Evidence map›Paper›PMID 42545221›Full record

ArticleHealth literacy research and practice2026

Association of Functional Health Literacy Among Patients With Type-2 Diabetes in Bangladesh: A Cross-sectional Study.

Md Monirul Islam, Syed Billal Hossain, Kazi Mahfujur Rahman, Meheruba Khan Sinthia, A B M Alauddin Chowdhury, Salim Khan

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Article in Health literacy research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Md Monirul IslamDepartment of Public Health, School of Health Sciences, Faculty of Health, Education and Life Sciences, Birmingham City University, United Kingdom.
Syed Billal HossainDepartment of Public Health, Faculty of Allied Health Sciences, Daffodil International University, Ashulia, Dhaka.
Kazi Mahfujur RahmanDepartment of Statistics, Government Dhaka College.
Meheruba Khan SinthiaDepartment of Public Health and Informatics, Jahangirnagar University, Dhaka, Bangladesh.
A B M Alauddin ChowdhuryDepartment of Public Health, Faculty of Allied Health Sciences, Daffodil International University, Ashulia, Dhaka.
Salim KhanDepartment of Public Health, School of Health Sciences, Faculty of Health, Education and Life Sciences, Birmingham City University, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFunctional health literacy (FHL) plays a dynamic role in diabetes care, yet research on its implications is erratic in Bangladesh. The aim of this study was to ascertain the level of FHL among patients with type 2 diabetes (T2D) in Dhaka and its correlation with their glycemic level, lifestyle, sleep quality, and sociodemographic characteristics.

methodsA total of 401 patients with T2D were included by simple random sampling method in this cross-sectional study from three diabetes centers in Dhaka. A Bengali adaptation of the S-TOFHLA (Short Test of Functional Health Literacy) and a semi-structured questionnaire was used to collect data on FHL and other study information. Bivariate analysis, multi-nominal regression, Pearson's χ KEY

resultsAmong the 401 participants, 59% were female and 34.9% lived in rural areas; among whom only 27.3% had adequate FHL. Sex, occupation, education, income, physical activity regularity, diabetes treatment regimen, family history, current fasting blood sugar (FBS), 3-month average FBS, 3-month average 2-hour after breakfast blood glucose, and hemoglobin A1c showed significant associations (

conclusionsHigher FHL was associated with better diabetes management. FHL interventions should be evaluated to determine if increasing a patient's health literacy will improve their diabetes management.

Indexed as

Diabetes Mellitus, Type 2Health LiteracyAdultAgedBangladeshCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and Questionnaires

Identifiers

PMID42545221
PMCPMC13427211

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