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1 * 1392/10/ /08/29... TOFHLA. Analysis of variance independent t-test.. :.(P <0.05).(P <0.05) :. : ().() / - ( / /) younesmohamadi@gmail.com.() : :

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5 ..()... /.(.. schillinger.().. / Rincon / mancuso. Rubin - Dewalt.() Richard Mancuso.().(). / Schillinge..() References: 1. Association AD. Diagnosis and classification of diabetes mellitus. Diabetes care 2010;33(Suppl 1):S62-S9. 2. Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for Diabetes Care 2004;27(5): Zandieh A, Esteghamati A, Morteza A, Noshad S, Khalilzadeh O, Gouya MM, et al. Appropriate BMI cut-off values for identification of metabolic risk factors: third national surveillance of risk

6 factors of non-communicable diseases in Iran (SuRFNCD-2007). Ann Hum Biol 2012;39(6): Abolhassani F, Mohajeri tehrani M, Tabatabee o, Larijani B. Burden of diabetes and its complications in Iran in year Iran J Diabetes Lipid Disorders ;7(2): Naghavi M, Abolhassani F, Pourmalek F, Lakeh M, Jafari N, Vaseghi S, et al. The burden of disease and injury in Iran Popul Health Metr 2009;7:9. 6. Rafieifar S, Ahmadzadeh asl M, Sharifi MH. Comprehensive System of patient health education in islamic republic of Iran. Iran: Ministery of Health medical education; P Dealavari A, Mahdavi A, Noroozi Nejad A. physician and diabetes. Tehran: Sead publisher; Safavi M, Borzooei F. Principles of pattients education. Iran: Salemi; p Ganz M, Wiley J. Prevention of type 2 diabetes. Wiley Online Library; Schillinger D, Grumbach K, Piette J, Wang F, Osmond D, Daher C, et al. Association of health literacy with diabetes outcomes. J Am Med Assoc 2002;288(4): Powell CK, Hill EG, Clancy DE. The relationship between health literacy and diabetes knowledge and readiness to take health actions. The diabetes educator 2007;33(1): Weiss BD, Palmer R. Relationship between health care costs and very low literacy skills in a medically needy and indigent Medicaid population. J Am Board Fam Pract 2004;17(1): Vernon JA. Low health literacy: Implications for national health policy. United States: University of Connecticut, Department of Finance; Dewalt DA, Berkman ND, Sheridan S, Lohr KN, Pignone MP. Literacy and health outcomes: a systematic review of the literature. J Gen Intern Med 2004;19(12): Rudd RE. Health literacy skills of U.S. adults. Am J Health Behav 2007;31 Suppl 1:S Mancuso CA, Rincon M. Asthma patients assessments of health care and medical decision making: the role of health literacy. J Asthma 2006;43(1): Baker DW, Wolf MS, Feinglass J, Thompson JA, Gazmararian JA, Huang J. Health literacy and mortality among elderly persons. Arch Intern Med 2007;167(14): Speros C. Health literacy: concept analysis. J Adv Nurs 2005;50(6): Tehrani Banihashemi S, Amir Khani A, Haghdoust A, Alavian M, Asghari Fard H, Baradaran H, et al. Health Literacy and the Influencing Factors: A Study in Five Provinces of Iran. J Medical Educ Dev Center Kerman Univ Med Sci 2007;4(1): Paasche-Orlow MK, Parker RM, Gazmararian JA, Nielsen-Bohlman LT, Rudd RR. The Prevalence of Limited Health Literacy. Int J Gen Med 2005;20(2): Lee S-YD, Tsai T-I, Tsai Y-W, Kuo KN. Health literacy, health status, and healthcare utilization of Taiwanese adults: results from a national survey. BMC Public Health 2010;10: Von Wagner C, Knight K, Steptoe A, Wardle J. Functional health literacy and health-promoting behaviour in a national sample of British adults. J Epidemiol Community Health 2007;61(12): Mancuso CA, Rincon M. Asthma patients assessments of health care and medical decision making: the role of health literacy. J Asthma 2006;43(1): Daghio M, Fattori G, Ciardullo A. Use of pictorial advice to promote compliance to diet and drugs among illiterate and migrant patients. J Diabet 2010;3:

7 The Journal of Urmia Nursing and Midwifery Faculty, Vol 12(1), March, 2014 Original Article EXAMINING THE RELATION OF HEALTH LITERACY WITH OUTCOMES OF DIABETES AMONG TYPE 2 DIABETES PATIENTS IN SAQEZ, WESTERN IRAN, 2011 Mahmoodi H 1, Negarandeh R 2, Javaheri M 3, Sharifi P 4, Ghanei R 5, AminPour A 6, Akbari A 7, Kazemi E 8,Mohammadi Y 9 Received: 20 Nov, 2013; Accepted: 18 Jan, 2014 Abstract Background & Aims: Diabetes is the most prevalent metabolic disorder. This disorder can affect on different organs of body, and as a result, it can affect the quantity and quality of life. Not having enough knowledge on their own health, one is not able to retain and promote his/her own health. The aim of this study is to determine health literacy among diabetes type 2 patients in Imam Khomeini Hospital, Saqez, Iran. Materials & Methods: The study is a cross-sectional one in which diabetes type 2 patients were participated. Data collection were done by using TOFHLA, and demographic questionnaires. Data analyses was done by using independent t-test and analysis of variance. Result: Totally, 1563 diabetes type 2 patients participated in the study. Mean score of health literacy was A significant relation exist between health literacy with age, sex and education levels.(p<0.05). The results of the study didn't reveal any significant relation between health literacy and nephropathy and retinopathy. Conclusion: It is concluded that the level of health literacy is very low, therefore it is crucial to promote health literacy of diabetes type 2 patients. Keywords: health literacy, diabetes type2, nephropathy, retinopathy, Saqez Address: Tehran University of Medical Sciences, Tehran, Iran, Tel: (+98) younesmohamadi@gmail.com 1 PhD Student In Health Education And Promotion,Faculty of Public Health, Department of Health Education And Promotion, Tabriz University of Medical Sciences, Tabriz, Iran 2 PhD in Nursing, Nursing and Midwifery School, Tehran University of Medical Sciences, Tehran, Iran 3 MSc in Epidemiology, Ilam University of Medical sciences,ilam, Iran 4 BSc in Nursing, Kurdistan University of Medical sciences,kurdistan, Iran 5 BSc in Nursing, Kurdistan University of Medical sciences, Kurdistan, Iran 6 BSc in Nursing, Kurdistan University of Medical sciences, Kurdistan, Iran 7 MSc in Biostatistics, ministry of health, health deputy, Tehran, Iran 8 MSc student in Biostatistics, school of public health, Tehran University of Medical Sciences, Tehran, Iran 9 PhD student in Epidemiology, school of public health, Department of Epidemiology and Biostatistics, Hamadan University of medical sciences, Hamadan, Iran (Corresponding Author)

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