Amazon Amandaba—Sociodemographic Factors, Health Literacy, Biochemical Parameters and Self-Care as Predictors in Patients with Type 2 Diabetes Mellitus: A Cross-Sectional Study

Victória Brioso Tavares, Aline Lobato de Farias, Amanda Suzane Alves da Silva, Josiel de Souza e Souza, Hilton Pereira da Silva, Maria do Socorro Castelo Branco de Oliveira Bastos and João Simão de Melo-Neto ()
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Victória Brioso Tavares: Postgraduate Program in Health, Environment and Society in the Amazon, Institute of Health Sciences, Federal University of Pará (UFPA), Belém 66050-160, Brazil
Aline Lobato de Farias: Postgraduate Program in Health, Environment and Society in the Amazon, Institute of Health Sciences, Federal University of Pará (UFPA), Belém 66050-160, Brazil
Amanda Suzane Alves da Silva: Faculty of Physiotherapy and Occupational Therapy (FFTO), Federal University of Pará (UFPA), Belém 66075-110, Brazil
Josiel de Souza e Souza: Faculty of Physiotherapy and Occupational Therapy (FFTO), Federal University of Pará (UFPA), Belém 66075-110, Brazil
Hilton Pereira da Silva: Postgraduate Program in Health, Environment and Society in the Amazon, Institute of Health Sciences, Federal University of Pará (UFPA), Belém 66050-160, Brazil
Maria do Socorro Castelo Branco de Oliveira Bastos: Postgraduate Program in Health, Environment and Society in the Amazon, Institute of Health Sciences, Federal University of Pará (UFPA), Belém 66050-160, Brazil
João Simão de Melo-Neto: Postgraduate Program in Health, Environment and Society in the Amazon, Institute of Health Sciences, Federal University of Pará (UFPA), Belém 66050-160, Brazil

IJERPH, 2023, vol. 20, issue 4, 1-15

Abstract: Background: Health literacy (HL) and its domains (functional, critical, and communicative) appear to be related to self-care adherence in people with type 2 diabetes mellitus (DM2). This study aimed to verify if sociodemographic variables are predictors of HL, if HL and the sociodemographic factors affect biochemical parameters together, and if HL domains are predictors of self-care in DM2. Methods: We used the baseline assessment data from 199 participants ≥ 30 years in the project, “Amandaba na Amazônia: Culture Circles as a Strategy to Encourage Self-care for DM in Primary Health Care,” which took place in November and December 2021. Results: In the HL predictor analysis, women ( p = 0.024) and higher education ( p = 0.005) were predictors of better functional HL. The predictors of biochemical parameters were: glycated hemoglobin control with low critical HL ( p = 0.008); total cholesterol control with female sex ( p = 0.004), and low critical HL ( p = 0.024); low-density lipoprotein control with female sex ( p = 0.027), and low critical HL ( p = 0.007); high-density lipoprotein control with female sex ( p = 0.001); triglyceride control with low Functional HL ( p = 0.039); high levels of microalbuminuria with female sex ( p = 0.014). A low critical HL was a predictor of a lower specific diet ( p = 0.002) and a low total HL of low medication care ( p = 0.027) in analyses of HL domains as predictors of self-care. Conclusion: Sociodemographic factors can be used to predict HL, and HL can predict biochemical parameters and self-care.

Keywords: diabetes mellitus; glycemic control; health literacy; self-care; primary health care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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Citations: View citations in EconPapers (1)

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