The Relationship Between Health Literacy and Self-Care Behaviors in Diabetic Type 2 Elderly People

Document Type : Original Article

Authors

1 Mashhad University of Medical Sciences,Fariman , Iran

2 Mashhad University of Medical Sciences.mashhad Iran

3 Mashhad University of Medical Sciences,fariman, Iran

4 Public health practitioner BSc, Fariman Health Office, Mashhad University of Medical Sciences,Iran

5 Ms.C of Midwifery, Fariman Health Office, Mashhad University of Medical sciences, Fariman, Iran

Abstract

Background and Objective: One of the most important goals of diabetes control is to empower patients to perform self-care. The purpose of this study was to investigate the relationship between health literacy and self-care behaviors in type 2 diabetic in elderly.
Materials andMethods: All diabetic elderly referring to health centers of the city of Fariman in 2019 were enrolled in the study. The interviewer referred to elderly 's home and if they were satisfied, the questionnaire completed. Data were collected by demographic questionnaires, health literacy questionnaire and self-care questionnaire. Data were analyzed using SPSS software and statistical tests regression analysis, Pearson correlation coefficient and one-way ANOVA, Chi-square test were used.
Result: Mean age was 67.7 years and mean FBS was 122.8. Over 60% were female, 80% had primary and lower education, 81% had a spouse, and 26% had no job.).  The mean and standard deviation of health literacy score was 76.4 ±7.5 and self-care was 63.00±7.4. Health literacy had significantly correlation with gender (p <0.000) and FBS (p <0.000). Self-care had significantly correlation with gender (p <0.000). Health literacy was significantly correlated with self-care behaviors (p = 0.00, r = -0.35) and HbA1C (p <0.001, r = -0.34). Health literacy was significantly correlated with diet (p = 0.00, r = 0.25) and medication use ((p = 0.00, r = 0.43) and foot care (p = 0.004, r = 0.21).
Conclusion:  According to the findings, Elderly women and people with lower education have lower health literacy. As a result, in the plans taken to promote health literacy more attention should be paid to these people.

Keywords

References

1. Tehrani H. Mental health stigma related to novel coronavirus disease (COVID-19) in older adults. Geriatrics & Gerontology International. 2020;20(8):796-7.
https://doi.org/10.1111/ggi.13985
PMid:32639082 PMCid:PMC7361788
 
2. Hashemi Z, Afshari A, Einy S. The effectiveness of acceptance and commitment education on improving the mental health and quality of life of elderly people with cancer. Iranian Journal of Health Education and Health Promotion. 2020;8(2):160-71.
https://doi.org/10.29252/ijhehp.8.2.160  
 
3. Khodabakhshi-Kolaee A. The comparison of health literacy and lifestyle among retired and homemaker older adults' women. Journal of Health Literacy. 2016;1(3):155-63.
https://doi.org/10.22038/jhl.2016.10963  
 
4. Tafreshi F, Abasnia S. Health care for the elderly amanual for primary health care workers. World Health Organization Office Eastern Mediterranean Region; 2011.  
 
5. .Akbari M, Zeinali A , Mozaffari Khosravi H, Afkhami Ardekani M, Hadi Nodushan H , Fallahzadeh H, Nadjarzadeh A. The Effect of CoQ10 Supplementation on Insulin Resistance and Blood Glucose of Patients with Type Two Diabetes. The Journal of Toloo-e-behdasht.2013; 12(4):13-23.  
 
6. Landim, C. A, Zanetti, M. L., Santos, M. A, Andrade, T. A. & Teixeira, C. R. 2011. Self-care competence in the case of Brazilian patients with diabetes mellitus in a multiprofessional educational programme. Journal of clinical nursing, 20, 3394-3403.
https://doi.org/10.1111/j.1365-2702.2011.03883.x
PMid:22008019  
 
7. Vasli, P. & Eshghbaz, F. 2009. Survey condition regarding self-caring of children suffering from diabetes type 1 and it's relation with family reaction. Journal of Mazandaran University of Medical Sciences, 18, 38-44.  
 
8. Tol A, Pourreza A, Tavasoli E, Rahimi Foroshani A. Determination of knowledge and health literacy among women with type 2 diabetes in teaching hospitals of TUMS, Journal of Hospital. 2012; 11(3): 45-52  
 
9. Banihashemi S AT, Amirkhani MA, Haghdoost AA, Alavian S M, Asgharifard H, Baradaran H, et al. Health literacy and the Influencing Factors: A study in five provinces of Iran. Journal of Strides Development Medical Education. 2012;4(1):1-9.  
 
10. Rezaee Esfahrood Z, Haerian ardekani A, Rahmanian M, Ghaffari Targhi M. A Survey on Health Literacy of Referred Diabetic Patients to Yazd Diabetes Research Center. The Journal of Toloo-e-behdasht. 2016;15(3):176-186  
 
11. Seyedoshohadaee M, Barasteh S, Jalalinia F, Eghbali M, Nezami M. The relationship between health literacy and self-care behaviors in patients with type 2 diabetes. Iranian Journal of Nursing Research.2015;10(4):43-51 (Persian).  
 
12. Reisi M, Mostafavi F, Javadzadeh M, Mahaki B, Tavassoli E, Sharifirad GH. Communicative and critical health literacy and self-care behaviors patients with type 2 diabetes. Iranian journal of Diabetes and Metabolism. 2014;14 (3):199-208  
 
13. Seyedoshohadaee1 M, Kaghanizade M, Nezami M, Hamedani B, Barasteh S. The relationship between health literacy and general health in patients with type 2 diabetes. Iranian journal of Diabetes and Metabolism.2016;15( 5):312-319  
 
14. Rafiezadeh Gharrehtapeh Sh, Tabarsy B, Hassanjani S, Razavi M, Amjady M, Hojjati H. Relationship between the Health Literacy with selfefficacyof the diabetic patient›s type 2 referred to Gorgancity clinic in 2014. Journal of Diabetes Nursing (JDN).2015;3(2):30-42  
 
15. Mahmoodi H,Negarande R,Javaheri M,Sharifi P,Ghanei R,Aminipoor A. Examing the relation of health literacy with outcome of diabetes Among type 2 diabetes patient in saqez.journal of hospital.2014;12(1):56-62.  
 
16. Javadzade H, Sharifirad Gh, Reisi M, Tavassoli Erajati, F. Health Literacy among Adults ofIsfahan, Iran. J Health Syst Res 2013; 9(5): 540-9.  
 
17. Khosravi1 Ab, Ahmadzadeh K, Arastoopoor Sh, Tahmasbi R. Health Literacy Levels of Diabetic Patients Referred to Shiraz Health Centers and Its Effective Factors. Health Inf Manage 2015; 12(2):194-205  
 
18. . Lee SY, Tsai TI, Tsai YW, Kuo KN. Health literacy, health status, and healthcare utilization of Taiwanese adults: results from a national survey. BMC Public Health 2010; 10: 614.
https://doi.org/10.1186/1471-2458-10-614
PMid:20950479 PMCid:PMC2967535  
 
19. von WC, 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): 1086-90.
https://doi.org/10.1136/jech.2006.053967
PMid:18000132 PMCid:PMC2465677  
 
20. 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): 1503-9
https://doi.org/10.1001/archinte.167.14.1503
PMid:17646604  
 
21. Tehrani Banihashemi SA, Amirkhani MA, Haghdoost AA, Alavian SM, Asgharifard H, Baradaran H, et al. [Health literacy and the affecting factors: A study in five provinces of Iran, strides in development of medical education (Persian)]. Journal of Medical Education Development Center. 2007; 4(1):1-9.  
 
22. Firooz M, hoseini S J, Mazlom S R, Hasanzade F, Kimiaie S A. Self-care of patient with diabetes type II. Journal of Sabzevar University of Medical Sciences.2016;22(6): 1018-1025  
 
23. Parham M, Riahin AA, Jandaghi M, Darivandpour A. Self Care Behaviors of Diabetic Patients in Qom. Qom Univ Med Sciense Journal.2013;6(4):81-7.  
 
24. Zoellner, J., You, W., Connell, C., Smith-Ray, R. L., Allen, K., Tucker, K. L., Davy, B. M. & Estabrooks, P. 2011. Health literacy is associated with healthy eating index scores and sugar-sweetened beverage intake: findings from the rural Lower Mississippi Delta. Journal of the American Dietetic Association, 111, 1012-1020.
https://doi.org/10.1016/j.jada.2011.04.010
PMid:21703379 PMCid:PMC3160591  
 
25. Huizinga MM, Elasy TA, Wallston KA, Cavanaugh K, Davis D, Gregory RP, et al. Development and validation of the Diabetes Numeracy Test (DNT). BMC health services research. 2008;8(1):1-8.
https://doi.org/10.1186/1472-6963-8-96
PMid:18452617 PMCid:PMC2390531  
 
26. Ngoh, L. N. 2009. Health literacy: A barrier to pharmacist-patient communication and medication adherence. Journal of the American Pharmacists Association, 49, e132-e149.
https://doi.org/10.1331/JAPhA.2009.07075
PMid:19748861  
 
27. Peterson, N. B., Dwyer, K. A., Mulvaney, S. A., Dietrich, M. S. & Rothman, R. L. 2007. The influence of health literacy on colorectal cancer screening knowledge, beliefs and behavior. Journal of the National Medical Association, 99, 1105  
 
28. Carthery-Goulart, M. T., Anghinah, R., Areza-Fegyveres, R., Bahia, V. S., Brucki, S. M. D., Damin, A., Formigoni, A. P., Frota, N., Guariglia, C. & Jacinto, A. F. 2009. Performance of a Brazilian population on the test of functional health literacy in adults. Revista de Saúde Pública, 43, 631-638.
https://doi.org/10.1590/S0034-89102009005000031
PMid:19488667  
 
29. Morowatisharifabad M, Rouhani Tonekaboni N. Perceived self-efficacy in self-care behaviors among diabetic patients referring to Yazd Diabetes Research Center. Journal of Birjand University of Medical Sciences. 2008;15(4):91-9.  
Journal of Health Literacy
Volume 5, Issue 2 - Serial Number 18
September 2020
Pages 46-53

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