Paes Robson Giovani, Fusculim Isabella Bueno, Lachouski Luciane, Andrade Ingrid Marcela Pinto Gariba de, Boller Shirley, Mantovani Maria de Fátima
Universidade Federal do Paraná, Curitiba, PR, Brazil.
Rev Esc Enferm USP. 2025 May 16;59:e20240338. doi: 10.1590/1980-220X-REEUSP-2024-0338en. eCollection 2025.
To relate health literacy of adults from primary health care with type 2 diabetes mellitus and sociodemographic and clinical variables.
Descriptive analytical cross-sectional study with 169 participants aged 18 to 65 with type 2 diabetes mellitus, from six primary care units in the Metropolitan Region of Curitiba, Paraná, Brazil. Data collection took place from July 2023 to March 2024, and a sociodemographic and clinical questionnaire was used, as well as subscales six and nine of the Health Literacy Questionnaire, Brazilian version. Data were analyzed descriptively and using Student's t-test, Mann-Whitney, Anova, Kruskal-Wallis, and Spearman tests.
Of the 169 participants, the mean age was 56.5 ± 6.2 years. There was a significant association between the ability to interact with health professionals and male gender (p = 0.057), fasting blood glucose ≤ 130 mg/dL (p = 0.033), and between education and understanding health information and knowing what to do (p = <0.001). A weak correlation was found between understanding health information and knowing what to do and education and family income (r = 0.50 and 0.35, respectively) and significant value with glycated hemoglobin (p = 0.031).
There was a relationship between health literacy and male gender, education, family income, and glycemic values. These results can contribute to the development of educational actions aimed at strengthening health literacy.
探讨初级卫生保健机构中成年人的健康素养与2型糖尿病以及社会人口学和临床变量之间的关系。
采用描述性分析横断面研究,对来自巴西巴拉那州库里蒂巴大都市区六个初级保健单位的169名年龄在18至65岁之间的2型糖尿病患者进行研究。数据收集于2023年7月至2024年3月进行,使用了社会人口学和临床问卷以及巴西版健康素养问卷的第六和第九子量表。对数据进行描述性分析,并使用学生t检验、曼-惠特尼检验、方差分析、克鲁斯卡尔-沃利斯检验和斯皮尔曼检验。
169名参与者的平均年龄为56.5±6.2岁。与卫生专业人员互动的能力与男性性别(p = 0.057)、空腹血糖≤130 mg/dL(p = 0.033)之间存在显著关联,教育程度与理解健康信息及知道如何应对之间存在显著关联(p = <0.001)。理解健康信息及知道如何应对与教育程度和家庭收入之间存在弱相关性(r分别为0.50和0.35),与糖化血红蛋白存在显著相关性(p = 0.031)。
健康素养与男性性别、教育程度、家庭收入和血糖值之间存在关联。这些结果有助于开展旨在加强健康素养的教育行动。