The Relationship between Health Literacy and Health-Promoting Behaviors in Patients with Type 2 Diabetes Mellitus: Evidence from a Military Hospital-Based Study in Iran

نویسندگان

1 Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran

2 Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran

3 Department of Internal Medicine, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran.

4 Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran.

5 Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.

doi
10.22038/jhl.2025.85614.1706
چکیده

Background and Objective: Diabetes Mellitus (DM) ranks as one of the most common non-contagious diseases and its importance has been widely acknowledged. Nevertheless, health literacy and lifestyle factors have a big impact on how well people control and manage this condition. The current relationship between health-promoting behaviors and health literacy among DM patients of the Military hospital is discussed in this article.Materials and Methods: This cross-sectional investigation encompassed a sample of 281 type 2 DM patients attending the endocrinology clinic at Baqiyatallah Hospital. Data collection was achieved through the employment of a checklist comprising 12 demographic items, a 33-item Health Literacy Instrument for Adults (HELIA) questionnaire, and a 51-item Walker's Health-Promoting Lifestyle Profile (HPLP II) questionnaire. Data analysis was completed by implementing Pearson’s correlation coefficient, independent t-tests, analysis of variance, and hierarchical linear regression, which was done by using SPSS ver. 22.Results: The mean age of the participants was calculated to be 45.2 ± 17.2 years. The participents’ charachteristics mostly consisted of being men (66.9%), married (63.7%), and having a diploma (45.9%). In this study, a moderate positive correlation was found between health literacy and health-promoting behaviors (r=0.405) (p=0.000). Furthermore, people ages 45 and above and those with a non-medical job had the highest scores on health-promoting behaviors, and non-smokers had a higher score on health literacy. Liner Regression analysis demonstrated that reading, access, decision-making, and behavioral intention significantly predicted health-promoting behaviors (R²=0.295, p<0.000),with decision-making showing the strongest effect (β=0.242, p=0.002).Conclusion: The findings of the current study verify that there is a relationship between health literacy and lifestyle, and that edjucational programs focus more on improving specific domains like accessing, reading and decision-making, as identified in the regression for DM patients.