Adherence to medication, physical activity and diet among older people living with diabetes mellitus: Correlation between cognitive function and health literacy

Crespo, Thaísa Soares; Andrade, João Marcus Oliveira; Lelis, Deborah de Farias; Ferreira, Aline Dayrell; Souza, João Gabriel Silva; Martins, Aline Blaya; Santos, Sérgio Henrique Sousa

doi:10.1016/j.ibror.2020.07.003

Cited by 11 publications

(14 citation statements)

References 47 publications

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“…This study reveals that self-management education and health literacy programs can significantly increase medication adherence of elderly with primer hypertension (6). Furthermore, this study's result reveals that the mental condition of the elderly with diabetes mellitus strongly relates to their health literacy, particularly on several statuses, such as nutrition, physical activities, and treatment adherence in diabetes mellitus (7).…”

Section: Introductionmentioning

confidence: 72%

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Assessing Health Literacy of Elderly with Chronic Diseases during the COVID-19 Pandemic in Makassar City, Sulawesi Selatan, Indonesia

Bahtiar¹,

Saputri²,

Paseleng³

et al. 2021

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The elderly are vulnerable to experience health problems and physical deterioration characterized by high rates of chronic diseases among the elderly. Health literacy ability becomes crucial for the elderly with chronic diseases to treat and maintain their health. This study was aimed to describe the literacy levels of the elderly with chronic diseases during the COVID-19 pandemic in Makassar. The method of study was a descriptive survey with a cross-sectional study. The research population is elderly with chronic diseases in Makassar city, and the samples are 124 elderly with age ≥60 years old and suffering chronic diseases more than six months in two selected sub-district. The research was conducted a cross-sectional survey, and descriptive univariate data analysis was used. The instrument was used Indonesia's health literacy short-form survey questionnaire (HLS-EU-SQ10-IDN). The result of this study reveals that the health literacy levels vary: insufficient criteria by 33.99%, problematic criteria by 49.2%, sufficient criteria by 16.1%, and perfect criteria by 0.8%. The results prove that the health literacy level of the elderly with chronic diseases is insufficient. This study concluded that the dominant level of the health literacy of the elderly with chronic diseases is inadequate and problematic. Health education program to improve their literacy is necessarily improved during the COVID-19 outbreak

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Section: Introductionmentioning

confidence: 72%

“…The existing shortform models' accuracy was 90.64% with the HLS-EU-SQ16 and 88.67% with the HLS-SF12. The ten questions' results were expected to measure health literacy levels with fewer and more relevant multiple-choice questions for the Indonesian context (7). The questionnaire was distributed via a google form.…”

Section: Methodsmentioning

confidence: 99%

Assessing Health Literacy of Elderly with Chronic Diseases during the COVID-19 Pandemic in Makassar City, Sulawesi Selatan, Indonesia

Bahtiar¹,

Saputri²,

Paseleng³

et al. 2021

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“…In recent years, much emphasis has been placed on medication regimens among older people challenged by comorbidities such as diabetes, hypertension, and tumor [ 14 , 15 , 16 , 17 , 18 , 19 ]. Nonetheless, research that specifically determines barriers and facilitators to influence the development of medication adherence in frail or pre-frail older people, has been largely understudied.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Medication Adherence among Community-Dwelling Older People with Frailty and Pre-Frailty in China

Cao

Zheng

et al. 2022

IJERPH

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Background: Frail and pre-frail older people often need to take medications. However, factors related to medication adherence among this population remain unclear, warranting further research. This study aims to identify correlates of medication adherence among frail and pre-frail older adults. Methods: From November 2020 to December 2020; a total of 4218 community-dwelling residents aged ≥ 60 years were interviewed by a cross-sectional survey in China. Data on subjects’ general information; medication adherence; and frailty status was obtained via the face-to-face structured questionnaire. Logistic regression models were fitted; separately; to examine these factors linked to medication adherence. Results: We found that 36.2% (n = 1527) and 18.8% (n = 792) of respondents were classified as pre-frail and frail. According to the Morisky scale scores, 66.74% (n = 2815) were found to have adequate medication adherence, and 33.26% (n = 1403) were found to have inadequate medication adherence. Among the pre-frail respondents, age (adjusted odds ratio (AOR) = 1.64; 95% confidence interval (CI): 1.18–2.29, P = 0.003), marital status (AOR = 1.52; 95% CI: 1.04–2.21, P = 0.030), smoking status (AOR = 0.61; 95% CI: 0.37–0.99, P = 0.044), and functional ability (AOR = 0.72; 95% CI: 0.58–0.91, P = 0.006) were significantly related to medication adherence. Among them, advanced age and single were risk factors, which were positively related to the medication adherence of subjects in pre-frailty, while quitting smoking and limited functional ability contributed to improving their medication adherence. In contrast, only age (AOR = 1.77; 95% CI: 1.16–2.69, P = 0.008) was significantly associated with medication adherence among frail subjects. Conclusion: Influencing factors to medication adherence of old people in pre-frailty and frailty have been enriched, which provides a certain reference for promoting medication adherence in this population. Future adherence intervention methods should be designed based on these factors.

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“…The WHO has defined health literacy as personal characteristics and social resources needed for individuals and communities to access, understand, appraise, and use information and services to make decisions about health (11). DM health literacy is considered to be an essential part of DM self-management (12). There are two approaches to improve health literacy, i.e., the use of traditional paper and/or public broadcasting, and the use of more recently available internet resources.…”

Section: Introductionmentioning

confidence: 99%

Cross-Sectional Study on Health Literacy and Internet Accessibility Among Patients With DM in Gansu, China

Zhao

Luo

Zhang

et al. 2021

Front. Public Health

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Objective: To determine the relationship between the health literacy of patients with diabetes mellitus (DM) and the accessibility of internet surfing for information concerning DM.Methods: A multistage stratified sampling method was utilized to conduct a questionnaire survey on DM health literacy and internet accessibility among 1,563 patients with DM in Gansu Province in 2020. Logistic regression was performed to analyze the factors that influence health literacy and internet accessibility; while the chi-square test was used to compare the differences in needs.Results: Among 1,563 valid questionnaires collected with an effective rate of 95.7%, there were 65.4, 66.3, or 51.1% of patients with DM were found to have good health knowledge, attitudes, or practice levels, respectively. Occupation, income, disease course of DM, and accessibility to the internet were the main factors influencing health literacy. Age, residency, occupation, education, income, and family history of DM were the factors influencing accessibility to internet surfing for DM. The expectations from patients with DM for the capacity to obtain DM information from traditional sources or through internet sources was 1,465 (93.7%) or 1,145 (73.3%), respectively. Patients with DM had a 2-fold higher desire to obtain DM health information from internet media if the patients had access to the internet than those without (P < 0.05).Conclusions: The socioeconomic status and access to the internet were the main contributing factors for health literacy, as socioeconomic status is closely related to access to the internet.

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Adherence to medication, physical activity and diet among older people living with diabetes mellitus: Correlation between cognitive function and health literacy

Cited by 11 publications

References 47 publications

Assessing Health Literacy of Elderly with Chronic Diseases during the COVID-19 Pandemic in Makassar City, Sulawesi Selatan, Indonesia

Assessing Health Literacy of Elderly with Chronic Diseases during the COVID-19 Pandemic in Makassar City, Sulawesi Selatan, Indonesia

Factors Associated with Medication Adherence among Community-Dwelling Older People with Frailty and Pre-Frailty in China

Cross-Sectional Study on Health Literacy and Internet Accessibility Among Patients With DM in Gansu, China

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