Dika Qamil, Duli Marsida, Burazeri Genc, Toci Dorina, Brand Helmut, Toci Ervin
Department of Sports Medicine, University of Sports, Tirana, Albania.
Faculty of Medicine, University of Medicine, Tirana, Albania.
Front Public Health. 2020 Aug 18;8:405. doi: 10.3389/fpubh.2020.00405. eCollection 2020.
Our aim was to assess the independent association between blood glucose level and health literacy (HL) adjusting for many socio-demographic characteristics and body mass index (BMI) in an adult population in Albania, a transitional country in the South Eastern Europe. A cross-sectional study was carried out in Tirana in 2012-2014 including a population-based sample of 1,154 individuals aged ≥18 years (57% women; mean age: 45.5 ± 16.4 years; response rate: 88.6%). HL was assessed by use of HLS-EU-Q instrument. Blood glucose level was measured in a fasting state by use of rapid finger stick method. Information on socio-demographic characteristics was collected, and BMI was calculated based on measurement of height and weight in all participants. General Linear Model (GLM) and binary logistic regression were used to assess the independent association of blood glucose level and HL adjusting for all socio-demographic factors and BMI. One-third of participants had pre-diabetes (100-125.9 mg/dl) and further 11% had diabetes (≥126 mg/dl) based on the measured blood glucose level. In fully-adjusted GLM, mean blood glucose level was significantly lower among individuals with excellent HL compared with their counterparts with inadequate HL (99.3 vs. 106.0, respectively). Furthermore, the odds for the presence of diabetes in the group of study participants whose HL was "inadequate" were 2.6 times higher (95% CI = 1.3-5.4) compared to those whose HL was "excellent." We obtained evidence of a strong and significant inverse relationship between measured blood glucose level and HL, independent of many socio-demographic characteristics and measured BMI in a population-based study in a country of the Western Balkans.
我们的目标是在阿尔巴尼亚（东南欧的一个转型国家）的成年人群体中，评估血糖水平与健康素养（HL）之间的独立关联，并对许多社会人口学特征和体重指数（BMI）进行校正。2012年至2014年在地拉那进行了一项横断面研究，纳入了1154名年龄≥18岁的基于人群的样本个体（57%为女性；平均年龄：45.5±16.4岁；应答率：88.6%）。使用HLS-EU-Q工具评估HL。通过快速指尖采血法在空腹状态下测量血糖水平。收集了社会人口学特征信息，并根据所有参与者的身高和体重测量值计算BMI。使用一般线性模型（GLM）和二元逻辑回归来评估血糖水平与HL之间的独立关联，并对所有社会人口学因素和BMI进行校正。根据测量的血糖水平，三分之一的参与者患有糖尿病前期（100-125.9mg/dl），另有11%患有糖尿病（≥126mg/dl）。在完全校正的GLM中，HL优秀的个体的平均血糖水平显著低于HL不足的个体（分别为99.3和106.0）。此外，HL“不足”的研究参与者组中患糖尿病的几率比HL“优秀”的参与者组高2.6倍（95%CI=1.3-5.4）。在西巴尔干地区一个国家的基于人群的研究中，我们获得了证据，证明测量的血糖水平与HL之间存在强烈且显著的负相关关系，且不受许多社会人口学特征和测量的BMI的影响。
