The Association Between Health Literacy and Quality of Life and Its Associated Factors Among Adults with Type 2 Diabetes Mellitus in Public Primary Care Clinic / Nur Amirah Shibraumalisi ... [et al.]

Shibraumalisi, Nur Amirah and Mat Nasir, Nafiza and Md Yasin, Mazapuspavina and Isa, Mohamad Rodi (2020) The Association Between Health Literacy and Quality of Life and Its Associated Factors Among Adults with Type 2 Diabetes Mellitus in Public Primary Care Clinic / Nur Amirah Shibraumalisi ... [et al.]. Journal of Clinical and Health Sciences, 5 (1). pp. 60-74. ISSN 0127-984X

Abstract

Introduction: Low health literacy (HL) is one of the contributing factors that leads to negative diabetic outcome. Quality of life (QOL) is a state of complete physical, mental and social well- being. There is limited evidence on association of HL and QOL among type 2 diabetes mellitus (T2DM), therefore the objectives of this study were to identify the HL and QOL status, to determine the association between HL and QOL and factors associated with QOL among T2DM patients. Methods: This was a cross sectional study involving patients with T2DM from two public primary care clinics. HL and QOL were measured using translated and validated HLS – Asia Q16 and DQoL-BCI questionnaires respectively among T2DM patients. Results: The mean HL score was 12.39 (3.34), 17.7 % had “inadequate HL”, 25.7% had “problematic HL” and 56.6% had “sufficient HL”. The mean DQoL-BCI score was 32.09 (6.51). Lower QOL level was negatively associated with age (b -0.140; CI: -0.190, - 0.090; p<0.001), not obese (b -1.476; CI: -2.605, - 0.347; p<0.011), and HL level (b -0.425; CI: -0.59, - 0.259; p<0.001). Lower QOL level was positively associated with uncontrolled glycaemic status (HbA1c >6.5%) (b 1.308; CI: -0.042, 2.659; p<0.058), treatment with insulin (b 4.163; CI:1.538, 6.788; p<0.002) and combination treatment of insulin and oral hypoglycaemic agents (OHA) (b 2.450; CI:1.145, 3.756; p<0.001). Conclusions: This study demonstrated that age, body mass index, HL, glycaemic control, treatment with OHA and insulin were significantly associated with QOL. This suggest the importance of identifying high risk patients with poor QOL for targeted intervention.

Metadata

Item Type: Article
Creators:
Creators
Email / ID Num.
Shibraumalisi, Nur Amirah
UNSPECIFIED
Mat Nasir, Nafiza
UNSPECIFIED
Md Yasin, Mazapuspavina
UNSPECIFIED
Isa, Mohamad Rodi
UNSPECIFIED
Subjects: R Medicine > RA Public aspects of medicine > Medical care
R Medicine > RA Public aspects of medicine > Public health. Hygiene. Preventive Medicine > Primary Health Care
R Medicine > RC Internal Medicine > Diabetes Mellitus
Divisions: Universiti Teknologi MARA, Selangor > Puncak Alam Campus > Faculty of Medicine
Journal or Publication Title: Journal of Clinical and Health Sciences
UiTM Journal Collections: UiTM Journal > Journal of Clinical and Health Sciences (JCHS)
ISSN: 0127-984X
Volume: 5
Number: 1
Page Range: pp. 60-74
Keywords: Health Literacy, Quality of Life, Type 2 Diabetes Mellitus, Primary Care, Malaysia
Date: 30 June 2020
URI: https://ir.uitm.edu.my/id/eprint/44117
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