{
  "abstract": "Introduction Health literacy (HL) influences patients' understanding of their disease and treatment and may affect diabetes self-management. We evaluated the prevalence of HL among patients with type 2 diabetes living in a socially deprived area of Greater Paris and examined its association with medication knowledge. Material and methods We conducted a non-interventional cross-sectional study of adults with type 2 diabetes. HL was assessed using the HLS-EU-Q16 questionnaire. Knowledge of medication dosage and medication purpose was assessed for each prescribed medication. Results The 103 participants included comprised 53 men and 50 women; mean age was 54 ± 8 years, mean duration of diabetes was 14.2 ± 8.5 years, and the majority were immigrants (68.9%). Most participants had a low or intermediate educational level (78.6%) and a low socioeconomic status (89.3%; ESeC classification). The mean HL score was 8.95 (range 0–16). Forty-eight participants (46.6%) had inadequate HL, 37 (35.9%) had problematic HL and 18 (17.5%) had adequate HL. Participants with limited HL were less likely to have French as their mother language and more likely to have an immigrant background, a lower educational level, a lower socioeconomic status, require additional information about their diabetes treatment, and receive home nursing support. Mean medication-dosage and medication-purpose knowledge scores were 83% and 67%, respectively. Higher HL score remained independently associated with better medication-purpose knowledge after adjustment for major sociodemographic and clinical factors. Conclusion Limited HL affected more than80% of patients with type 2 diabetes living in a socially deprived area of Greater Paris and remained independently associated with lower medication-purpose knowledge. These findings support routine assessment of HL and HL-sensitive educational interventions, with health mediators (patient navigators) representing a valuable complementary resource.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "name": "Omar Nouhou Koutcha"
    },
    {
      "name": "Imen Rezgani"
    },
    {
      "name": "Jinene El Fahid"
    },
    {
      "name": "Emmanuel Cosson"
    },
    {
      "name": "Hélène Bihan"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/fpdqhv7rxa77s.bib",
  "cited_by": 0,
  "doi": "10.1016/j.deman.2026.100327",
  "fulltext_url": null,
  "id": "fpdqhv7rxa77s",
  "issns": [
    "2666-9706"
  ],
  "landing_url": "https://hal.science/hal-05769192v1",
  "language": "en",
  "licence": "CC-BY-NC-ND-4.0",
  "licence_label": "CC BY-NC-ND 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "hal",
      "0.sdv"
    ],
    [
      "hal",
      "1.sdv.ee"
    ],
    [
      "hal",
      "2.sdv.ee.sant"
    ],
    [
      "openalex",
      "3600|Health Literacy and Information Accessibility"
    ]
  ],
  "openalex": "W7171560583",
  "pdf_url": "https://hal.science/hal-05769192/document",
  "pmcid": null,
  "pmid": null,
  "published": "2026-09-29",
  "publisher": "Elsevier",
  "ris": "https://research.draconitic.com/paper/fpdqhv7rxa77s.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:43Z",
      "native_id": "hal-05769192",
      "source": "hal",
      "url": "https://hal.science/hal-05769192v1"
    }
  ],
  "subjects": [
    {
      "field": "biology",
      "origin": "hal:1.sdv.ee",
      "subfield": "ecology"
    },
    {
      "field": "medicine",
      "origin": "hal:2.sdv.ee.sant",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Limited health literacy and medication knowledge in type 2 diabetes patients from a socially deprived area of Greater Paris (Seine-Saint-Denis)",
  "title_text": "Limited health literacy and medication knowledge in type 2 diabetes patients from a socially deprived area of Greater Paris (Seine-Saint-Denis)",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:17:43Z",
  "url": "https://research.draconitic.com/paper/fpdqhv7rxa77s",
  "venue": "Diabetes Epidemiology and Management",
  "versions": []
}