Diabetic health literacy and its association with glycemic control among adult patients with type 2 diabetes mellitus attending the outpatient clinic of a university hospital in Ethiopia

Tefera, Yonas Getaye; Gebresillassie, Begashaw Melaku; Emiru, Yohannes Kelifa; Yilma, Ruth; Hafiz, Firdos; Akalu, Henok; Ayele, Asnakew Achaw

doi:10.1371/journal.pone.0231291

Cited by 54 publications

(80 citation statements)

References 34 publications

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“…Poor health literacy has been well documented in Indian adults, 20 which significantly contributes to poor compliance and glycaemic control. 21,22 Non-supportive behaviour of family members is significantly associated with suboptimal adherence with prescribed antidiabetic treatment regimens; 24 which was also reported as one of the significant barriers in timely initiation of prescribed insulin in our study. Most of the study participants were rural dwellers and not well-educated, ideally requiring family support in order to understand the dose, frequency and route of administration of insulin.…”

Section: Theme 3 -Perceived Barriers To Insulin Initiationmentioning

confidence: 59%

Prevalence of Primary Non-adherence with Insulin and Barriers to Insulin Initiation in Patients with Type 2 Diabetes Mellitus – An Exploratory Study in a Tertiary Care Teaching Public Hospital

Sharma

Kant

Kalra

et al. 2020

European Endocrinology

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Section: Theme 3 -Perceived Barriers To Insulin Initiationmentioning

confidence: 59%

Prevalence of Primary Non-adherence with Insulin and Barriers to Insulin Initiation in Patients with Type 2 Diabetes Mellitus – An Exploratory Study in a Tertiary Care Teaching Public Hospital

Sharma

Kant

Kalra

et al. 2020

European Endocrinology

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“…The sample size was calculated using a single population proportion formula in the target population estimated to have adequate health literacy. There is no reasonable estimate since no prior study has been conducted in the Ethiopian setting, so we used 50% (i.e., 0.5) to maximize the sample size [27] and using 95% confidence interval; Zα /2 = 1.96, the margin of error = 0.05 and non-response rate=10%.…”

Section: Study Participants Sample Size Determination and Sampling Proceduresmentioning

confidence: 99%

Communicative health literacy in patients with non-communicable diseases in Ethiopia: a cross-sectional study

2021

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Background Health literacy plays a prominent role in empowering individuals for prevention as well as management of non-communicable diseases (NCDs). However, there is paucity of information on the health literacy of patients with non-communicable diseases in Ethiopia. Therefore, this study aimed to assess communicative health literacy and associated factors in patients with NCDs on follow-up at Jimma Medical Center (JMC), Ethiopia. Methods A cross-sectional study was conducted from 4 May 2020 to 4 July 2020 with 408 randomly selected adult patients, attending outpatient department of JMC in Ethiopia. The final sample size was obtained by using single population proportion formula. All patients with NCDs who were on follow-up at chronic illness clinic, JMC, were used as a source population. All eligible patients with NCDs who fulfilled the inclusion criteria were included in this study. A simple random sampling technique was used to recruit study participants. Data were collected through structured interviewer administered questionnaires on the six of nine health literacy domains using Health Literacy Questionnaire (HLQ) containing 30 items, socio-demographic and socio-economic characteristics, disease-related factors, and health information sources. Multivariable logistic regression was executed to determine the associations. Result Descriptive analysis shows more than half of the respondents in four of the six health literacy domains had high communicative health literacy level (CHLL). The proportion of people with high CHLL across each of the domains was as follows: health care provider support (56.1%), social support for health (53.7%), active engagement with a healthcare provider (56.1%), and navigating healthcare system (53.4%). We found educational status was significantly associated with five of six health literacy domains whereas number of sources was associated with four of six health literacy domains. Conclusion The overall findings of the current study indicate that health literacy levels vary according to socio-demographic and disease characteristics of patients. Thus, healthcare professionals should assess patients’ health literacy level and tailor information and support to the health literacy skills and personal context of their patients.

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“… 28 Another study done in the University of Gondar Comprehensive Specialized Hospital, Ethiopia 56.5% of patients were considered to have high diabetic-related health literacy being in the age group of less than 40 years old is 6.23 times more likely to achieve the target glycemic control as compared with those older than 60 years with 95% CI AOR 6.23 (1.99–9.11). 20 …”

Section: Discussionmentioning

confidence: 99%

“… 25 Adequate health literacy and a better understanding of health education are highly correlated. 20 Those patients having low health literacy reported less participation in their care with the clinician, which in turn results in poorer health outcomes. Health Literacy is an important indicator which can guide health providers in tailoring their communication for patients with limited health literacy skills.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, different patient empowerment programs and approaches aimed at raising patients’ health literacy would be essential to improve medication adherence; therefore, healthcare professionals should assess patients’ health literacy level and tailor information and support to the health literacy skills and personal context of their patients. 19 , 20 …”

Section: Introductionmentioning

confidence: 99%

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Level of Patient Health Literacy and Associated Factors Among Adult Admitted Patients at Public Hospitals of West Shoa Oromia, Ethiopia

Dugasa¹

2022

PPA

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Background Health literacy is a capacity of individual to gain knowledge that helps to use health information in different levels as needed for self-management and to communicate with health providers. Health literacy has a significant impact on patient health outcomes. The aim of this study was to assess level of patient health literacy and associated factors among adult admitted patients at public hospitals of West Shoa zone, Oromia, Ethiopia. Methods A cross-sectional, quantitative study was carried out among adult admitted patients at public hospitals of West Shoa Oromia, Ethiopia. An interviewer-administered Health Literacy Questionnaire (HLQ) instrument tool was used to assess patients’ health literacy. All statistical analysis were performed using SPSS for windows program version 21. Results A total of 403 patients participated in this study. Majority of the participants were males 235 (58.3%) and aged 40–59 years (n = 164, 40.7%). Overall, 59.1% (n = 238) of the participants have high health literacy. Those respondents who are above grade 12 (tertiary) were 2.45 times more likely to have high health literacy (AOR = 2.45, 95% CI: 1.21, 4.98) compared to those respondents not able to read and write . Participants who had age greater or equal to sixty were 65% less likely to have high health literacy (AOR: 0.35, 95% CI: 0.18, 0.70). Conclusion and Recommendation Forty percent of the participants have low health literacy. Age and education are significant factors in health literacy. Ethiopian ministry of health, Oromia regional health bureau, West shoa zonal office and healthcare professionals have to provide an intervention in enhancing the level of health literacy by mass media and written material.

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Diabetic health literacy and its association with glycemic control among adult patients with type 2 diabetes mellitus attending the outpatient clinic of a university hospital in Ethiopia

Cited by 54 publications

References 34 publications

Prevalence of Primary Non-adherence with Insulin and Barriers to Insulin Initiation in Patients with Type 2 Diabetes Mellitus – An Exploratory Study in a Tertiary Care Teaching Public Hospital

Prevalence of Primary Non-adherence with Insulin and Barriers to Insulin Initiation in Patients with Type 2 Diabetes Mellitus – An Exploratory Study in a Tertiary Care Teaching Public Hospital

Communicative health literacy in patients with non-communicable diseases in Ethiopia: a cross-sectional study

Level of Patient Health Literacy and Associated Factors Among Adult Admitted Patients at Public Hospitals of West Shoa Oromia, Ethiopia

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