Ajuwon Abidemi M, Insel Kathleen
Purdue University, School of Nursing, West Lafayette, Indiana.
University of Arizona, College of Nursing, Tucson, Arizona.
J Am Assoc Nurse Pract. 2022 Sep 1;34(9):1066-1074. doi: 10.1097/JXX.0000000000000763.
Type 2 diabetes mellitus (T2DM) causes significant morbidity and mortality. Compared with non-Hispanic Whites, African Americans are more likely to suffer and die from T2DM.
This study examines the associations between health literacy, illness perception, depression, working memory, executive function, and self-management among African Americans (18-65 years) with T2DM.
A descriptive cross-sectional design was used. Data were collected through Research Electronic Data Capture and transferred to the Statistical Package for the Social Sciences software version 26 for statistical analysis. Fifty-three participants met study eligibility criteria.
Health literacy was associated with depression ( r = -0.433, p = .003), more concerns about illness ( r = -0.357, p = .02), and better medication adherence ( r = 0.487, p = .001). Higher levels of depression were inversely associated with medication adherence ( r = -0.449, p = .002; r = 0.449, p = .003). Higher concern about illness was associated with lower medication adherence ( r = -0.414, p = .005).
Lower health literacy coupled with illness perception and depression is associated with lower self-management behaviors among African Americans which can lead to complications of T2DM. More studies are needed to examine the association of cognitive factors with self-management activities among African Americans with T2DM.
Limited health literacy is associated with lower medication adherence among African Americans with T2DM. Illness perception is a significant factor that influences self-management of T2DM among African Americans. Using screening tools that assess health literacy and illness perception may address underlying concerns regarding adherence to T2DM treatment regimens in African Americans.
2型糖尿病（T2DM）会导致严重的发病和死亡。与非西班牙裔白人相比，非裔美国人患T2DM并死于该病的可能性更高。
本研究探讨了患有T2DM的非裔美国人（18 - 65岁）的健康素养、疾病认知、抑郁、工作记忆、执行功能和自我管理之间的关联。
采用描述性横断面设计。数据通过研究电子数据采集系统收集，并转移到社会科学统计软件包第26版进行统计分析。53名参与者符合研究纳入标准。
健康素养与抑郁相关（r = -0.433，p = .003），对疾病的担忧更多（r = -0.357，p = .02），以及更好的药物依从性（r = 0.487，p = .001）。较高水平的抑郁与药物依从性呈负相关（r = -0.449，p = .002；r = 0.449，p = .003）。对疾病的更高担忧与较低的药物依从性相关（r = -0.414，p = .005）。
较低的健康素养、疾病认知和抑郁与非裔美国人较低的自我管理行为相关，这可能导致T2DM的并发症。需要更多研究来探讨认知因素与患有T2DM的非裔美国人自我管理活动之间的关联。
有限的健康素养与患有T2DM的非裔美国人较低的药物依从性相关。疾病认知是影响非裔美国人T2DM自我管理的一个重要因素。使用评估健康素养和疾病认知的筛查工具可能会解决非裔美国人对T2DM治疗方案依从性的潜在担忧。
