Assessment of functional, communicative, and critical health literacy in diabetes management among patients attending a tertiary care centre in Maharashtra, India
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20251722Keywords:
Diabetes, Health literacy, MaharashtraAbstract
Background: Effective diabetes management significantly relies on health literacy; however, within the Indian context, its components-communicative, functional, and critical health literacy-are inadequately comprehended. This research aimed to assess the factors related to diabetes treatment for patients enrolled in a tertiary care facility in Maharashtra, India.
Methods: Total 201 people under 75 with type two diabetes participated in cross-sectional research. Communicative, Functional, as well as Critical Health Literacy (FCCHL) scale has been employed to evaluate health literacy. Data on sociodemographic factors, diabetes control (last fasting blood sugar values), and health literacy domains were collected and analysed using chi-square tests, odds ratios, and ANOVA.
Results: Average participant age was 56.33 yrs (±10.879). Health literacy was higher among men (60.1 percent) than among women (45.1%; p value=0.033). Both functional as well as communicative health literacy didn’t exhibit substantial affiliation with diabetes control; however, critical health literacy did (p equal to 0.008). Health literacy as well as education level were substantially correlated (p=0.043), with graduates showing higher literacy. Health literacy did not significantly correlate with occupation, family type, or place of residence.
Conclusions: Better diabetes control is strongly correlated with critical health literacy, underscoring the significance of enabling patients to evaluate and apply medical information critically. To improve diabetes management outcomes, interventions should concentrate on enhancing functional and communicative health literacy, especially among females and populations with decreased levels of education.
Metrics
References
Unnikrishnan R, Mohan V. Diabetes in the tropics: prevalent, increasing and major public health problem. Trans R Soc Trop Med Hyg. 2016 May 1;110(5):263-4. DOI: https://doi.org/10.1093/trstmh/trw021
Gregg EW, Sattar N, Ali MK. The changing face of diabetes complications. Lancet Diabetes Endocrinol. 2016 Jun 1;4(6):537-47. DOI: https://doi.org/10.1016/S2213-8587(16)30010-9
Reusch JEB, Manson JAE. Management of Type 2 diabetes in 2017: getting to goal. JAMA. 2017;317(10):1015-6. DOI: https://doi.org/10.1001/jama.2017.0241
Rowley WR, Bezold C, Arikan Y, Byrne E, Krohe S. Diabetes 2030: insights from yesterday, today, and future trends. Popul Health Manag. 2017;20(1):6-12. DOI: https://doi.org/10.1089/pop.2015.0181
Hannon TS, Arslanian SA. The changing face of diabetes in youth: lessons learned from studies of type 2 diabetes. Ann N Y Acad Sci. 2015;1353(1):113-37. DOI: https://doi.org/10.1111/nyas.12939
Dagenais GR, Gerstein HC, Zhang X, McQueen M, Lear S, Lopez-Jaramillo P, et al. Variations in diabetes prevalence in low-, middle-, and high-income countries: results from the prospective urban and rural epidemiological study. Diabetes Care. 2016;39(5):780-7. DOI: https://doi.org/10.2337/dc15-2338
Guo XM, Zhai X, Hou BR. Adequacy of health literacy and its effect on diabetes self-management: a meta-analysis. Aust J Prim Health. 2021;26(6):458-65. DOI: https://doi.org/10.1071/PY20079
Van Der Heide I, Uiters E, Rademakers J, Struijs JN, Schuit AJ, Baan CA. Associations among health literacy, diabetes knowledge, and self-management behavior in adults with diabetes: results of a dutch cross-sectional study. J Health Commun. 2014;19:115-31.
Van Der Heide I, Uiters E, Rademakers J, Struijs JN, Schuit AJ, Baan CA. Associations among health literacy, diabetes knowledge, and self-management behavior in adults with diabetes: results of a dutch cross-sectional study. J Health Commun. 2014;19:115-31. DOI: https://doi.org/10.1080/10810730.2014.936989
Kim S, Love F, Quistberg DA, Shea JA. Association of health literacy with self-management behavior in patients with diabetes. Diabetes Care. 2004;27(12):2980-2. DOI: https://doi.org/10.2337/diacare.27.12.2980
Williams MV, Davis T, Parker RM, Weiss BD. The role of health literacy in patient-physician communication. Fam Med. 2002 May;34(5):383-9.
Kim SH, Utz S. Effectiveness of a social media–based, health literacy–sensitive diabetes self-management intervention: a randomized controlled trial. J Nurs Scholarsh. 2019 ;51(6):661-9. DOI: https://doi.org/10.1111/jnu.12521
Schillinger D. Literacy and health communication: Reversing the “inverse care law.” Am J Bioeth. 2007;7(11):15-8. DOI: https://doi.org/10.1080/15265160701638553
Vandenbosch J, Van den Broucke S, Schinckus L, Schwarz P, Doyle G, Pelikan J, et al. The impact of health literacy on diabetes self-management education. Health Educat J. 2018;77(3):349-62. DOI: https://doi.org/10.1177/0017896917751554
Bains SS, Egede LE. Associations between health literacy, diabetes knowledge, self-care behaviors, and glycemic control in a low-income population with type 2 diabetes. Diabetes Technol Ther. 2011;13(3):335-41.
Ahmed AM. History of diabetes mellitus. Saudi Med J. 2002;23(4):373-8.
Banday MZ, Sameer AS, Nissar S. Pathophysiology of diabetes: An overview. Avicenna J Med. 2020;10(4):174. DOI: https://doi.org/10.4103/ajm.ajm_53_20
Hussain R, Rajesh B, Giridhar A, Gopalakrishnan M, Sadasivan S, James J, et al. Knowledge and awareness about diabetes mellitus and diabetic retinopathy in suburban population of a South Indian state and its practice among the patients with diabetes mellitus: A population-based study. Indian J Ophthalmol. 2016;64(4):272-6. DOI: https://doi.org/10.4103/0301-4738.182937
Deshpande AD, Harris-Hayes M, Schootman M. Epidemiology of diabetes and diabetes-related complications. Phys Ther. 2008;88(11):1254. DOI: https://doi.org/10.2522/ptj.20080020
Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: An updated systematic review. Ann Intern Med. 2011;155(2):97-107. DOI: https://doi.org/10.7326/0003-4819-155-2-201107190-00005
Osborn CY, Bains SS, Egede LE. Health literacy, diabetes self-care, and glycemic control in adults with type 2 diabetes. Diabetes Technol Ther. 2010;12(11):913-9. DOI: https://doi.org/10.1089/dia.2010.0058
Nutbeam D. Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int. 2000;15(3):259-67. DOI: https://doi.org/10.1093/heapro/15.3.259
Lai AY, Ishikawa H, Kiuchi T, Mooppil N, Griva K. Communicative and critical health literacy, and self-management behaviors in end-stage renal disease patients with diabetes on hemodialysis. Patient Educ Couns. 2013;91(2):221-7. DOI: https://doi.org/10.1016/j.pec.2012.12.018
Heijmans M, Waverijn G, Rademakers J, van der Vaart R, Rijken M. Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management. Patient Educ Couns. 2015;98(1):41-8. DOI: https://doi.org/10.1016/j.pec.2014.10.006
Powell CK, Hill EG, Clancy DE. The relationship between health literacy and diabetes knowledge, and readiness to take health actions. Diabetes Educator. 2007;33(1):144-51. DOI: https://doi.org/10.1177/0145721706297452
Tang YH, Pang SMC, Chan MF, Yeung GSP, Yeung VTF. Health literacy, complication awareness, and diabetic control in patients with type 2 diabetes mellitus. J Adv Nurs. 2008;62(1):74-83. DOI: https://doi.org/10.1111/j.1365-2648.2007.04526.x
Pourisharifa H, Babapoura J, Zamanib R, Besharatb MA, Mehryarb AH, Rajabb A. The effectiveness of motivational interviewing in improving health outcomes in adults with type 2 diabetes. Procedia Soc Behav Sci. 2010;5:1580-4. DOI: https://doi.org/10.1016/j.sbspro.2010.07.328
Lee YJ, Shin SJ, Wang RH, Lin K Der, Lee YL, Wang YH. Pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycemic control in patients with type 2 diabetes mellitus. Patient Educ Couns. 2016;99(2):287-94. DOI: https://doi.org/10.1016/j.pec.2015.08.021
Bains SS, Egede LE. Associations between health literacy, diabetes knowledge, self-care behaviors, and glycemic control in a low-income population with type 2 diabetes. Diabetes Technol Ther. 2011;13(3):335-41. DOI: https://doi.org/10.1089/dia.2010.0160
Yarmohammadi S, Momenyan S, Ghaffari M, Ali R, Azizpour M. Impact of functional, communicative and critical health literacy on glycemic control among patients with type 2 diabetes, and the mediating role of self-care. Psychol Res Behavior Manag. 2019:427-35. DOI: https://doi.org/10.2147/PRBM.S207466