Diabetic health literacy and its association with glycemic control among adult patients with type 2 diabetes mellitus attending the outpatient clinic of a university hospital in Ethiopia

Autor: Begashaw Melaku Gebresillassie, Ruth Yilma, Yonas Getaye Tefera, Asnakew Achaw Ayele, Yohannes Kelifa Emiru, Henok Akalu, Firdos Hafiz
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Blood Glucose
Male
Cross-sectional study
Social Sciences
Type 2 diabetes
Academic Skills
Ambulatory Care Facilities
Literacy
Hospitals
University
Geographical Locations
0302 clinical medicine
Endocrinology
Medicine and Health Sciences
Outpatient clinic
Psychology
030212 general & internal medicine
Prospective Studies
media_common
Multidisciplinary
Age Factors
Middle Aged
Type 2 Diabetes
Knowledge
Health Education and Awareness
Medicine
Female
Research Article
Adult
medicine.medical_specialty
Patients
Endocrine Disorders
media_common.quotation_subject
Science
030209 endocrinology & metabolism
Health literacy
Medication Adherence
03 medical and health sciences
Internal medicine
Diabetes mellitus
medicine
Diabetes Mellitus
Humans
Hypoglycemic Agents
Outpatient Clinics
Glycemic
business.industry
Cognitive Psychology
Biology and Life Sciences
Odds ratio
medicine.disease
Health Literacy
Self Care
Health Care
Cross-Sectional Studies
Diabetes Mellitus
Type 2
Health Care Facilities
Metabolic Disorders
People and Places
Africa
Cognitive Science
Ethiopia
Health Statistics
Morbidity
business
Neuroscience
Zdroj: PLoS ONE, Vol 15, Iss 4, p e0231291 (2020)
PLoS ONE
ISSN: 1932-6203
Popis: Background Despite how much effect of low health literacy is on diabetic treatment cannot be accurate, it has an impact on controlling blood glucose level. Less is known about diabetic health literacy in Ethiopian diabetic patients which can affect patient medication adherence, self-care, and glycemic control. Objective This study was aimed to assess the diabetic health literacy level and its association with glycemic control among adult patients with type 2 diabetes mellitus attending the outpatient clinic of University of Gondar Comprehensive Specialized Hospital (UOGCSH): Northwest Ethiopia. Methods A cross-sectional study was employed at the outpatient clinic of the University of Gondar Comprehensive Specialized Hospital from May, 1 -May 30, 2019. The comprehensive 15-items diabetic health literacy questions with a 5-point Likert scale used to measure diabetic health literacy. The mean score calculated and switched to the percentage (5 points as 100%) to determine the level of diabetic health literacy. Morisky Green Levine Scale 4 item adherence assessment tool was used to assess the diabetic patient's level of adherence. Binary and multivariable logistic regression analysis was used to assess the association between sociodemographic, clinical variables, diabetic-related literacy, and glycemic control. Independent samples t-test and One-way ANOVA test was employed to compare the mean literacy score difference in different groups. Result 400 respondents were included in the study. Of all the respondents, 17.3%, 26.3%, and 56.5% had low, medium and high diabetic-related health literacy, respectively. The proportions of patients with low, medium and high adherence to medication were 9.8%, 56.3%, and 34% respectively. Patients with high diabetes literacy are 1.85 times more likely to achieve target glycemic control than lower diabetic literacy patients with 95% CI Adjusted Odds Ratio (AOR). 1.85(1.09-3.40). While patients with good adherence 1.61 times more likely to achieve target glycemic control than patients with low adherence; 95% CI AOR 1.61(1.04-4.79). Diabetic patients with morbidity have 67% less likelihood to achieve the target glycemic control; 95% CI AOR 0.33(0.15-0.73). Conclusion Adequate diabetic health literacy and better glycemic control are highly correlated. Adjusting all variables; younger age, high diabetic health literacy and good adherence are associated with achieving the target glycemic control.
Databáze: OpenAIRE
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