Abstract:
BACKGROUND:To examine the association between health literacy, level of disease knowledge, and adherence behavior among patients with type 2 diabetes. METHODS:A cross-sectional survey study of 1059 Mandarin- and Taiwanese-speaking patients aged 20 years or older with type 2 diabetes was conducted. The demographic profiles of the sample strata were determined by analyzing the Taiwanese National Health Insurance Database. Participants were enrolled and completed questionnaires between April and November of 2015. The patients were assessed using a self-developed questionnaire with high internal consistency (KR-20 = .84). RESULTS:Construct validity was supported by Confirmatory Factor Analysis. Respondents scored lowest in diet-related knowledge. Health literacy and diabetes knowledge were significantly greater when patients cared for themselves with additional caretaker assistance. Patient age, gender, and educational attainment were associated with adherence behavior. CONCLUSION:This study conducted a nation-wide survey of patients with diabetes and the results showed that respondents possessed fairly strong diabetes-specific health literacy and knowledge. However, health literacy shouldn't be assessed as an isolated concept. Instead, it should be assessed in conjunction with adherence behavior.
journal_name
BMC Public Healthjournal_title
BMC public healthauthors
Yeh JZ,Wei CJ,Weng SF,Tsai CY,Shih JH,Shih CL,Chiu CHdoi
10.1186/s12889-018-5972-xsubject
Has Abstractpub_date
2018-08-24 00:00:00pages
1062issue
1issn
1471-2458pii
10.1186/s12889-018-5972-xjournal_volume
18pub_type
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