ChiWei Lin ITing Liu RuYi Huang Wei Chieh Hung ChingJung Ho EDa HospitalI Shou University Taiwan Health Evaluation and Promotion Association Background Diabetes is one of the important chronic disease in modern society and the occurrence and prognosis of this disease is consid ID: 814904
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Slide1
Health literacy and the care quality of newly diagnosed diabetic patients
Chi-Wei Lin, I-Ting Liu, Ru-Yi Huang, Wei-Chieh Hung, Ching-Jung HoE-Da Hospital/I-Shou University, Taiwan Health Evaluation and Promotion Association
Slide2Background
Diabetes is one of the important chronic disease in modern society, and the occurrence and prognosis of this disease is considered to be correlated with patients’ health belief and behavior. Since health literacy is defined as “the ability to read, filter and understand health information in order to form sound judgments” by EU, it may also play an important role in the care of diabetic patients.
Slide3Diabetes in Taiwan
Prevalence: 1Male 4.7-6.5%Female 5.3-6.6%Insufficient ability for adequate diabetes care2Lack of knowledgeNegative attitudeInappropriate health behavior
Chang, C.H., et al., Type 2 diabetes prevalence and incidence among adults in Taiwan during 1999–2004: a national health insurance data set study. Diabetic Medicine, 2010. 27(6): p. 636-643.
Ching-I Huang, Huey-Mei Jeng, Der-Chung Shen. Diabetes Knowledge, Attitude, Behavior and Demands in Diabetic Patients Health Promotion & Health Education Journal , 1998(18): p. 25-35.
Slide4Research PurposeThe health literacy in newly diagnosed diabetes patients in southern Taiwan.
Score distribution in Health Care, Disease Prevention, Health PromotionThe important attributes affecting health literacy and diabetes care outcomeInitial health literacy and the diabetes care outcome
Slide5theoretical Framework
WHO: Health literacy. The solid facts. Copenhagen, Denmark: WHO Regional Office for Europe, 2013.
Slide6Population
Type 2 Diabetes patientsAdult (>18 y/o)Newly diagnosed (<1 year)No obvious cognitive impairment
Slide7Tool
Slide8Methods
This research collects a newly diagnosed diabetes cohort in a large teaching hospital in Southern TaiwanEvaluating the health literacy status in this population, and analyzing the relationship of the diabetes care outcome to the health literacy.
Slide9ResultsInitial enrolled patients: 78
Included in final analysis: 55Inadequate (0–25) : 10 (18.2%)Problematic (>25–33) : 21 (38.2%)Sufficient (>33–42) : 10 (18.2%)Excellent (>42–50) : 14 (25.5%)
Slide10Demographics in inadequate HL and higher HL participants
Inadequate
HL(n=10)
HL >25(n=45)P value
Age
58.6
55.6
0.462
Gender (male/female)
3/7 (0.43)
22/23 (0.96)
0.318
BMI
27.5
26.8
0.579
Multiple Chronic Disease
(yes/no)
5/5 (1.00)
19/26 (0.73)
0.220
Marital
Status
(married/single)
7/3 (2.33)
44/1 (44.00)
0.016*
Education
(<6 year/high school/college)
6/4/0
11/26/8
0.061
Slide11clinical characteristic differences between inadequate HL and higher HL participants
Inadequate
HL(n=10)
HL >25(n=45)P value
Glucose AC (mg/
dL
)
133.2
134.4
0.934
HbA1C (%)
8.6
7.3
0.359
Total
Cholesterol (mg/
dL
)
202.3
203.5
0.956
HDL (mg/
dL
)
44.6
41.0
0.359
LDL(mg/
dL
)
109.3
108.3
0.943
Proteinuria
(yes/no)
5/2
10/15
0.209
Slide12attributes of adequately controlled DM patients (HbA1C <7%) in six months
OR
(95% CI)P value
Age (≥65 y/o vs. <65 y/o)8.13 (0.39-168.43)
0.934
Gender (male vs. female)
0.76 (0.08-6.79)
0.802
BMI
(
≥27 vs. <27
)
1.25 (0.82-1.89)
0.956
Initial HbA1C (≤7% vs. >7%)
17.24
(1.42-209.98)
0.026*
Inadequate
Health Care HL
27.70 (0.45-1708.60)
0.114
Inadequate Disease Prevention HL
0.001
(0.000-1.023)
0.051
Inadequate Health Promotion HL
418.08 (1.541-113414.1)
0.035*
Slide13The relationship between and HL and diabetic care outcome
Marital status, education and multiple disease condition is related to inadequate health literacy.Diabetes care outcome (HbA1C) showed no obvious relationship with health literacy.Short investigation period and small numbers of participants may limit the research result to reach statistical significance.