Health literacy in diabetes: psychometric properties of a new scale and effect on biochemical parameters
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/28553 |
Resumo: | This study evaluated the health literacy (HL) competencies (access, understand/appraise and apply) using a new developed scale and the association with biochemical profile among people living with diabetes. For the diagnosis of diabetes, biochemical parameters were used. Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) estimated the construct validity of the scale. Statistical models estimated the association of HL with socioeconomic, biochemical, anthropometric and cognitive parameters. This study included 341 people living with diabetes. The results showed that 91.9% received information related to diabetes. EFA demonstrated a proper factorial fit (KMO = 0.919) and the items were loaded in three factors: access, understand/appraise and apply. CFA confirmed the fit of the model (l²/df of 2.09; RMSEA of 0.061). High levels of access to information related to diabetes led to a higher apply level self-reported. However, a high apply level was not associated with better biochemical profile (p < 0.05), including the dosage of glycated hemoglobin. Moreover, regression models showed that some characteristics were associated with high HL in all its domains, such as skin color and cognitive condition. Furthermore, a higher proportion of men had high access to information related to diabetes, compared to women. These results show that different factors must be considered in the HL process to achieve proper self-management behavior to control the disease or prevent its complications. Health information for people living with diabetes should focus on specific risk factors or behaviors that modulate biochemical parameters. |
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Health literacy in diabetes: psychometric properties of a new scale and effect on biochemical parametersLetramiento en salud en la diabetes: propiedades psicométricas de una nueva escala y efecto en parámetros bioquímicosLetramento em saúde no diabetes: propriedades psicométricas de uma nova escala e efeito em parâmetros bioquímicosLetramento em SaúdeEducação em SaúdeDiabetes MellitusPromoção da SaúdePsicometria.Health EducationHealth LiteracyDiabetes MellitusHealth PromotionPsychometrics.Alfabetización en SaludEducación en SaludDiabetes MellitusPromoción de la SaludPsicometría.This study evaluated the health literacy (HL) competencies (access, understand/appraise and apply) using a new developed scale and the association with biochemical profile among people living with diabetes. For the diagnosis of diabetes, biochemical parameters were used. Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) estimated the construct validity of the scale. Statistical models estimated the association of HL with socioeconomic, biochemical, anthropometric and cognitive parameters. This study included 341 people living with diabetes. The results showed that 91.9% received information related to diabetes. EFA demonstrated a proper factorial fit (KMO = 0.919) and the items were loaded in three factors: access, understand/appraise and apply. CFA confirmed the fit of the model (l²/df of 2.09; RMSEA of 0.061). High levels of access to information related to diabetes led to a higher apply level self-reported. However, a high apply level was not associated with better biochemical profile (p < 0.05), including the dosage of glycated hemoglobin. Moreover, regression models showed that some characteristics were associated with high HL in all its domains, such as skin color and cognitive condition. Furthermore, a higher proportion of men had high access to information related to diabetes, compared to women. These results show that different factors must be considered in the HL process to achieve proper self-management behavior to control the disease or prevent its complications. Health information for people living with diabetes should focus on specific risk factors or behaviors that modulate biochemical parameters.Este estudio evaluó las competencias (acceso, comprensión/evaluación y aplicación) del Letramiento en Salud (LS), utilizando una nueva escala desarrollada y su asociación con el perfil bioquímico entre personas que viven con diabetes. Para diagnóstico de la diabetes, fueron utilizados parámetros bioquímicos. Para validación de constructo de la escala, fueron utilizadas Análisis Factorial (AFE) y Análisis Factorial Confirmatoria (AFC). Análisis estadísticas estimaron la asociación del LS con parámetros socioeconómicos, bioquímicos, antropométricos y cognitivos. Los resultados muestran que 91,9% recibieron informaciones relacionadas a la diabetes. AFE demostró adecuado índice de ajuste (KMO = 0,919) y los ítems fueron agrupados en 3 factores: acceso, comprensión/evaluación y aplicación. AFC confirmó el ajuste del modelo (l²/df = 2.09; RMSEA = 0.061). Altos niveles de acceso a la información relacionada a diabetes implicaron en altos niveles autoinformados de aplicación. Sin embargo, elevado nivel de aplicación no fuera asociado con mejor perfil bioquímico (p < 0,05), incluyendo la dosis de hemoglobina glicosilada. Modelos de regresión mostraron que rasgos, como color de piel y cognición, fueron asociados con alto nivel de LS en todos los dominios. Además, una proporción mayor de hombres tuvo mayor acceso a la información relacionada a diabetes, cuando comparado a las mujeres. Estos resultados demuestran que diferentes factores deben ser considerados en el proceso del LS para lograr adecuado autocuidado en el control de la enfermedad y en la prevención de complicaciones. Informaciones de salud para personas que viven con diabetes deben focar en factores de riesgo o comportamientos que modulan los parámetros bioquímicos. Este estudo avaliou as competências (acesso, compreensão/avaliação e aplicação) do Letramento em Saúde (LS), utilizando uma nova escala desenvolvida e sua associação com o perfil bioquímico entre pessoas que vivem com diabetes. Para diagnóstico do diabetes, foram utilizados parâmetros bioquímicos. Para validação de constructo da escala, foram utilizadas Análise Fatorial Exploratória (AFE) e Análise Fatorial Confirmatória (AFC). Análises estatísticas estimaram a associação do LS com parâmetros socioeconômicos, bioquímicos, antropométricos e cognitivos. O estudo incluiu 341 pessoas com diabetes. Os resultados mostraram que 91,9% receberam informações relacionadas ao diabetes. AFE demonstrou adequado índice de ajuste (KMO = 0,919) e os itens foram agrupados em 3 fatores: acesso, compreensão/avaliação e aplicação. AFC confirmou o ajuste do modelo (l²/df = 2.09; RMSEA = 0.061). Altos níveis de acesso à informação relacionada ao diabetes implicaram em altos níveis autorrelatados de aplicação. Entretanto, elevado nível de aplicação não foi associado com melhor perfil bioquímico (p < 0,05), incluindo a dosagem de hemoglobina glicada. Modelos de regressão mostraram que características, como cor da pele e cognição, foram associadas com alto nível de LS em todos os domínios. Ademais, uma proporção maior de homens teve maior acesso à informação relacionada ao diabetes, quando comparado às mulheres. Estes resultados demonstram que diferentes fatores devem ser considerados no processo do LS para atingir adequado autocuidado no controle da doença e na prevenção de complicações. Informações de saúde para pessoas que vivem com diabetes devem focar em fatores de risco ou comportamentos que modulam os parâmetros bioquímicos.Research, Society and Development2022-04-16info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2855310.33448/rsd-v11i5.28553Research, Society and Development; Vol. 11 No. 5; e58511528553Research, Society and Development; Vol. 11 Núm. 5; e58511528553Research, Society and Development; v. 11 n. 5; e585115285532525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/28553/24877Copyright (c) 2022 Thaísa Soares Crespo; João Gabriel Silva Souza; Alice Crespo Ferreira; Sérgio Henrique Sousa Santos; Andréa Maria Eleutério de Barros Lima Martinshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCrespo, Thaísa SoaresSouza, João Gabriel SilvaFerreira, Alice CrespoSantos, Sérgio Henrique SousaMartins, Andréa Maria Eleutério de Barros Lima2022-04-17T18:18:56Zoai:ojs.pkp.sfu.ca:article/28553Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:45:54.858621Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Health literacy in diabetes: psychometric properties of a new scale and effect on biochemical parameters Letramiento en salud en la diabetes: propiedades psicométricas de una nueva escala y efecto en parámetros bioquímicos Letramento em saúde no diabetes: propriedades psicométricas de uma nova escala e efeito em parâmetros bioquímicos |
title |
Health literacy in diabetes: psychometric properties of a new scale and effect on biochemical parameters |
spellingShingle |
Health literacy in diabetes: psychometric properties of a new scale and effect on biochemical parameters Crespo, Thaísa Soares Letramento em Saúde Educação em Saúde Diabetes Mellitus Promoção da Saúde Psicometria. Health Education Health Literacy Diabetes Mellitus Health Promotion Psychometrics. Alfabetización en Salud Educación en Salud Diabetes Mellitus Promoción de la Salud Psicometría. |
title_short |
Health literacy in diabetes: psychometric properties of a new scale and effect on biochemical parameters |
title_full |
Health literacy in diabetes: psychometric properties of a new scale and effect on biochemical parameters |
title_fullStr |
Health literacy in diabetes: psychometric properties of a new scale and effect on biochemical parameters |
title_full_unstemmed |
Health literacy in diabetes: psychometric properties of a new scale and effect on biochemical parameters |
title_sort |
Health literacy in diabetes: psychometric properties of a new scale and effect on biochemical parameters |
author |
Crespo, Thaísa Soares |
author_facet |
Crespo, Thaísa Soares Souza, João Gabriel Silva Ferreira, Alice Crespo Santos, Sérgio Henrique Sousa Martins, Andréa Maria Eleutério de Barros Lima |
author_role |
author |
author2 |
Souza, João Gabriel Silva Ferreira, Alice Crespo Santos, Sérgio Henrique Sousa Martins, Andréa Maria Eleutério de Barros Lima |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Crespo, Thaísa Soares Souza, João Gabriel Silva Ferreira, Alice Crespo Santos, Sérgio Henrique Sousa Martins, Andréa Maria Eleutério de Barros Lima |
dc.subject.por.fl_str_mv |
Letramento em Saúde Educação em Saúde Diabetes Mellitus Promoção da Saúde Psicometria. Health Education Health Literacy Diabetes Mellitus Health Promotion Psychometrics. Alfabetización en Salud Educación en Salud Diabetes Mellitus Promoción de la Salud Psicometría. |
topic |
Letramento em Saúde Educação em Saúde Diabetes Mellitus Promoção da Saúde Psicometria. Health Education Health Literacy Diabetes Mellitus Health Promotion Psychometrics. Alfabetización en Salud Educación en Salud Diabetes Mellitus Promoción de la Salud Psicometría. |
description |
This study evaluated the health literacy (HL) competencies (access, understand/appraise and apply) using a new developed scale and the association with biochemical profile among people living with diabetes. For the diagnosis of diabetes, biochemical parameters were used. Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) estimated the construct validity of the scale. Statistical models estimated the association of HL with socioeconomic, biochemical, anthropometric and cognitive parameters. This study included 341 people living with diabetes. The results showed that 91.9% received information related to diabetes. EFA demonstrated a proper factorial fit (KMO = 0.919) and the items were loaded in three factors: access, understand/appraise and apply. CFA confirmed the fit of the model (l²/df of 2.09; RMSEA of 0.061). High levels of access to information related to diabetes led to a higher apply level self-reported. However, a high apply level was not associated with better biochemical profile (p < 0.05), including the dosage of glycated hemoglobin. Moreover, regression models showed that some characteristics were associated with high HL in all its domains, such as skin color and cognitive condition. Furthermore, a higher proportion of men had high access to information related to diabetes, compared to women. These results show that different factors must be considered in the HL process to achieve proper self-management behavior to control the disease or prevent its complications. Health information for people living with diabetes should focus on specific risk factors or behaviors that modulate biochemical parameters. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-04-16 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/28553 10.33448/rsd-v11i5.28553 |
url |
https://rsdjournal.org/index.php/rsd/article/view/28553 |
identifier_str_mv |
10.33448/rsd-v11i5.28553 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/28553/24877 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 5; e58511528553 Research, Society and Development; Vol. 11 Núm. 5; e58511528553 Research, Society and Development; v. 11 n. 5; e58511528553 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052811724193792 |