Department of Geriatric Endocrinology and Metabolism, Guangxi Academy of Medical Sciences and the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China.
Department of Otorhinolaryngology, The People's Hospital of Guangxi Zhuang Autonomous Region, Guangxi Academy of Medical Sciences, Nanning, China.
Front Public Health. 2024 Oct 30;12:1373591. doi: 10.3389/fpubh.2024.1373591. eCollection 2024.
The aim of this study is to explore the inherent classification of social support among individuals residing in rural areas of China. Additionally, we aim to examine the attributes and variations in health literacy scores among patients with diabetes mellitus (DM) within diverse social support categories.
Cross-sectional study.
Employing the multi-stage stratified sampling technique, we enrolled 2,178 patients diagnosed with DM residing in the rural regions of Guangxi Province. We utilized the General Information Questionnaire, Social Support Rating Scale (SSRS), and Functional, Communicative and Critical Health Literacy Instrument.
The rural patients with DM were categorized into four distinct groups based on the types and levels of their underlying social support. These groups included a low-level social support utilization group (43%), a low-level objective social support group (17%), a moderate-level social support group (20%), and a high-level social support and high-level utilization group (20%). Statistical analysis revealed significant differences among the four groups in terms of age, disease duration, and blood sugar control level ( < 0.05). Furthermore, health literacy scores and scores across various dimensions for rural patients with DM demonstrated variability in accordance with latent profiles of social support, with statistically significant differences observed ( < 0.05). A positive correlation was identified between the level of social support and all dimensions of health literacy among rural patients with DM ( < 0.05).
The social support available to individuals with DM in rural settings can be categorized into four distinct types, and its manifestation is influenced by demographic factors. The health literacy of rural patients with DM is intricately linked to the extent of social support they receive. For enhanced outcomes, interventions targeted at enhancing health literacy and quality of life among rural patients with DM should be tailored to address the heterogeneity observed in latent profiles of social support.
本研究旨在探讨中国农村居民社会支持的内在分类。此外，我们旨在研究不同社会支持类别中糖尿病患者的健康素养得分的属性和变化。
横断面研究。
采用多阶段分层抽样技术，我们招募了 2178 名居住在广西农村地区的糖尿病患者。我们使用一般信息问卷、社会支持评定量表（SSRS）和功能性、交际性和批判性健康素养工具。
农村糖尿病患者根据其潜在社会支持的类型和水平分为四个不同的群体。这些群体包括低水平社会支持利用组（43%）、低水平客观社会支持组（17%）、中水平社会支持组（20%）和高水平社会支持和高水平利用组（20%）。统计分析显示，四个组在年龄、疾病持续时间和血糖控制水平方面存在显著差异（<0.05）。此外，农村糖尿病患者的健康素养得分和各维度得分根据社会支持的潜在特征呈现出变化，差异具有统计学意义（<0.05）。农村糖尿病患者的社会支持水平与健康素养的所有维度之间存在正相关（<0.05）。
农村地区糖尿病患者的社会支持可分为四种不同类型，其表现受人口统计学因素的影响。农村糖尿病患者的健康素养与他们所获得的社会支持程度密切相关。为了获得更好的结果，针对农村糖尿病患者的健康素养和生活质量的干预措施应针对社会支持潜在特征的异质性进行调整。
