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Publication
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| Research Title |
Health literacy and its association with socio-economic status of patients with type 2 Diabetes attending a primary care hospital of Thailand |
| Date of Distribution |
13 November 2017 |
| Conference |
| Title of the Conference |
5 th AHLA International Health Literacy Conference. |
| Organiser |
University of Malaya |
| Conference Place |
University of Malaya |
| Province/State |
Kualalumpur, Malaysia |
| Conference Date |
12 November 2017 |
| To |
14 November 2017 |
| Proceeding Paper |
| Volume |
5 |
| Issue |
1 |
| Page |
37 |
| Editors/edition/publisher |
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| Abstract |
Inadequate health literacy is considered a potential barrier to improving health outcomes. A low level of health literacy (HL) is common among patients with diabetes. The objective of this cross-sectional descriptive study was to investigate HL status and its association with socio-economic status of patients with type 2 diabetes (T2D). 300 adults with T2D were recruited from a registered patients of Sawatee Health Promotion Hospital, a primary care hospital, Khon Kaen Province, Thailand. Information about demographic socioeconomic and HL was obtained by interviewing the patients using a structured questionnaire. HL was measured in 6 domains about diabetes; 1) knowledge and understanding, 2) access information and health service skill, 3) communication skill, 4) self-management skill, 5) decision skill, and 6) media literacy skill. Body mass index and HbA1c was extracted from medical records. Multiple linear regression and multiple logistic regression were used to assess the association of socioeconomic variables and HbA1c with HL. Results indicated that most (77%) of subjects were female, and the average age was 63 ± 10 years. Seventy-four percent had finished primary school. The mean durations of the diagnosis of diabetes were 11 ± 8 years. Majority (81%) of the subjects had HbA1c ≥7%. Half of them were obese. About half of the subjects (53%) had HL score (combining all skills) in moderate level and 9% in low level. In term of each skill of health literacy, the subjects had knowledge and understanding about diabetes, and access information and health service skill in high level by 77% and 60%. Sixty four percent of the subjects had communication skill in moderate level. For self-management skill, decision skill, and media literacy skill, they were in low to moderate level 62%, 43% and 87% respectively. Multiple logistic regression showed that inability to read and write was statistically significant associated with low HL (ORadj 2.47, 95%CI 1.14 to 5.34), adjusted by age, sex, educational level and duration of being diabetes. In adjusted models of multiple regression indicated that ability to read and write (coef. 5.27, 95% CI 2.54 to 8.00) and duration being diabetes (coef. 0.13, 95% CI 0.002 to 0.250) were significantly associated with HL score. Conclusions, about two third of T2D was inadequate HL. Finding confirm that ability to read and write is the basic of HL. |
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| Peer Review Status |
มีผู้ประเมินอิสระ |
| Level of Conference |
นานาชาติ |
| Type of Proceeding |
Full paper |
| Type of Presentation |
Poster |
| Part of thesis |
true |
| Presentation awarding |
false |
| Attach file |
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| Citation |
0
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Journal Publication
ไทย