PDF(Pubmed)
Abstract：
UNASSIGNED: The study aimed to assess diabetes health literacy, adherence to diabetes medication, and its associated factors in Kerala, India, the most advanced Indian state in epidemiological transition with the highest literacy level in India.
UNASSIGNED: We conducted a community-based cross-sectional study among 280 diabetes patients (mean age 62 years, male 42%) selected by multistage cluster sampling. Information on sociodemographic variables was collected using a pretested structured interview schedule. Diabetes health literacy was assessed using the revised Michigan Diabetes Knowledge test. Adherence to diabetes medication was assessed using the Hill-Bone subscale. Binary logistic regression analysis was done to find out the factors associated with diabetes health literacy and medication adherence.
UNASSIGNED: Good diabetes health literacy was reported by 35.7% [95% confidence interval (CI): 30.1-41.6] of the patients. Perfect adherence to diabetes medication was reported by 33.2% of patients (CI: 27.7-39.1). Patients who reported regular newspaper reading [adjusted odds ratio (AOR) 3.16; CI: 1.57-6.30], using the internet (AOR 2.23; CI: 1.11-4.50) and insulin use (AOR 2.60; CI: 1.35-5.00) were more likely to report good diabetes health literacy compared to their counterparts. Patients who reported reading health magazines (AOR 2.75; CI: 1.01-7.60) were more likely to report perfect medication adherence compared to those who did not.
UNASSIGNED: Why diabetes health literacy and medication adherence were low among diabetes patients in the most literate state needs further investigation. Interventions to enhance diabetes health literacy and medication adherence may be undertaken among diabetes patients encouraging them to read newspapers and health magazines regularly and use the internet.
UNASSIGNED: We conducted a community-based cross-sectional study among 280 diabetes patients (mean age 62 years, male 42%) selected by multistage cluster sampling. Information on sociodemographic variables was collected using a pretested structured interview schedule. Diabetes health literacy was assessed using the revised Michigan Diabetes Knowledge test. Adherence to diabetes medication was assessed using the Hill-Bone subscale. Binary logistic regression analysis was done to find out the factors associated with diabetes health literacy and medication adherence.
UNASSIGNED: Good diabetes health literacy was reported by 35.7% [95% confidence interval (CI): 30.1-41.6] of the patients. Perfect adherence to diabetes medication was reported by 33.2% of patients (CI: 27.7-39.1). Patients who reported regular newspaper reading [adjusted odds ratio (AOR) 3.16; CI: 1.57-6.30], using the internet (AOR 2.23; CI: 1.11-4.50) and insulin use (AOR 2.60; CI: 1.35-5.00) were more likely to report good diabetes health literacy compared to their counterparts. Patients who reported reading health magazines (AOR 2.75; CI: 1.01-7.60) were more likely to report perfect medication adherence compared to those who did not.
UNASSIGNED: Why diabetes health literacy and medication adherence were low among diabetes patients in the most literate state needs further investigation. Interventions to enhance diabetes health literacy and medication adherence may be undertaken among diabetes patients encouraging them to read newspapers and health magazines regularly and use the internet.
摘要：
■这项研究旨在评估糖尿病健康素养，坚持糖尿病药物治疗，及其在喀拉拉邦的相关因素，印度,流行病学转型中最先进的印度州，印度识字率最高。
■我们在280名糖尿病患者中进行了一项基于社区的横断面研究（平均年龄62岁，男性42%)通过多阶段整群抽样选择。有关社会人口统计学变量的信息是使用经过预先测试的结构化访谈时间表收集的。使用修订后的密歇根糖尿病知识测试评估糖尿病健康素养。使用Hill-Bone量表评估对糖尿病药物的依从性。采用二元Logistic回归分析,找出影响糖尿病健康素养和服药依从性的相关因素。
■35.7%[95%置信区间(CI):30.1-41.6]的患者报告了良好的糖尿病健康素养。33.2％的患者报告了对糖尿病药物的完美依从性（CI：27.7-39.1）。报告定期阅读报纸的患者[调整后优势比（AOR）3.16；CI：1.57-6.30]，使用互联网(AOR2.23;CI:1.11-4.50)和使用胰岛素(AOR2.60;CI:1.35-5.00)的糖尿病健康素养较高.报告阅读健康杂志（AOR2.75；CI：1.01-7.60）的患者与未报告的患者相比，更有可能报告完美的药物依从性。
■为什么处于最识字状态的糖尿病患者的糖尿病健康素养和用药依从性较低，需要进一步调查。可以在糖尿病患者中进行干预以提高糖尿病健康素养和药物依从性，鼓励他们定期阅读报纸和健康杂志并使用互联网。
■我们在280名糖尿病患者中进行了一项基于社区的横断面研究（平均年龄62岁，男性42%)通过多阶段整群抽样选择。有关社会人口统计学变量的信息是使用经过预先测试的结构化访谈时间表收集的。使用修订后的密歇根糖尿病知识测试评估糖尿病健康素养。使用Hill-Bone量表评估对糖尿病药物的依从性。采用二元Logistic回归分析,找出影响糖尿病健康素养和服药依从性的相关因素。
■35.7%[95%置信区间(CI):30.1-41.6]的患者报告了良好的糖尿病健康素养。33.2％的患者报告了对糖尿病药物的完美依从性（CI：27.7-39.1）。报告定期阅读报纸的患者[调整后优势比（AOR）3.16；CI：1.57-6.30]，使用互联网(AOR2.23;CI:1.11-4.50)和使用胰岛素(AOR2.60;CI:1.35-5.00)的糖尿病健康素养较高.报告阅读健康杂志（AOR2.75；CI：1.01-7.60）的患者与未报告的患者相比，更有可能报告完美的药物依从性。
■为什么处于最识字状态的糖尿病患者的糖尿病健康素养和用药依从性较低，需要进一步调查。可以在糖尿病患者中进行干预以提高糖尿病健康素养和药物依从性，鼓励他们定期阅读报纸和健康杂志并使用互联网。
