PMID- 33148266
OWN - NLM
STAT- MEDLINE
DCOM- 20210122
LR  - 20210122
IS  - 1477-7525 (Electronic)
IS  - 1477-7525 (Linking)
VI  - 18
IP  - 1
DP  - 2020 Nov 4
TI  - Impact of health literacy and self-care behaviors on health-related quality of 
      life in Iranians with type 2 diabetes: a cross-sectional study.
PG  - 357
LID - 10.1186/s12955-020-01613-8 [doi]
LID - 357
AB  - BACKGROUND: Regarding the importance of health literacy as a key factor in 
      self-care, appropriate understanding of health information by patients with type 
      2 diabetes mellitus (T2DM) is fundamental for better management of risk factors, 
      which can also benefit their quality of life. This study aimed to describe the 
      relationship between health literacy (HL), and self-care behaviors with 
      health-related quality of life (HRQL) in patients with T2DM. METHODS: A 
      cross-sectional survey was done in Iran in 2019. Patients were recruited randomly 
      from health centers by medical records (n = 192, 55.2% male, mean age 
      58.12 years). The data collection included demographic form, health literacy 
      questionnaire, diabetes self-care behavior questionnaire, and world health 
      organization's Quality of Life-BREF (WHOQOL-BREF). Analyses were adjusted for 
      confounders using hierarchical regression analysis. RESULTS: HL as predictor 
      variables explained 47.5% of variance in overall HRQL (p value < 0.001), reading 
      health information was the strongest HL dimension (beta = 0.478). Self-care 
      behaviors explained an additional 13.6% of the HRQL variance. In total, 65.5% of 
      the variation in the HRQL is explained by the HL, self-care behavior, and the 
      demographic variables. CONCLUSION: We found that more almost two-third of the 
      HRQL explained by the HL and self-care behaviors. Given the importance of health 
      literacy and self-care behaviors in the quality of life in patients with T2DM, 
      adoption of health-promoting behaviors and increasing health literacy can be 
      beneficial for promoting quality of life among these patients.
FAU - Gaffari-Fam, Saber
AU  - Gaffari-Fam S
AD  - School of Nursing of Miandoab City, Urmia University of Medical Sciences, Urmia, 
      Iran.
FAU - Lotfi, Yosef
AU  - Lotfi Y
AD  - MSc in Nursing Education, Islamic Azad University, Sarab Branch, Sarab, Iran.
FAU - Daemi, Amin
AU  - Daemi A
AD  - Health Management and Economics Research Center, Iran University of Medical 
      Sciences, Tehran, Iran.
FAU - Babazadeh, Towhid
AU  - Babazadeh T
AUID- ORCID: 0000-0002-2172-6877
AD  - Department of Public Health, Sarab Faculty of Medical Science, Sarab, Iran. 
      towhid.babazadeh@gmal.com.
FAU - Sarbazi, Ehsan
AU  - Sarbazi E
AD  - Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran.
FAU - Dargahi-Abbasabad, Ghader
AU  - Dargahi-Abbasabad G
AD  - MSc of Epidemiology, Research Center of Psychiatry and Behavioral Science, Razi 
      Hospital, Tabriz University of Medical Science, Tabriz, Iran.
FAU - Abri, Hamed
AU  - Abri H
AD  - Department of Public Health, Sarab Faculty of Medical Science, Sarab, Iran.
LA  - eng
PT  - Journal Article
DEP - 20201104
PL  - England
TA  - Health Qual Life Outcomes
JT  - Health and quality of life outcomes
JID - 101153626
SB  - IM
MH  - Adult
MH  - Cross-Sectional Studies
MH  - Diabetes Mellitus, Type 2/*psychology
MH  - Female
MH  - Health Behavior
MH  - Health Literacy/*statistics & numerical data
MH  - Humans
MH  - Iran
MH  - Male
MH  - Middle Aged
MH  - *Quality of Life
MH  - Self Care/*psychology
MH  - Surveys and Questionnaires
PMC - PMC7640476
OTO - NOTNLM
OT  - Diabetes mellitus
OT  - Health literacy
OT  - Iran
OT  - Quality of life
OT  - Self-care
COIS- None declared.
EDAT- 2020/11/06 06:00
MHDA- 2021/01/23 06:00
PMCR- 2020/11/04
CRDT- 2020/11/05 05:36
PHST- 2020/04/20 00:00 [received]
PHST- 2020/10/29 00:00 [accepted]
PHST- 2020/11/05 05:36 [entrez]
PHST- 2020/11/06 06:00 [pubmed]
PHST- 2021/01/23 06:00 [medline]
PHST- 2020/11/04 00:00 [pmc-release]
AID - 10.1186/s12955-020-01613-8 [pii]
AID - 1613 [pii]
AID - 10.1186/s12955-020-01613-8 [doi]
PST - epublish
SO  - Health Qual Life Outcomes. 2020 Nov 4;18(1):357. doi: 10.1186/s12955-020-01613-8.