Functional Health Literacy and Self-Care Behaviors Among Type 2 Diabetic Patients at a University Teaching Hospital in Kigali

Mukanoheli, Vestine; Uwamahoro, Marie Claire; Mbarushimana, Valens; Meharry, Pamela

doi:10.4314/rjmhs.v3i1.7

Cited by 6 publications

(6 citation statements)

References 27 publications

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“…The study ascertained that high diabetic health literacy among the respondents was 30.3% (95% CI 25.4, 34.8). This finding was higher than the study conducted on the urban population of Bangladesh (24%) [ 18 ], Jamaica (13.6%) [ 2 ], Iran(18.2%) [ 19 ], and Rwanda (14.3%) [ 4 ] respectively. This discrepancy might be due to variations in the tools utilized, socio-cultural and geographical differences.…”

Section: Discussioncontrasting

confidence: 56%

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Diabetic health literacy and associated factors among diabetes mellitus patients on follow up at public hospitals, Bale Zone, South East Ethiopia, 2021

et al. 2022

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Objective This study was aimed to assess diabetic health literacy and associated factors among adult diabetic patients in public hospitals, Bale Zone, Southeast Ethiopia. Methods A hospital-based cross-sectional study was conducted among 402 diabetic patients in three public hospitals and the samples were selected using simple random sampling technique. The comprehensive functional, communicative, and critical health literacy questionnaire was used to measure diabetic health literacy. Descriptive statistics and Ordinary logistic regression analyses were conducted, and a P-value of < 0.05 was considered to declare a result as statistically significant. Result A total of 402 diabetic patients were involved in the study. Of all respondents, 41.8%, 27.9%, and 30.3% had low, moderate, and high diabetic health literacy respectively. Educational status; can’t read and write (AOR = 0.085;95% CI: 0.03,0.26), can read and write (AOR = 0.10; 95% CI: 0.04,0.30), primary school (AOR = 0.25; 95% CI: 0.09,0.67), secondary school (AOR = 0.37; 95% CI: 0.14,0.99), duration of onset ≤5 years (AOR = 2.05; 95% CI:1.09,4.19), being not member of DM association (AOR = 0.43; 95% CI: 0.26,0.73), having ≤ 3 diabetes mellitus information sources (AOR = 0.15; 95% CI: 0.03,0.77), social support; poor (AOR = 0.40;95% CI: 0.21,0.79), and moderate (AOR = 0.50; 95% CI: 0.28,0.92) were significantly associated with diabetic health literacy. Conclusion A substantial number of diabetic patients had low diabetic health literacy. Educational status, Sources of diabetic information, Member of DM association, and social support were significantly and positively associated with diabetic health literacy. But, duration of diabetes onset was negatively associated with diabetic health literacy of respondents. So, we recommend providing readable and picturized printed materials, and diabetic patient education to be considered.

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Section: Discussioncontrasting

confidence: 56%

“…According to International Diabetes Federation report in 2019, the number of diabetic patients will rise to 700 million by 2045 [ 3 ]. In sub-Saharan Africa (SSA), DM is predicted to increase quickly, rising by 80% over 20 years, and will affect around 18.7 million Africans by the year 2025 [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Diabetic health literacy and associated factors among diabetes mellitus patients on follow up at public hospitals, Bale Zone, South East Ethiopia, 2021

et al. 2022

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“…Educational status also signi cantly associated with diabetic health literacy. This nding is consistent with study done in Iran, Rwanda and China (27,29,34), that low level of educational status was associated with low diabetic health literacy. The result is also consistent with a study from Gondar, Ethiopia in which participants with greater educational status had a high mean score of diabetic health literacy (21).…”

Section: Discussionsupporting

confidence: 93%

“…The study nding showed that only 22.4% (95% CI 19.2, 25.9) of the participants had high diabetic health literacy level. This nding is higher than study in Iran (18.2%) (27), Mexico (17.6%) (28) and Kigali Rwanda (14.3%) (29). The discrepancy might be due to difference in tools utilized, study populations (those studies conducted in type 2 diabetic patients) and sociocultural variation.…”

Section: Discussionmentioning

confidence: 63%

Diabetic Health Literacy and Associated Factors among Diabetic Patients Attending Outpatient Department at Public Hospitals in North Shoa Zone, Amhara Region, Ethiopia, 2022

Nigussie,

Asefa,

Demeke

et al. 2023

Preprint

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Background Diabetic health literacy plays an important role in determining diabetic outcomes. Despite the numerous health education programs, the outcome of the diabetic management remains a challenge globally & studies on diabetic health literacy are still lacking in Ethiopia. Therefore, the present study was aimed to assess the magnitude of diabetic health literacy and related factors among patients with diabetes attends outpatient department at public hospitals in North Shoa Zone, Amhara Region, Ethiopia, 2022 Methods Institution based cross-sectional study design was conducted from May24-June24, 2022 at four randomly selected hospitals among 623 total study participants. The data was collected by face to face interview and reviewing the patient chart. The participants were selected by systematic random sampling. Data was entered in to Epi data version 4.6 and was exported to Stata version 14.1 for analyses. Ordinal logistic regression was conducted and a significant level was used at a p value of < 0.05. Result The present study included a total of 611 participants, with 98.1% response rate. Of all participants, 300(49.1%) had low, 174(28.5%) moderate &137(22.4%) had high diabetic health literacy level. The following factors; age; <40 years old (AOR = 3.48; 95%CI = 2.11, 5.77) & age 40–60 years (AOR = 2.79;95% CI = 1.75,4.46), Educational status (AOR = 0.29; 95% CI = 0.16,0.56) for who can’t read & write, (AOR = 0.41; 95% CI = 0.23,0.74) read & write & (AOR = 0.45;95% CI = 0.27,0.76) for primary school. exposure to diabetic education (AOR = 1.84; 95% CI = 1.31,2.58) having ≥ 2 sources of information (AOR = 2.28;95% CI = 1.57,3.32) moderate social support (AOR = 1.94;95%CI = 1.32,2.87), strong social support (AOR = 2.73;95% CI = 1.75,4.26),& Residence; lives in urban (AOR = 1.65; 95% CI = 1.14,2.39) were significant. Conclusion Compared to previous research carried out in Ethiopia, the overall diabetic health literacy level was low. Factors associated with diabetic Health Literacy were age, educational status, sources of information, attending diabetic education, social support and residence. Understanding of these factors might be the way for assisting patients and targeting specific intervention to develop patient’s diabetic health literacy.

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“…The study findings that most of participants reported poor Physical Activity level, followed by those who reported fair level, and those who reported good level. This finding is consistent with (6) who concluded that most of study participants have low level of physical activity. More than two-fifth reported good Risk Reduction level (n = 148; 41.3%), followed by those who reported fair level (n = 137; 38.3%), and those who reported poor level (n = 73; 20.4%).…”

Section: Discussionsupporting

confidence: 92%

Assessment of Diabetes Health Promotion Behaviors for Clients with Type 2 Diabetes Mellitus at Diabetic Center in Al-Diwaniya City

Haider Fahim Shafeea,

Arkan Bahlol Naji

2021

MLU

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Background: Diabetes mellitus (DM) is a significant worldwide medical issue that causes high human, social, and financial expenses on nations at all pay levels. The constant hyperglycemia of diabetes is related to long-term damage, brokenness, and disappointment of different organs, particularly of the eyes, kidneys, nerves, heart, and blood vessels. Method: A descriptive correlational design is used in this study which aims to measure health-related experiences and lifestyle behaviors for clients with type 2 diabetes for the period from (1 st October 2019 to 27 th August 2020). The study included a convenience sample of 358 clients with type 2 diabetes mellitus who were recruited from Al-Diwaniya Teaching Hospital at Diabetes and Endocrine Center. Data were collected using a self-report study instrument that includes the socio-demographic sheet, the health profile, and the Type 2 Diabetes and Health Promotion Scale. The data were analyzed using Statistical Package for Social Sciences (SPSS) version 26 using the frequency, percent, arithmetic mean, standard deviation, Pearson correlation, Independent-sample t-test, and one-way analysis of variance (ANOVA). The study results displayed that most of participants reported poor Physical Activity level (n = 266; 74.3%), more than two-fifth reported good Risk Reduction level (n = 148; 41.3%), less than two-fifth reported good Stress Management level (n = 134; 37.4%), less than two-fifth reported fair Healthy Diet level (n = 135; 37.7%), more than two-fifth reported good overall behavior (n = 193; 53.9%). Furthermore, there are statistically significant inverse correlations between participants' age and their Physical Activity, Risk Reduction, Stress Management, Enjoying Life, and overall behavior. Conclusion: The researcher concluded that the younger the clients, the poorer the Physical Activity, Risk Reduction, Stress Management, Enjoying Life, and overall behavior; the older the client, the better the Health Responsibility; the better socioeconomic status, the better the Physical Activity, Risk Reduction, Stress Management, Enjoying Life, and overall behavior.

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Functional Health Literacy and Self-Care Behaviors Among Type 2 Diabetic Patients at a University Teaching Hospital in Kigali

Cited by 6 publications

References 27 publications

Diabetic health literacy and associated factors among diabetes mellitus patients on follow up at public hospitals, Bale Zone, South East Ethiopia, 2021

Diabetic health literacy and associated factors among diabetes mellitus patients on follow up at public hospitals, Bale Zone, South East Ethiopia, 2021

Diabetic Health Literacy and Associated Factors among Diabetic Patients Attending Outpatient Department at Public Hospitals in North Shoa Zone, Amhara Region, Ethiopia, 2022

Assessment of Diabetes Health Promotion Behaviors for Clients with Type 2 Diabetes Mellitus at Diabetic Center in Al-Diwaniya City

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