Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
PLoS One. 2024 Oct 24;19(10):e0312485. doi: 10.1371/journal.pone.0312485. eCollection 2024.
This study aims to describe health literacy for people at risk of type 2 diabetes and people with type 2 diabetes using the HLS-EU-Q12, and further examine the association between sociodemographic and clinical characteristics, well-being, overall health and quality of life, and health literacy.
We performed a cross-sectional study among 142 people at risk of type 2 diabetes and 75 people with type 2 diabetes from four primary care clinics in Norway. These data are baseline data from a randomized controlled trial which seeks to evaluate an interprofessional follow-up intervention. Multiple regression analysis was applied to explore associations to health literacy.
Inadequate health literacy (sum score <33) was found among 30.2% of people at risk of type 2 diabetes and among 25.7% of people with type 2 diabetes. For people at risk of type 2 diabetes, higher level of education was significantly associated with higher health literacy. Better well-being and quality of life was significantly associated with higher health literacy for both groups.
The primary health care services should pay greater attention to assessing HL, well-being, and quality of life to facilitate the identification of people at risk of type 2 diabetes with insufficient self- management strategies to prevent or delay the development of manifest disease and its complications.
本研究旨在使用 HLS-EU-Q12 描述 2 型糖尿病风险人群和 2 型糖尿病患者的健康素养，并进一步探讨社会人口学和临床特征、幸福感、整体健康和生活质量与健康素养之间的关系。
我们在挪威的四个初级保健诊所对 142 名 2 型糖尿病风险人群和 75 名 2 型糖尿病患者进行了横断面研究。这些数据是一项旨在评估多专业随访干预的随机对照试验的基线数据。应用多元回归分析探讨与健康素养的关联。
2 型糖尿病风险人群中，健康素养不足（总分<33）的比例为 30.2%，2 型糖尿病患者中为 25.7%。对于 2 型糖尿病风险人群，较高的教育水平与较高的健康素养显著相关。对于两个群体，更好的幸福感和生活质量与更高的健康素养显著相关。
初级保健服务应更加关注评估 HL、幸福感和生活质量，以帮助识别健康素养不足、自我管理策略不足的 2 型糖尿病风险人群，从而预防或延迟显性疾病及其并发症的发生。
