沙特2型糖尿病患者的健康素养与血糖控制之间的关联。
The association of health literacy with glycemic control in Saudi patients with type 2 diabetes.
作者信息
Mashi Abdulrahman H, Aleid Dalal, Almutairi Sarah, Khattab Faisal, AlMuqawed Abdullah N, Khan Shawana, AlBanyan Nora, Brema Imad, AlJohani Naji J
机构信息
Department of Medicine, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia. E-mail.
出版信息
Saudi Med J. 2019 Jul;40(7):675-680. doi: 10.15537/smj.2019.7.24277.
OBJECTIVES
To identify the prevalence of health literacy among adult Saudi with type 2 diabetes mellitus (T2DM) patients and determine the clinical factors that are associated with health literacy scores including glycemic control.
METHOD
A cross-sectional study that included 249 adult Saudi patients with T2DM (99 males and 150 females) who visited the Diabetes Clinic of the Endocrine Center at King Fahad Medical City, Riyadh, Saudi Arabia between September 2017 and January 2018. The short test of Functional Health Literacy in Adults (Arabic version) was used to classify patients into 3 levels of functional health literacy: inadequate, marginal, and adequate. Demographic characteristics were noted and glycosylated hemoglobin was assessed routinely. Regression analysis was carried out to determine whether health literacy is associated with glycemic control.
RESULTS
Majority of the participants had adequate literacy rate (68.7%). The adequate group is significantly younger (48.4±12.8) than the marginal (54.2±13.3) and inadequate group (54.1±9.1). Females in the adequate group were significantly lesser (54.6%) than the marginal (66.7%) and inadequate (81.8%) groups. Being female has a lesser odds of having an adequate health literacy level (odds ratio [OR] -1.24, confidence interval [CI] -1.97-0.50; p=0.001). Body mass index was positively associated with adequate health literacy level, but the significance was modest (OR 0.04; CI 0.003-0.09; p=0.045).
CONCLUSION
Health literacy is high among Saudi T2DM patients and is not associated with glycemic control.
目的
确定沙特成年2型糖尿病（T2DM）患者的健康素养患病率，并确定与健康素养得分相关的临床因素，包括血糖控制情况。
方法
一项横断面研究，纳入了249名沙特成年T2DM患者（99名男性和150名女性），这些患者于2017年9月至2018年1月期间前往沙特阿拉伯利雅得法赫德国王医疗城内分泌中心糖尿病诊所就诊。采用成人功能性健康素养简短测试（阿拉伯语版）将患者分为功能性健康素养的三个水平：不足、边缘和充足。记录人口统计学特征并常规评估糖化血红蛋白。进行回归分析以确定健康素养是否与血糖控制相关。
结果
大多数参与者的素养率充足（68.7%）。充足组明显比边缘组（54.2±13.3）和不足组（54.1±9.1）年轻（48.4±12.8）。充足组中的女性比例（54.6%）明显低于边缘组（66.7%）和不足组（81.8%）。女性具备充足健康素养水平的几率较低（优势比[OR] -1.24，置信区间[CI] -1.97 - 0.50；p = 0.001）。体重指数与充足的健康素养水平呈正相关，但显著性适中（OR 0.04；CI 0.003 - 0.09；p = 0.045）。
结论
沙特T2DM患者的健康素养较高，且与血糖控制无关。
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