J Korean Acad Community Health Nurs.  2014 Sep;25(3):217-224. 10.12799/jkachn.2014.25.3.217.

The Influence of Health Literacy and Diabetes Knowledge on Diabetes Self-care Activities in Korean Low-income Elders with Diabetes

• Jeong J
• Park N
• Shin SY

• KMID: 2292714
• DOI: http://doi.org/10.12799/jkachn.2014.25.3.217

Abstract

PURPOSE
This study aimed to assess the levels of and relationships among health literacy, knowledge about diabetes, and self-care activities in the Korean low-income elderly with diabetes and to identify factors influencing the self-care activities of this vulnerable population.
METHODS
This study surveyed a total of 151 low-income elderly patients with diabetes registered at 16 Visiting Health Care Services in B City, Korea. Health literacy was measured with the Newest Vital Sign. Diabetes knowledge was measured with the Diabetes Knowledge Test. The Summary of Diabetes Self-care Activities Questionnaire was used to assess diabetes self-care activities. A stepwise multiple regression analysis was conducted to identify significant factors influencing diabetes self-care activities in these patients.
RESULTS
In the regression model, diabetes knowledge (beta=.322, p<.001), exercise (beta=.337, p<.001), and experiences of diabetes education (beta=.241, p=.001) were significantly associated with increased diabetes self-care activities in low-income elderly patients with diabetes when gender, education, health literacy, and subjective health state were controlled.
CONCLUSION
To improve diabetes self-care activities in the low-income elderly with diabetes, it is important to develop a customized program considering their knowledge, exercise, and diabetes education experience.

Keyword

Health literacy; Knowledge; Self care; Diabetes mellitus; Aged

MeSH Terms

Aged
Delivery of Health Care
Diabetes Mellitus
Education
Health Education
Health Literacy*
Humans
Korea
Self Care*
Vital Signs
Vulnerable Populations
Surveys and Questionnaires