significant correlation was found between compliance and age, gender, area of residence, education, and marital status (p<0.05). Better compliance was observed in men, unmarried,middle-aged, literate, and urban populations. Conclusions: We conclude that some sociodemographic factors correlate with compliance to long-term therapies.

scholarly journals An Evaluation of Digital Health Tools for Diabetes Self-Management in Hispanic Adults: Exploratory Study (Preprint)

2018 ◽  
Author(s):  
Leah Yingling ◽  
Nancy A Allen ◽  
Michelle L Litchman ◽  
Vanessa Colicchio ◽  
Bryan S Gibson
Keyword(s):  
Blood Glucose ◽  
Low Income ◽  
Digital Health ◽  
Wearable Sensors ◽  
Self Management ◽  
Food Diary ◽  
Self Monitoring ◽  
Hispanic Adults ◽  
Monitoring Technologies ◽  
Potential Integration

BACKGROUND Although multiple self-monitoring technologies for type 2 diabetes mellitus (T2DM) show promise for improving T2DM self-care behaviors and clinical outcomes, they have been understudied in Hispanic adult populations who suffer disproportionately from T2DM. OBJECTIVE The objective of this study was to evaluate the acceptability, feasibility, and potential integration of wearable sensors for diabetes self-monitoring among Hispanic adults with self-reported T2DM. METHODS We conducted a pilot study of T2DM self-monitoring technologies among Hispanic adults with self-reported T2DM. Participants (n=21) received a real-time continuous glucose monitor (RT-CGM), a wrist-worn physical activity (PA) tracker, and a tablet-based digital food diary to self-monitor blood glucose, PA, and food intake, respectively, for 1 week. The RT-CGM captured viewable blood glucose concentration (mg/dL) and PA trackers collected accelerometer-based data, viewable on the device or an associated tablet app. After 1 week of use, we conducted a semistructured interview with each participant to understand experiences and thoughts on integration of the data from the devices into a technology-facilitated T2DM self-management intervention. We also conducted a brief written questionnaire to understand participants’ self-reported T2DM history and past experience using digital health tools for T2DM self-management. Feasibility was measured by device utilization and objective RT-CGM, PA tracker, and diet logging data. Acceptability and potential integration were evaluated through thematic analysis of verbatim interview transcripts. RESULTS Participants (n=21, 76% female, 50.4 [SD 11] years) had a mean self-reported hemoglobin A1c of 7.4 [SD 1.8] mg/dL and had been diagnosed with T2DM for 7.4 [SD 5.2] years (range: 1-16 years). Most (89%) were treated with oral medications, whereas the others self-managed through diet and exercise. Nearly all participants (n=20) used both the RT-CGM and PA tracker, and 52% (11/21) logged at least one meal, with 33% (7/21) logging meals for 4 or more days. Of the 8 possible days, PA data were recorded for 7.1 [SD 1.8] days (range: 2-8), and participants averaged 7822 [SD 3984] steps per day. Interview transcripts revealed that participants felt most positive about the RT-CGM as it unveiled previously unknown relationships between lifestyle and health and contributed to changes in T2DM-related thoughts and behaviors. Participants felt generally positive about incorporating the wearable sensors and mobile apps into a future intervention if support were provided by a health coach or health care provider, device training were provided, apps were tailored to their language and culture, and content were both actionable and delivered on a single platform. CONCLUSIONS Sensor-based tools for facilitating T2DM self-monitoring appear to be a feasible and acceptable technology among low-income Hispanic adults. We identified barriers to acceptability and highlighted preferences for wearable sensor integration in a community-based intervention. These findings have implications for the design of T2DM interventions targeting Hispanic adults.

scholarly journals Role of Public Sector Bank in Financial Inclusion of Low or Middle Income Group in Chennai

2019 ◽  
Vol 8 (4S3) ◽  
pp. 40-44
Keyword(s):  
Public Sector ◽  
Low Income ◽  
Income Group ◽  
Financial Inclusion ◽  
Behavioral Ethics ◽  
Economic Equality ◽  
Middle Income ◽  
Middle Income Group ◽  
The Government

The role of public sector bank, in raising the economic equality on low income or middle income group, the term financial inclusion emphasis on redistribution of income within the same household, the deprive section of society avail the benefit with some standard provided by the government and how the approach have been taken by public sector bank to distribute the same and their behavioral ethics trail over the schemes. The study focused the dominant properties which fabricate imperative on financial inclusion among various categories of customers in public sector banks and also investigated the recognition of public in stand point of financial assistance and financial features offered by public sector bank through correlation statistical analysis with the sample of 200 with Chennai arena..

Diabetes self-care in-the-wild

2014 ◽  
Vol 27 (4) ◽  
pp. 397-420 ◽  
Author(s):  
Cristiano Storni
Keyword(s):  
Chronic Disease ◽  
Everyday Life ◽  
Self Care ◽  
Self Management ◽  
Self Monitoring ◽  
Content Type ◽  
In The Wild ◽  
Care Practices

Purpose – The purpose of this paper is to raise issues about the design of personal health record systems (PHRs) and self-monitoring technology supporting self-care practices of an increasing number of individuals dealing with the management of a chronic disease in everyday life. It discusses the results of an ethnographic study exposing to analysis the intricacies and practicalities of managing diabetes “in the wild”. It then describe and discuss the patient-centric design of a diabetes journaling platform that followed the analysis. Design/methodology/approach – The study includes ethnometodological investigation based on in depth interviews, observations in a support group for adults with type 1 diabetes, home visits, shadowing sessions and semi-structured interviews with a series of medical experts (endocrinologists, general practitioners and diabetes nurses). Findings informed the design of a proof-of-concept PHR called Tag-it-Yourself (TiY): a mobile journaling platform that enables the personalization of self-monitoring practices. The platform is thoroughly described along with an evaluation of its use with real users. Findings – The investigation sheds light on a series of general characters of everyday chronic self-care practices, and how they ask to re-think some of the assumptions and connotations of the current medical model and the traditional sick role of the patient – often unreflectively assumed also in the design of personal technologies (e.g. PHR) to be used by patients in clinically un-controlled settings. In particular, the analysis discusses: the ubiquitous nature of diabetes that is better seen as a lifestyle, the key role of lay expertises and different forms of knowledge developed by the patient in dealing with a disease on a daily basis, and the need of more symmetrical interactions and collaborations with the medical experts. Research limitations/implications – Reported discussions suggest the need of a more holistic view of self-management of chronic disease in everyday life with more attention being paid on the perspective of the affected individuals. Findings have potential implications on the way PHR and systems to support self-management of chronic disease in everyday life are conceived and designed. Practical implications – The paper suggests designers and policy makers to look at chronic disease not as a medical condition to be disciplined by a clinical perspective but rather as a complex life-style where the medical cannot be separated by other aspects of everyday life. Such shift in the perspective might suggest new forms of collaborations, new ways of creative evidence and new form of knowledge creation and validation in chronic self-care. Social implications – The paper suggests re-thinking the role of the patient in chronic-disease self-management. In particular, it suggests giving more room to the patient voice and concerns and suggest how these can enrich rather than complicate the generation of knowledge about self-care practices, at least in type 1 diabetes. Originality/value – The paper sheds light on everyday intricacies and practicalities of dealing with a chronic disease. Studies of self-care practices that shed light on the patient perspectives are sporadic and often assume a clinical perspective, its assumptions (e.g. biomedical knowledge is the only one available to improve health outcome, doctors know best) and implications (e.g. compliance, asymmetry between the specialist and the patient).

scholarly journals The role of health literacy and communication habits on previous colorectal cancer screening among low-income and uninsured patients

2015 ◽  
Vol 2 ◽  
pp. 158-163 ◽  
Author(s):  
Chinedum O. Ojinnaka ◽  
Jane N. Bolin ◽  
David A. McClellan ◽  
Janet W. Helduser ◽  
Philip Nash ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Health Literacy ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Low Income ◽  
Uninsured Patients ◽  
Communication Habits

scholarly journals Impact of Oral Health Literacy on Periodontal Health among Low-income-group Workers of Dental Institutes in Patna, Bihar, India

2020 ◽  
Vol 21 (7) ◽  
pp. 787-791
Author(s):  
Supriya Singh ◽  
Purushottam Singh ◽  
Rohit Singh ◽  
Soni Kumari ◽  
Sumita Kumari ◽  
...  
Keyword(s):  
Oral Health ◽  
Health Literacy ◽  
Low Income ◽  
Income Group ◽  
Oral Health Literacy ◽  
Periodontal Health ◽  
Group Workers

Sentinel node biopsy in patients with microinvasive breast cancer: A systematic review and meta-analysis.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 1119-1119
Author(s):  
Helene Gojon ◽  
David Fawunmi ◽  
Antonis Valachis
Keyword(s):  
Breast Cancer ◽  
Sentinel Node ◽  
Meta Analysis ◽  
Lymph Node Biopsy ◽  
Eligibility Criteria ◽  
Summary Estimate ◽  
Node Biopsy ◽  
Study Heterogeneity ◽  
Microinvasive Breast Cancer

1119 Background: The aim of this meta-analysis is to evaluate the role of sentinel lymph node biopsy (SLNB) in patients with microinvasive breast cancer. Methods: We searched MEDLINE and ISI Web of Science to identify studies including patients with microinvasive breast cancer who underwent SLNB and reported the rate of sentinel-node positivity. We performed proportion meta-analysis using either fixed or random-effects model based on the between-study heterogeneity. Results: A total of 23 studies including 952 patients met the eligibility criteria. The summary estimate for the sentinel-node (SN) positivity rate was 3.1% (95% Confidence Interval (CI): 2.0%-4.4%), 4.1 % (95% CI 2.8%-5.6%), and 2.8% (95% CI : 1.6%-4.5%) for macrometastasis, micrometastasis and isolated tumor cells (ITC) respectively. Significant between-study heterogeneity was observed only in the meta-analysis of ITC positivity rate. Conclusions: The amount of positive sentinel node in patients with proven microinvasive breast cancer is relatively low. As a result, the indications for SLNB in these patients should be probably individualized.

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