Association of Health Information Literacy and Health Outcomes Among Individuals with Type 2 Diabetes and Metabolic Syndrome.

Objectives: Based on social cognitive theory, this study aims to explore the associated factors of and whether and how health information literacy was correlated to health behavior and glycemic control among individuals with type 2 diabetes and metabolic syndrome. Methods: Following convenient sampl...

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Publicado en:Nursing Reports Vol. 15; no. 3; pp. 90 - 108
Autores principales: Wu, Kailu, Qi, Xiaoyan, Li, Aihua, Dong, Huan, Wang, Xiaojing, Ji, Meihua
Formato: research tables/charts Journal Article
Publicado: MDPI Mar2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2025
      vid: 15
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      pub: MDPI
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        atl: Association of Health Information Literacy and Health Outcomes Among Individuals with Type 2 Diabetes and Metabolic Syndrome.
      aug:
        au:
          Wu, Kailu
          Qi, Xiaoyan
          Li, Aihua
          Dong, Huan
          Wang, Xiaojing
          Ji, Meihua
        affil: School of Nursing, Capital Medical University, 10 You-An-Men Wai Xi-Tou-Tiao, Feng-Tai District, Beijing 100069, China
      sug:
        subj:
          Health Information
          Health Literacy
          Health Status
          Diabetes Mellitus, Type 2
          Metabolic Syndrome X
          Social Learning Theory
          Patient Attitudes Evaluation
          Human
          Correlational Studies
          Male
          Female
          Adult
          Middle Age
          Aged
          Diabetic Patients Psychosocial Factors
          Cross Sectional Studies
          Convenience Sample
          Outpatients
          China
          Multiple Regression
          Self-Management
          Glycemic Control
          Health Behavior
          Mediation Analysis
          Descriptive Research
          Scales
          Questionnaires
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Objectives: Based on social cognitive theory, this study aims to explore the associated factors of and whether and how health information literacy was correlated to health behavior and glycemic control among individuals with type 2 diabetes and metabolic syndrome. Methods: Following convenient sampling, this cross-sectional, correlational study was conducted among 225 patients with type 2 diabetes and metabolic syndrome from an outpatient clinic in a suburban area of Beijing, China. Hierarchical multiple regression and mediation analysis were performed to explore the effect of health information literacy on self-management practice and hemoglobin A1c in this sample. The STROBE guidelines for cross-sectional studies were followed. Results: The findings showed incompetent health information literacy, inadequate self-management behavior, and suboptimal glycemic control in a sample of patients with type 2 diabetes and metabolic syndrome. Based on social cognitive theory, the results of regression analysis indicated that self-management attitude, health problem-solving, and chronic illness resources were correlated with self-management practice, and health problem-solving and health information evaluation were correlated with hemoglobin A1c. Mediation analysis revealed that self-management attitude, health problem-solving, and chronic disease resources fully mediated the effect of health information literacy on self-management practice. There was an indirect effect of health information literacy on hemoglobin A1c through health problem-solving. Conclusions: The findings demonstrated that health information literacy has significant indirect and direct effects on self-management behavior and glycemic control through self-management attitude, health problem-solving, and chronic disease resources in a sample of patients with type 2 diabetes and metabolic syndrome.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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