Research Article
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Determining Diabetes Risk and Health Literacy Levels in Individuals Aged 45 and Above: A Descriptive Correlational Study

Year 2022, Volume: 13 Issue: 4, 624 - 629, 01.10.2022
https://doi.org/10.31067/acusaglik.1066190

Abstract

Purpose: The aim of this study is to determine actual and perceived diabetes risk in individuals aged ≥45 and their health literacy levels.
Methods and Materials: The study is of descriptive, correlational design and was conducted with 82 university staff members of ages ≥45 years. Along with Finnish Diabetes Risk Score (FINDRISC), was used to collect data of the question, “Please comment on your diabetes risk?” and the Health Literacy Scale for Turkey (HLST-32).
Results: About of twenty-six percent for the participants exhibited a high/very high actual diabetes mellitus risk. A positive and significant correlation was found between the participants’ actual and perceived risk of diabetes mellitus (r=0.771, p<0.001). Seventy-two percent of the individuals displayed inadequate, problematic/limited levels of health literacy. There was no significant correlation between actual and perceived diabetes mellitus risk and health literacy scores.
Conclusion: Individuals are aware that they are at risk of developing diabetes mellitus. About three out of every four participants had a low health literacy level. The fact that a more educated group such as university personnel demonstrated low health literacy compared to the general public is an issue that must be addressed.

Supporting Institution

The authors did not receive any financial support in conducting this study.

Project Number

-

Thanks

The authors are grateful to the academic and non-academic professionals of Amasya University for their participated in the research and offered support.

References

  • Reference1 Republic of Turkey, Ministry of Health, Turkey Public Health Institution. Turkish Diabetes Programme, 2015-2020. Ankara: Kuban Publication.
  • Reference2 Tabák AG, Herder C, Rathmann W, et al. Prediabetes: A high-risk state for diabetes development. Lancet. 2012;379(9833):2279-90. DOI:10.1016/S0140-6736(12)60283-9
  • Reference3 Centers for Disease Control and Prevention. National Diabetes Statistics Report. Atlanta, GA: US Dept of Health and Human Services; 2020.
  • Reference4 Satman İ, Imamoglu Ş, Candeger Y, et al. Diagnosis, classification and screening in glycemic disorders. 10th ed. Ankara: Miki Publication; 2015.
  • Reference5 Ogurtsova K, da Rocha Fernandes JD, Huang Y, et al. IDF Diabetes Atlas: Global estimates for the prevalence of diabetes for 2015 and 2040. Diabetes Res Clin Pract. 2017;128:40-50. DOI:10.1016/j.diabres.2017.03.024
  • Reference6 American Diabetes Association. 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2020. Diabetes Care. 2020;43(Suppl 1):S14-S31. DOI:10.2337/dc20-S002
  • Reference7 Turkish Endocrinology and Metabolism Association. Guidelines for Diagnosis, Management and Follow-up of Diabetes Mellitus Complication. Ankara: Bayt Publication; 2020.
  • Reference8 Sand-Jecklin K, Murray B, Summers B, et al. Educating nursing students about health literacy: From the classroom to the patient bedside. OJIN: The Online Journal of Issues in Nursing. 2010;15(3). DOI:10.3912/OJIN.Vol15No03PPT02
  • Reference9 Aslantekin F, Yumrutas M. Health literacy and measurment. TAF Prev Med Bull. 2014;13(4):327-34. DOI:10.5455/pmb.1-1364566995
  • Reference10 Ilgaz A, Gozum S. Importance of health literacy for safe use of complementary health approaches. E-Journal of Dokuz Eylul University Nursing Faculty. 2016;9(2):67-77.
  • Reference11 Sørensen K, Van den Broucke S, Fullam J, et al. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health. 2012;12:80. DOI:10.1186/1471-2458-12-80
  • Reference12 Republic of Turkey, Ministry of Health, Health Improvement General Directorate. Health Literacy Levels in Turkey and Related Factors Survey. Ankara: Ozyurt Publication; 2019.
  • Reference13 Choi SE, Rush E, Henry S. Health literacy in Korean immigrants at risk for type 2 diabetes. J Immigr Minor Health. 2013;15(3):553-9. DOI:10.1007/s10903-012-9672-9
  • Reference14 Kolb JM, Kitos NR, Ramachandran A, et al. What do primary care prediabetes patients need? A baseline assessment of patients engaging in a technology-enhanced lifestyle intervention. J Bioinform Diabetes. 2014;1(1):4.
  • Reference15 Kim SH, Yu X. The mediating effect of self-efficacy on the relationship between health literacy and health status in Korean older adults: a short report. Aging Ment Health. 2010;14(7):870-3. DOI:10.1080/13607861003801011
  • Reference16 Lindström J, Tuomilehto J. The diabetes risk score: A practical tool to predict type 2 diabetes risk. Diabetes Care. 2003;26(3):725-31. DOI:10.2337/diacare.26.3.725
  • Reference17 Etbas Demirag H. Diabetes Risk Assessment of the First Degree Relatives of Patients with Type-2 Diabetes Mellitus [Master’s thesis]. Aydın, Turkey: University of Adnan Menderes, Institute of Health Sciences; 2016.
  • Reference18 HLS-EU Consortium. Comparative report of health literacy in eight EU member states. The European Health Literacy Survey HLS-EU; 2012.
  • Reference19 Okyay P, Abacigil F. Turkish health literacy scales, reliability and validity survey. 1st ed. Ankara: Ministry of Health Publication; 2016.
  • Reference20 Capik C. Statistical power analysis and it’s use in nursing studies: Basic information. Journal of Anatolia Nursing and Health Sciences. 2014;17(4):268-74.
  • Reference21 Ivanov LL, Wallace DC, Hernández C, et al. Diabetes risks and health literacy in southern African American and Latino women. J Community Health Nurs. 2015;32(1):12-23. DOI:10.1080/07370016.2015.991664
  • Reference22 Guo J, Tang Y, Zhang H, et al. The risk, perceived and actual, of developing type 2 diabetes mellitus for mothers of preschool children in urban China. PLoS One. 2019;14(9):e0222839. DOI:10.1371/journal.pone.0222839
  • Reference23 Graham GN, Leath B, Payne K, et al. Perceived versus actual risk for hypertension and diabetes in the African American community. Health Promot Pract. 2006;7(1):34-46. DOI:10.1177/1524839905283891
  • Reference24 Durusu-Tanrıover M, Yildirim HH, Demiray-Ready FN, et al. Turkish Health Literacy Survey. 1st ed. Ankara: Saglık-Sen Press; 2014.
  • Reference25 Akyol Guner T, Kuzu A, Bayraktaroglu T. The relationship between health literacy and rational drug use in individuals with diabetes. Turk J Diab Obes. 2020;4(3):214-23. DOI: 10.25048/tudod.775075
  • Reference26 Souza JG, Apolinario D, Magaldi RM, et al. Functional health literacy and glycaemic control in older adults with type 2 diabetes: A cross-sectional study. BMJ Open. 2014;4(2):e004180. DOI:10.1136/bmjopen-2013-004180
  • Reference27 Hussein SH, Almajran A, Albatineh AN. Prevalence of health literacy and its correlates among patients with type II diabetes in Kuwait: A population based study. Diabetes Res Clin Pract. 2018;141:118-25. DOI:10.1016/j.diabres.2018.04.033
  • Reference28 Ilhan N, Telli S, Temel B, et al. Health literacy and diabetes self-care in individuals with type 2 diabetes in Turkey. Prim Care Diabetes. 2021;15(1):74-9. DOI:10.1016/j.pcd.2020.06.009
  • Reference29 Fitria E, Sylvia EI, Datak G. Health literacy and diabetes risk factors score. 2019; Thailand: In Proceedings of the International Conference on Applied Science and Health. 4:641-6.
  • Reference30 Schillinger D, Grumbach K, Piette J, et al. Association of health literacy with diabetes outcomes. JAMA. 2002;288(4):475-82. DOI:10.1001/jama.288.4.475
Year 2022, Volume: 13 Issue: 4, 624 - 629, 01.10.2022
https://doi.org/10.31067/acusaglik.1066190

Abstract

Project Number

-

References

  • Reference1 Republic of Turkey, Ministry of Health, Turkey Public Health Institution. Turkish Diabetes Programme, 2015-2020. Ankara: Kuban Publication.
  • Reference2 Tabák AG, Herder C, Rathmann W, et al. Prediabetes: A high-risk state for diabetes development. Lancet. 2012;379(9833):2279-90. DOI:10.1016/S0140-6736(12)60283-9
  • Reference3 Centers for Disease Control and Prevention. National Diabetes Statistics Report. Atlanta, GA: US Dept of Health and Human Services; 2020.
  • Reference4 Satman İ, Imamoglu Ş, Candeger Y, et al. Diagnosis, classification and screening in glycemic disorders. 10th ed. Ankara: Miki Publication; 2015.
  • Reference5 Ogurtsova K, da Rocha Fernandes JD, Huang Y, et al. IDF Diabetes Atlas: Global estimates for the prevalence of diabetes for 2015 and 2040. Diabetes Res Clin Pract. 2017;128:40-50. DOI:10.1016/j.diabres.2017.03.024
  • Reference6 American Diabetes Association. 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2020. Diabetes Care. 2020;43(Suppl 1):S14-S31. DOI:10.2337/dc20-S002
  • Reference7 Turkish Endocrinology and Metabolism Association. Guidelines for Diagnosis, Management and Follow-up of Diabetes Mellitus Complication. Ankara: Bayt Publication; 2020.
  • Reference8 Sand-Jecklin K, Murray B, Summers B, et al. Educating nursing students about health literacy: From the classroom to the patient bedside. OJIN: The Online Journal of Issues in Nursing. 2010;15(3). DOI:10.3912/OJIN.Vol15No03PPT02
  • Reference9 Aslantekin F, Yumrutas M. Health literacy and measurment. TAF Prev Med Bull. 2014;13(4):327-34. DOI:10.5455/pmb.1-1364566995
  • Reference10 Ilgaz A, Gozum S. Importance of health literacy for safe use of complementary health approaches. E-Journal of Dokuz Eylul University Nursing Faculty. 2016;9(2):67-77.
  • Reference11 Sørensen K, Van den Broucke S, Fullam J, et al. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health. 2012;12:80. DOI:10.1186/1471-2458-12-80
  • Reference12 Republic of Turkey, Ministry of Health, Health Improvement General Directorate. Health Literacy Levels in Turkey and Related Factors Survey. Ankara: Ozyurt Publication; 2019.
  • Reference13 Choi SE, Rush E, Henry S. Health literacy in Korean immigrants at risk for type 2 diabetes. J Immigr Minor Health. 2013;15(3):553-9. DOI:10.1007/s10903-012-9672-9
  • Reference14 Kolb JM, Kitos NR, Ramachandran A, et al. What do primary care prediabetes patients need? A baseline assessment of patients engaging in a technology-enhanced lifestyle intervention. J Bioinform Diabetes. 2014;1(1):4.
  • Reference15 Kim SH, Yu X. The mediating effect of self-efficacy on the relationship between health literacy and health status in Korean older adults: a short report. Aging Ment Health. 2010;14(7):870-3. DOI:10.1080/13607861003801011
  • Reference16 Lindström J, Tuomilehto J. The diabetes risk score: A practical tool to predict type 2 diabetes risk. Diabetes Care. 2003;26(3):725-31. DOI:10.2337/diacare.26.3.725
  • Reference17 Etbas Demirag H. Diabetes Risk Assessment of the First Degree Relatives of Patients with Type-2 Diabetes Mellitus [Master’s thesis]. Aydın, Turkey: University of Adnan Menderes, Institute of Health Sciences; 2016.
  • Reference18 HLS-EU Consortium. Comparative report of health literacy in eight EU member states. The European Health Literacy Survey HLS-EU; 2012.
  • Reference19 Okyay P, Abacigil F. Turkish health literacy scales, reliability and validity survey. 1st ed. Ankara: Ministry of Health Publication; 2016.
  • Reference20 Capik C. Statistical power analysis and it’s use in nursing studies: Basic information. Journal of Anatolia Nursing and Health Sciences. 2014;17(4):268-74.
  • Reference21 Ivanov LL, Wallace DC, Hernández C, et al. Diabetes risks and health literacy in southern African American and Latino women. J Community Health Nurs. 2015;32(1):12-23. DOI:10.1080/07370016.2015.991664
  • Reference22 Guo J, Tang Y, Zhang H, et al. The risk, perceived and actual, of developing type 2 diabetes mellitus for mothers of preschool children in urban China. PLoS One. 2019;14(9):e0222839. DOI:10.1371/journal.pone.0222839
  • Reference23 Graham GN, Leath B, Payne K, et al. Perceived versus actual risk for hypertension and diabetes in the African American community. Health Promot Pract. 2006;7(1):34-46. DOI:10.1177/1524839905283891
  • Reference24 Durusu-Tanrıover M, Yildirim HH, Demiray-Ready FN, et al. Turkish Health Literacy Survey. 1st ed. Ankara: Saglık-Sen Press; 2014.
  • Reference25 Akyol Guner T, Kuzu A, Bayraktaroglu T. The relationship between health literacy and rational drug use in individuals with diabetes. Turk J Diab Obes. 2020;4(3):214-23. DOI: 10.25048/tudod.775075
  • Reference26 Souza JG, Apolinario D, Magaldi RM, et al. Functional health literacy and glycaemic control in older adults with type 2 diabetes: A cross-sectional study. BMJ Open. 2014;4(2):e004180. DOI:10.1136/bmjopen-2013-004180
  • Reference27 Hussein SH, Almajran A, Albatineh AN. Prevalence of health literacy and its correlates among patients with type II diabetes in Kuwait: A population based study. Diabetes Res Clin Pract. 2018;141:118-25. DOI:10.1016/j.diabres.2018.04.033
  • Reference28 Ilhan N, Telli S, Temel B, et al. Health literacy and diabetes self-care in individuals with type 2 diabetes in Turkey. Prim Care Diabetes. 2021;15(1):74-9. DOI:10.1016/j.pcd.2020.06.009
  • Reference29 Fitria E, Sylvia EI, Datak G. Health literacy and diabetes risk factors score. 2019; Thailand: In Proceedings of the International Conference on Applied Science and Health. 4:641-6.
  • Reference30 Schillinger D, Grumbach K, Piette J, et al. Association of health literacy with diabetes outcomes. JAMA. 2002;288(4):475-82. DOI:10.1001/jama.288.4.475
There are 30 citations in total.

Details

Primary Language English
Subjects Nursing
Journal Section Research Article
Authors

İbrahim Topuz 0000-0003-0540-2095

Sebahat Gözüm 0000-0001-8672-8016

Project Number -
Publication Date October 1, 2022
Submission Date January 31, 2022
Published in Issue Year 2022Volume: 13 Issue: 4

Cite

EndNote Topuz İ, Gözüm S (October 1, 2022) Determining Diabetes Risk and Health Literacy Levels in Individuals Aged 45 and Above: A Descriptive Correlational Study. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 13 4 624–629.