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Qom Univ Med Sci J 2021, 14(12): 70-80 Back to browse issues page
The Relationship between Health Literacy of Elderly Diabetics and Adherence to Treatment, Babol, Iran, 2021
Abdollah Goli Roshan1 , Seyedeh Navabeh Hosseinkhani * 2, Reza Norouzadeh3
1- Master of Geriatric Nursing, Nursing and Midwifery Faculty, Shahed University, Tehran, Iran.
2- Lecturer, Nursing and Midwifery Faculty, Shahed University, Tehran, Iran. , navabehhosseinkhani@yahoo.com
3- Assistant Professor, Nursing and MidwiferyFaculty, Shahed University, Tehran, Iran.
Abstract:   (1524 Views)
Background and Objectives: Non-adherence to treatment in elderly diabetics is associated with several problems. Existing studies have been less addressed the dimensions of treatment adherence in this population. This study examines the relationship between health literacy of elderly diabetics and adherence to treatment.
Methods: This descriptive-analytical study was conducted among 375 randomly selected elderly members of Babol Diabetes Association. Data collection instruments included demographic sheet, abbreviated mental test score, and questionnaires for health literacy of Iranian adults and treatment adherence. The data were analyzed by Chi-square, Pearson correlation coefficient, and regression test using version 22 of SPSS software.
Results: A significant correlation was found between health literacy and gender (P = 0.003). The level of health literacy was higher among the highly educated male elderly (P <0.001) as well as among employees and retirees (P = 0.003). The people over the age of 70 had lower health literacy (P = 0.004). There was no significant relationship between health literacy and marital status (P = 0.14) as well as health literacy and duration of illness (P = 0.19). The treatment adherence was above-average in 99.2% of the elderly. There was a significant relationship between health literacy and adherence to treatment (P <0.001, r = 0.21). The regression analysis also showed that the rate of adherence to treatment increased with improvement in health literacy.(P <0.001, β=0.08).
Conclusion: This study shows that health literacy of the elderly is closely related to treatment adherence. Researchers believe that disease management would be better by improving health literacy in elderly diabetics.
Keywords: Health literacy, elderly, adherence to treatment, diabetes Mellitus
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Type of Study: Original Article | Subject: پرستاری-جراحی-ویژه-کودکان
Received: 2021/02/26 | Accepted: 2021/04/11 | Published: 2021/02/28
References
1. 1. Kalache A, Aboderin I, Hoskins IJBotwho. Compression of morbidity and active aging: key priorities for public health policy in the 21st century. 2002;80:243-4.
2. Van Lerberghe W. The world health report 2008: primary health care: now more than ever: World Health Organization; 2008.
3. Minichiello V, Coulson I. Contemporary issues in gerontology: Promoting positive ageing: Routledge; 2012. [DOI:10.4324/9780203015414]
4. Tajvar M, Arab M, Montazeri AJBph. Determinants of health-related quality of life in elderly in Tehran, Iran. 2008;8(1):1-8. [DOI:10.1186/1471-2458-8-323]
5. Dausch JGJJotAoN, Dietetics. Aging issues moving mainstream. 2003;103(6):683. [DOI:10.1053/jada.2003.50155]
6. Maresova P, Javanmardi E, Barakovic S, Husic JB, Tomsone S, Krejcar O, et al. Consequences of chronic diseases and other limitations associated with old age-a scoping review. 2019;19(1):1-17. [DOI:10.1186/s12889-019-7762-5]
7. Noohi E, Khandan M, Mirzazadeh A. Effective of electronic education on knowledge attitude and self-care in patient's diabetic type 2 refer to diabetic center of Kerman University of medical science. 2011.
8. Vares Z, Asayesh H, Sharififard FJIJoD, Metabolism. Related Factors In The Quality Of Life Of Diabetic Elderlies. 2017;16(5):261-8.
9. Abazari P, Vanaki Z, Mohammadi E, Amini MJJorimstojoIUoMS. Inadequate investment on management of diabetes education. 2012;17(8):792.
10. Ellis SE, Speroff T, Dittus RS, Brown A, Pichert JW, Elasy TAJPe, et al. Diabetes patient education: a meta-analysis and meta-regression. 2004;52(1):97-105. [DOI:10.1016/S0738-3991(03)00016-8]
11. Schiøtz M, Bøgelund M, Almdal T, Willaing IJPe, counseling. Discrete choice as a method for exploring education preferences in a Danish population of patients with type 2 diabetes. 2012;87(2):217-25. [DOI:10.1016/j.pec.2011.09.003]
12. La Vonne AD, Zun LSJJotNMA. Assessing adult health literacy in urban healthcare settings. 2008;100(11):1304-8. [DOI:10.1016/S0027-9684(15)31509-1]
13. Tehrani Banihashemi S-A, Haghdoost AA, Amirkhani MA, Alavian S-M, Asgharifard H, Baradaran H, et al. Health literacy and the influencing factors: a study in five provinces of Iran. 2007;4(1):1-9.
14. Julie M, Cooper B, Marguerite RJSoswEosM. Health literacy in practice program, evaluation report. western Michigan University. 2011:1-156.
15. Reisi M, Javadzade SH, Mostafavi F, Sharifirad G, Radjati F, Hasanzade AJJoe, et al. Relationship between health literacy, health status, and healthy behaviors among older adults in Isfahan, Iran. 2012;1(1):31. [DOI:10.4103/2277-9531.100160]
16. Farin E, Ullrich A, Nagl MJHer. Health education literacy in patients with chronic musculoskeletal diseases: development of a new questionnaire and sociodemographic predictors. 2013;28(6):1080-91. [DOI:10.1093/her/cyt095]
17. Sotodeh-Asl N, Neshat-Dust H, Kalantari M, Talebi H, Khosravi AJJCP. Comparison of effectiveness of two methods of hope therapy and drug therapy on the quality of life in the patients with essential hypertension. 2010;2(5):1-5.
18. Organization WH. Adherence to long-term therapies: evidence for action: World Health Organization; 2003.
19. Lerman IJAomr. Adherence to treatment: the key for avoiding long-term complications of diabetes. 2005;36(3):300-6. [DOI:10.1016/j.arcmed.2004.12.001]
20. Safren SA, O'cleirigh C, Tan JY, Raminani SR, Reilly LC, Otto MW, et al. A randomized controlled trial of cognitive behavioral therapy for adherence and depression (CBT-AD) in HIV-infected individuals. 2009;28(1):1. [DOI:10.1037/a0012715]
21. Blackburn DF, Swidrovich J, Lemstra MJPp, adherence. Non-adherence in type 2 diabetes: practical considerations for interpreting the literature. 2013;7:183. [DOI:10.2147/PPA.S30613]
22. Takemura M, Mitsui K, Itotani R, Ishitoko M, Suzuki S, Matsumoto M, et al. Relationships between repeated instruction on inhalation therapy, medication adherence, and health status in chronic obstructive pulmonary disease. 2011;6:97. [DOI:10.2147/COPD.S16173]
23. Unni EJ. Development of models to predict medication non-adherence based on a new typology. 2008.
24. Vermeire E, Hearnshaw H, Van Royen P, Denekens JJJocp, therapeutics. Patient adherence to treatment: three decades of research. A comprehensive review. 2001;26(5):331-42. [DOI:10.1046/j.1365-2710.2001.00363.x]
25. Hodkinson HJA, ageing. Evaluation of a mental test score for assessment of mental impairment in the elderly. 1972;1(4):233-8. [DOI:10.1093/ageing/1.4.233]
26. Haghdoost AA, Rakhshani F, Aarabi M, Montazeri A, Tavousi M, Solimanian A, et al. Iranian health literacy questionnaire (IHLQ): An instrument for measuring health literacy in Iran. 2015;17(6). [DOI:10.5812/ircmj.17(6)2015.25831]
27. Modanloo MJIIu. Development and psychometric tools adherence of treatment in patients with chronic. 2013.
28. Farghadani Z, Taheri-Kharameh Z, Amiri-Mehra A, Ghajari H, Barati MJJoh. The relationship between health literacy and self-care behaviors among patients with heart failure. 2018;24(2):186-96.
29. Mohamadlo.A, Batooli.Z, Ramezankhani.A. The analysis and review of the literatures in the field of health literacy. 2020;6(2). [DOI:10.29252/jmis.6.2.58]
30. Hu Z, Qin L, Kaminga AC, Xu HJM. Relationship between multiple lifestyle behaviors and health-related quality of life among elderly individuals with prediabetes in rural communities in China: A STROBE-compliant article. 2020;99(15(. [DOI:10.1097/MD.0000000000019560]
31. Mikaili N, Ghasemi MA, Salari S, Sakeni ZJmjomuoms. Theoretical and Practical Dimensions of Adherence to Treatment in Patients: A Review Study. 2019;62(2):1403-19. 32. Gomes D, Placido AI, Mó R, Simões JL, Amaral O, Fernandes I, et al. Daily medication management and adherence in the polymedicated elderly: a cross-sectional study in Portugal. 2020;17(1):200. https://pubmed.ncbi.nlm.nih.gov/31892177/ [DOI:10.3390/ijerph17010200]
32. Tahery NJIJoE, Metabolism. The association of health literacy with self-efficacy and self-care, in type 2 diabetes patients. 2018;20(3):135-41. http://ijem.sbmu.ac.ir/browse.php?a_id=2353&sid=1&slc_lang=en
33. Smaje A, Weston‐Clark M, Raj R, Orlu M, Davis D, Rawle MJAM. Factors associated with medication adherence in older patients: A systematic review. 2018;1(3):254-66. [DOI:10.1002/agm2.12045]
34. Bastani P, Bikineh P, Ravangard R, Rezaee R, Kavosi ZJAM. Determinants affecting medication adherence in the elderly: A qualitative study.
35. Jeong J, Park N, Shin SYJJoKAoCHN. The influence of health literacy and diabetes knowledge on diabetes self-care activities in Korean low-income elders with diabetes. 2014;25(3):217-24. [DOI:10.12799/jkachn.2014.25.3.217]
36. Hussain N, Said AS, Khan ZJIqoche. Influence of Health Literacy on Medication Adherence Among Elderly Females With Type 2 Diabetes in Pakistan. 2020;41(1):35-44. [DOI:10.1177/0272684X19896724]
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Goli Roshan A, Hosseinkhani S N, Norouzadeh R. The Relationship between Health Literacy of Elderly Diabetics and Adherence to Treatment, Babol, Iran, 2021. Qom Univ Med Sci J 2021; 14 (12) :70-80
URL: http://journal.muq.ac.ir/article-1-3076-en.html


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Volume 14, Issue 12 (February 2021) Back to browse issues page
مجله دانشگاه علوم پزشکی قم Qom University of Medical Sciences Journal
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