Browsing by Subject "health literacy"
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Item Analysis of patient compliance and progression of diabetic foot ulcer healing(2017-08-01) Hussain, Waasae M.; Patricia A. Gwirtz; Stephen O. Mathew; Raghu R. KrishnamoorthySelf-reporting serves as a mask for non-compliance in subjects in research studies. If a subject stays compliant with research guidelines it is assumed their diabetic foot ulcer would heal. This study evaluates the correlation between alleged patient compliance and the rate of healing of diabetic foot ulcers using a retrospective chart analysis. There was no correlation seen and the results showed normal distribution. This could be caused by unreported non-adherence.Item Literature Review of Effective Health Promotion and Education Strategies Used to Promote Health in the Refugee Community(2008-03-25) Kimunai, EuniceAn estimated 33 million people have been displaced by complex humanitarian emergencies. The most pressing issues of refugees include HIV/AIDS awareness, sexually transmitted diseases, gender issues, human rights, conflict resolution, and repatriation. Primary tasks of humanitarian agencies include health maintenance, nutritional support, community development, and training of health workers. Tools used to promote health and education in the refugee camps include film screening/videotape, pamphlet, posters, self-instructional manual, and group sessions. These strategies address most of the critical health and social issues when a dynamic and community-based approach are used and takes into consideration the cultural norms of the community. These strategies are used to promote health, alleviate psychological trauma, and promote interventions and community responses that allow members of the refugee community to improve health.Item The Association between Health Literacy and Diabetes Outcomes and Self-Management Behaviors among Older Adults in the U.S(2015-08-01) Montoya, Maria F.; Thombs, Dennis; Aryal, Subhash; Spence-Almaguer, EmilyBackground: In the United States an estimated 10.9 million people aged 65 and older are living with diabetes mellitus. Previous research has found that demographic and socioeconomic factors, health status, health behaviors, and interventions are potential determinants of diabetes outcomes. Recent studies have found that limited health literacy may be a potential new determinant of diabetes outcomes. Limited health literacy is common in underrepresented and marginalized groups such as people with low economic status, low educational attainment, new immigrants, the elderly, racial and ethnic minorities, and patients with chronic conditions. Older adults are at higher risk of developing chronic complications from improper diabetes self-management and self-care. Purpose: In this dissertation, we explore the association between health literacy and diabetes outcomes and self-management behaviors among older persons with an imputed health literacy score derived from demographic information. Methods: This study is a secondary analysis of existing cross-sectional data from the National Health & Nutrition Examination Surveys (2009-2010), in the United States. The final sample consisted of 779 participants who were ≥55 years and older and diagnosed with DM by self-report or through bio-marker laboratory testing. The predictor and outcome variables were DAHL proxy health literacy score, categorized as adequate (HL [greater than] 76), marginal (HL 63-75), and inadequate (HLp = 0.66). Proxy health literacy score contributed to the prediction of fasting blood glucose in Block 2, and made a unique contribution (β=−.392; Sig F. change: p = .028) to the full model. The fully adjusted hierarchical regression models for HbA1c showed that HL did not add any variability to the model. The fully adjusted FBG model was not statistically significant. After controlling for covariates, we found that in separate hierarchical logistic regression, health literacy level, was not associated with predicting the odds of the eight indicators of proper diabetes management. Furthermore, the R2 change attributed solely to the addition of health literacy level did not exceed 2.7% for any of the logistic regression models. Conclusion: The present study supports previous findings that found no association between HbA1c, diabetes self-management behaviors and health literacy. This study found that the characteristics of individuals who were not aware of their diabetes status was higher among subjects that were younger, more educated, higher socioeconomic status and not married. More studies are needed to examine factors associated with diabetes self-management behaviors that take into account individual health literacy, diabetes knowledge, and create targeted initiatives that decrease the risk factors associated with diabetes among the aging population.Item The Role of Health Literacy When Analyzing Functional Health Status: A Look a the 2003 National Assessment of Adult Literacy(2007-05-01) Mathew, Merly; Claudia S. CogginMathew, Merly. The Role of Health Literacy When Analyzing Functional Health Status: A Look at the 2003 National Assessment of Adult Literacy. Master of Public Health (Community Health), May 2007, 45 pp., 4 tables, bibliography, 36 titles. U.S. Adults with low health literacy have been found to have poor health status and poor knowledge of medical conditions when compared with those with adequate health literacy skills. This research focused on the relevance of the health literacy skills of U.S. adults age 50 and above, when analyzing their functional health status. Secondary data was obtained from public data files that are available from the NCES (National Center for Education Statistics) website. The research is organized as follows: introduction, review of literature, methodology, results, discussion and implications. The findings established a relationship between health literacy and functional health status, and confirmed the need to focus on creating a health literate America.