Status of Health Literacy and associated factors among Type 2 Diabetes Mellitus in Nepal

Authors

  • Sushila Baral Provincial Health Training Center, Pokhara
  • Sujan Babu Marahatta Manmohan Memorial Institute of Health Sciences
  • Yadu Nath Baral Pokhara Academy of Health Sciences
  • Rajesh Kumar Yadav Save the Children International , Kathmandu, Nepal
  • Srijana Paudel Pokhara Academy of Health Sciences
  • Pawan Pandeya Manmohan Memorial Institutes of Health Sciences
  • Sony Pandey Dept. Public Health, Manmohan Memorial Institute of Health Sciences, Tribhuvan University, Kathmandu, Nepal
  • Nilima Shrestha Shukraraj Tropical and Infectious Disease Hospital
  • Anupama Sharma Manmohan Memorial Institutes of Health Sciences
  • Nupur Sharma Dept. Public Health, Manmohan Memorial Institute of Health Sciences, Tribhuvan University, Kathmandu, Nepal

DOI:

https://doi.org/10.62992/ijphap.v1i1.1

Keywords:

Diabetes, Health Literacy, Nepal

Abstract

Background: Diabetes is an iceberg disease and a major public health issue in Nepal. The prevalence and incidence of type 2 diabetes have occurred globally, especially affecting societies in economic transition, mostly newly industrialized and developing countries. Health literacy has become crucial to develop skills and knowledge of a person to access, understand and use the information and understand health determinants to make health and health care decisions and implement healthy behaviors.

Objectives: The study aimed to assess health literacy level and associated factors among type 2 diabetes patients.

Methods: A community-based cross-sectional study was conducted from August 2019 to January 2020. Health literacy level was measured using the European health survey questionnaire. This study used the SPSS version 16 on the received data sets to perform statistical analysis. Univariate logistic regression and multivariate logistic regression models were carried out to identify the independent factors related to health literacy.

Results: The study showed that majority (86.3 %) of the diabetes patients had adequate health literacy. Gender, marital status, educational status, occupational status, and hospitalization were found statistically significant with health literacy. Marital Status (AOR = 0.18, 95% CI: 0.04-0.71, p = 0.001), educational status (AOR = 7.06, 95% CI: 2.13-23.36, p = 0.001), hospitalization (AOR = 8.38, 95% CI: 1.85-37.92, p = 0.001) and treatment compliance (AOR = 4.28, 95% CI: 1.57-11.63, p = 0.001) were found to be predictors for the health literacy.

Conclusion: The study findings indicated more than a fourth-fifth of the respondents had adequate health literacy. Health Literacy plays a vital role in the prevention and management of the disease, so, the government should emphasize on uplift the education level and provide health counseling during diagnosis and treatment.

References

Bhandari GP, Angdembe MR, Dhimal M, Neupane S, Bhusal C. State of non-communicable diseases in Nepal. BMC Public Health [Internet]. 2014 Jan 10 [cited 2022 Sep 19];14(1):23. Available from: https://doi.org/10.1186/1471-2458-14-23

WHO. Diabetes [Internet]. [cited 2022 Sep 19]. Available from: https://www.who.int/health-topics/diabetes

WHO. Diabetes In Western Pacific [Internet]. [cited 2022 Sep 19]. Available from: https://www.who.int/westernpacific/health-topics/diabetes

Sigurdardóttir AK. Self-care in diabetes: model of factors affecting self-care. J Clin Nurs. 2005 Mar;14(3):301–14.

World Diabetes Foundation. Improving access to diabetes care in Nepal, WDF15-1215 [Internet]. World diabetes foundation. 2017 [cited 2022 Sep 19]. Available from: https://www.worlddiabetesfoundation.org/projects/nepal-wdf15-1215

WHO. Nepal NCD Portal [Internet]. [cited 2022 Sep 19]. Available from: https://who-ncdportal.cdfi.co.in/nepal

International Diabetes Federation - Home. Home based exercise for people with diabetes [Internet]. [cited 2022 Sep 19]. Available from: https://idf.org/52-about-diabetes.html

Alshahrani RMAFAASSNNAAFAHSM. Patient factors associated with diabetes medication adherence at different health literacy levels: a cross-sectional study at a family medicine clinic -. International Journal of Medicine in Developing Countries [Internet]. 2021 [cited 2022 Sep 19];5(1):204–9. Available from: https://www.bibliomed.org/?mno=16300

Nutbeam D. The WHO health promotion glossary. Health promotion (Oxford, England). 1986 Jun 1;1:113–27.

Greenhalgh T. Health literacy: towards system level solutions. BMJ. 2015 Feb 24;350:h1026.

Osborne RH, Beauchamp A, Batterham R. Health literacy: a concept with potential to greatly impact the infectious diseases field. Int J Infect Dis. 2016 Feb;43:101–2.

Protheroe J, Rowlands G, Bartlam B, Levin-Zamir D. Health Literacy, Diabetes Prevention, and Self-Management. J Diabetes Res. 2017;2017:1298315.

Bell LK, Golley RK. Interventions for Improving Young Children’s Dietary Intake through Early Childhood Settings: A Systematic Review. International Journal of Child Health and Nutrition [Internet]. 2015 Feb 27 [cited 2022 Sep 19];4(1):14–32. Available from: https://www.lifescienceglobal.com/pms/index.php/ijchn/article/view/2793

Liu L, Qian X, Chen Z, He T. Health literacy and its effect on chronic disease prevention: evidence from China’s data. BMC Public Health [Internet]. 2020 May 14 [cited 2022 Sep 19];20(1):690. Available from: https://doi.org/10.1186/s12889-020-08804-4

Shrestha A, Singh SB, Khanal VK, Bhattarai S, Maskey R, Pokharel PK. Health Literacy and Knowledge of Chronic Diseases in Nepal. Health Lit Res Pract. 2018 Oct;2(4):e221–30.

Okan O, Bauer U, Levin-Zamir D, Pinheiro P, Sørensen K, editors. International Handbook of Health Literacy: Research, practice and policy across the lifespan [Internet]. Policy Press; 2019 [cited 2022 Sep 19]. Available from: https://library.oapen.org/handle/20.500.12657/24879

Duong VT, Lin IF, Sorensen K, Pelikan JM, Van Den Broucke S, Lin YC, et al. Health Literacy in Taiwan: A Population-Based Study. Asia Pac J Public Health. 2015 Nov;27(8):871–80.

Bas-Sarmiento P, Poza-Méndez M, Fernández-Gutiérrez M, González-Caballero JL, Falcón Romero M. Psychometric Assessment of the European Health Literacy Survey Questionnaire (HLS-EU-Q16) for Arabic/French-Speaking Migrants in Southern Europe. International Journal of Environmental Research and Public Health [Internet]. 2020 Jan [cited 2022 Sep 19];17(21):8181. Available from: https://www.mdpi.com/1660-4601/17/21/8181

Azreena E, Suriani I, Muhamad H, Fuziah P. Factors associated with health literacy among type 2 diabetes mellitus patients attending a government health clinic, 2016. Int J Public health and Clinical Sciences [Internet]. 2016;3(6):50–64. Available from: http://psasir.upm.edu.my/id/eprint/56812/

Schillinger D, Grumbach K, Piette J, Wang F, Osmond D, Daher C, et al. Association of health literacy with diabetes outcomes. JAMA. 2002 Jul 24;288(4):475–82.

Ziapour A, Azar F, Mahaki B, Mansourian M. Factors Affecting the health literacy Status of Patients with type 2 Diabetes through Demographic Variables: A Case Study from Iran. 2020.

Downloads

Published

01-12-2022

Issue

Section

Original Article

Categories

How to Cite

1.
Status of Health Literacy and associated factors among Type 2 Diabetes Mellitus in Nepal. IJPHAP [Internet]. 2022 Dec. 1 [cited 2025 Nov. 16];1(1). Available from: https://ijphap.com/index.php/home/article/view/1