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Disease-specific health literacy, disease knowledge, and adherence behavior among patients with type 2 diabetes in Taiwan
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....
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6108149/ https://www.ncbi.nlm.nih.gov/pubmed/30143020 http://dx.doi.org/10.1186/s12889-018-5972-x |
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author | Yeh, Jue-Zong Wei, Chung-jen Weng, Shuen-fu Tsai, Cheng-yu Shih, Jia-hui Shih, Chung-liang Chiu, Chiung-hsuan |
author_facet | Yeh, Jue-Zong Wei, Chung-jen Weng, Shuen-fu Tsai, Cheng-yu Shih, Jia-hui Shih, Chung-liang Chiu, Chiung-hsuan |
author_sort | Yeh, Jue-Zong |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6108149 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-61081492018-08-28 Disease-specific health literacy, disease knowledge, and adherence behavior among patients with type 2 diabetes in Taiwan Yeh, Jue-Zong Wei, Chung-jen Weng, Shuen-fu Tsai, Cheng-yu Shih, Jia-hui Shih, Chung-liang Chiu, Chiung-hsuan BMC Public Health Research Article 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. BioMed Central 2018-08-24 /pmc/articles/PMC6108149/ /pubmed/30143020 http://dx.doi.org/10.1186/s12889-018-5972-x Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Yeh, Jue-Zong Wei, Chung-jen Weng, Shuen-fu Tsai, Cheng-yu Shih, Jia-hui Shih, Chung-liang Chiu, Chiung-hsuan Disease-specific health literacy, disease knowledge, and adherence behavior among patients with type 2 diabetes in Taiwan |
title | Disease-specific health literacy, disease knowledge, and adherence behavior among patients with type 2 diabetes in Taiwan |
title_full | Disease-specific health literacy, disease knowledge, and adherence behavior among patients with type 2 diabetes in Taiwan |
title_fullStr | Disease-specific health literacy, disease knowledge, and adherence behavior among patients with type 2 diabetes in Taiwan |
title_full_unstemmed | Disease-specific health literacy, disease knowledge, and adherence behavior among patients with type 2 diabetes in Taiwan |
title_short | Disease-specific health literacy, disease knowledge, and adherence behavior among patients with type 2 diabetes in Taiwan |
title_sort | disease-specific health literacy, disease knowledge, and adherence behavior among patients with type 2 diabetes in taiwan |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6108149/ https://www.ncbi.nlm.nih.gov/pubmed/30143020 http://dx.doi.org/10.1186/s12889-018-5972-x |
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