Disease-specific health literacy, disease knowledge, and adherence behavior among patients with type 2 diabetes in Taiwan

BMC Public Health
Jue-Zong YehChiung-Hsuan Chiu

Abstract

To examine the association between health literacy, level of disease knowledge, and adherence behavior among patients with type 2 diabetes. 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). 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. 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 conjunc...Continue Reading

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Citations

Jun 20, 2019·Health & Social Care in the Community·Hsiang-Yun HuangChi-Hsien Huang
Nov 7, 2019·The Journal of Dermatological Treatment·Marie Hamilton LarsenAstrid Klopstad Wahl
Oct 25, 2020·Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders·Eu Jeong KuTae Keun Oh
Feb 4, 2021·Journal of Renal Care·Jennifer M ShahAnn Bonner
Feb 11, 2021·International Journal of Environmental Research and Public Health·Andrea KlinovszkyNorbert Buzás
May 28, 2021·Health Psychology and Behavioral Medicine·Caitlin LiddelowMark Boyes

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Software Mentioned

LISREL
Linear Structural Relationships ( LISERL )
Statistical Analysis System ( SAS )
Nutbeam
Statistic Package for the Social Sciences ( SPSS )

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