Division of Cancer Early Detection, National Cancer Control Institute, National Cancer Center, Goyang, Republic of Korea.
Cancer Knowledge & Information Center, National Cancer Control Institute, National Cancer Center, Goyang, Republic of Korea.
Front Public Health. 2024 Sep 4;12:1418828. doi: 10.3389/fpubh.2024.1418828. eCollection 2024.
Diabetic retinopathy and nephropathy are examples of complications of uncontrolled diabetes. We hypothesized that health literacy has a defining role in understanding the importance of attending routine screening for diabetes complications. Therefore, our study investigated the relationship between verbal health literacy (VHL) and written health literacy (WHL) and screening for disease-specific complications in individuals with diabetes.
Cross-sectional data on 28,210 participants with diabetes was derived from the 2021 Korean Community Health Survey. Adjusted multiple logistic regression analysis was employed to investigate the association between VHL and WHL and diabetes complication screening. Further analysis was also carried out to further comprehend the relationship between those two forms of health literacy and other factors with diabetic retinopathy and nephropathy screening.
Compared to those with high VHL, participants with low VHL had lower odds of diabetes complication screening; OR 0.89 (95% CI 0.84-0.95). The same was true for WHL, those who were uninterested reported the lowest odds ratio; OR 0.73 (95% CI 0.69-0.78), followed by low WHL; OR 0.88 (95% CI 0.82-0.94), of undergoing diabetes complication screening, when compared to individuals with high WHL. Our subgroup analysis presented similar results for diabetic nephropathy and retinopathy with both VHL and WHL.
Among individuals with diabetes, limited VHL and WHL was significantly associated with lower odds of diabetes complication screening. Interventions aimed at improving health literacy and associated health outcomes in the community setting are warranted.
糖尿病视网膜病变和肾病是糖尿病控制不良的并发症的例子。我们假设健康素养在理解定期接受糖尿病并发症筛查的重要性方面具有决定性作用。因此，我们的研究调查了口头健康素养（VHL）和书面健康素养（WHL）与糖尿病患者疾病特异性并发症筛查之间的关系。
2021 年韩国社区健康调查从 28210 名糖尿病患者中获得了横断面数据。采用调整后的多项逻辑回归分析来研究 VHL 和 WHL 与糖尿病并发症筛查之间的关联。进一步的分析也进行了，以进一步理解这两种形式的健康素养与其他因素与糖尿病视网膜病变和肾病筛查之间的关系。
与高 VHL 相比，低 VHL 组患者糖尿病并发症筛查的可能性较低；比值比（OR）为 0.89（95%可信区间为 0.84-0.95）。对于 WHL 也是如此，不感兴趣的人报告的比值比最低；OR 为 0.73（95%可信区间为 0.69-0.78），其次是低 WHL；OR 为 0.88（95%可信区间为 0.82-0.94），与高 WHL 相比，接受糖尿病并发症筛查的可能性较低。我们的亚组分析对糖尿病肾病和视网膜病变也呈现了类似的结果，VHL 和 WHL 都是如此。
在糖尿病患者中，有限的 VHL 和 WHL 与糖尿病并发症筛查的可能性降低显著相关。在社区环境中，有必要开展旨在提高健康素养和相关健康结果的干预措施。
