RELATIONSHIP BETWEEN HEALTH LITERACY AND GLYCEMIC CONTROL OF DIABETES PATIENT IN TAMBON HEALTH PROMOTION HOSPITAL OF PHRACHOMKLAO HOSPITAL SERVICES NETWORK, PHETCHABURI
Keywords:
Health Literacy of Diabetes Patient, Diabetes, glycemic controlAbstract
This cross-sectional analytical study evaluated health literacy in order to determine the relationship between personal factors and health literacy related to glycemic control in 340 patients with type 2 diabetes mellitus in 10 Tambon Health Promotion Hospitals of the Phrachomklao Hospital Services Network, Phetchaburi Province. Participants in this study were chosen by employing the accidental sampling method. Data were collected by using a questionnaire and gathering participants’ hemoglobin A1c (HbA1c). Descriptive analysis and inferential statistics were employed to analyze the data, including percentage, mean, standard deviation, Chi-square test, and binary logistic regression. The results revealed that 74.1% of the sampling group were female, with an average age of 61.4 years, and 68.8% of them had an educational level equivalent to primary school or less. Their average body mass index was 26.0 kg/m2 with the underlying disease at 46.2%. They received treatment for diabetes for an average of 7.2 years. Most participants, on average 66.8%, had a high level of health literacy, and 60.6% were able to control their glycemic levels (HbA1c < 7%). The health literacy of diabetic patients (OR = 3.5; 95% CI = 2.1-5.8; p = <0.001) and diabetic patients who had participated in the health education activities group at Tambon Health Promotion Hospitals (OR = 1.9; 95% CI = 1.1-3.2; p = 0.020) showed a statistically significant association with glycemic control. Therefore, health professionals should assess the health literacy of patients with diabetes. Emphasis is placed on developing a high-level of understanding of health-related information to effectively control patients’ blood sugar levels.
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