Health Literacy of Type 2 Pre-Diabetics and Diabetics in Thailand
Keywords:
Health Communication, Health Literacy, Type 2 DiabetesAbstract
The aim of this study was to examine type 2 diabetes health literacy among type 2 pre-diabetes mellitus and type 2 diabetes mellitus patients using a quantitative survey approach. The 1,600 randomly selected participants, ages 20 to 60, who sought medical care in the 13 public health regions served as the study's target group. Data were gathered between December 2020 and April 2021 utilizing the created questionnaire. A descriptive statistical analysis was done on the data. The findings revealed that the samples had health knowledge skills, health information communication skills, and health media literacy skills related to diabetes at the high - highest levels (4.360, 3.704, 3.421). However, health information utilization skills, health information access skills and behavioral skills in controlling and preventing type 2 diabetes were all modest (3.308, 3.325, 3.377). Although a significant portion of the 1,600 participants had regular checkups (48.9%), they were at risk for office jobs (32.3%), infrequent exercise (63.4%), obesity (36.5%), and congenital illness (56.1%), and they entered the study between the ages of 31 and 60 (67.6%), before being screened for diabetes. A group of 766 persons with type 2 diabetes were less aware that they were at risk of developing the disease (79.1%). The research recommendations should focus on encouraging health literacy about type 2 diabetes as a silent threat that can cause complications and serious repercussions as well as risk behaviors that can result in illness, and on designing activity communication through personal media and mass media to targeted audiences who are able to apply the knowledge and skills to develop more healthy habits that will last over time.
References
Achariyakul, N., & Pitpreecha, R. (2001). Principle and theory of communication: Unit 1-8. Nonthaburi: Sukhothai Thammathirat Open University Printing.
Agardh, E., Allebeck, P., Hallqvist, J., Moradi, T., & Sidorchuk, A. (2011). Type 2 diabetes incidence and socio-economic position: A systematic review and meta-analysis. International Journal of Epidemiology. 40(3), 804-18. http//doi. 10.1093/ije/dyr029
Arabin, B., Timmesfeld, N., Noever, K., Behnam, S., Ellermann, C., Jenny, M.A. (2018). How to improve health literacy to reduce short- and long-term consequences of maternal obesity?. The Journal of Maternal-Fetal & Neonatal Medicine. 32(17), 2935-2942. http//doi.10.1080/14767058.2018.1450383
Ariyasit, J. (2021). Health literacy to control blood sugar level in type 2 diabetic patients. Sawanpracharak Medical Journal,18(2), 142-55.
Benjarongkit, Y. (2011). Planning and evaluation for strategic communication. Bangkok: Chulalongkorn University Printing House.
Chantha, W. (2016). Health literacy of self-care behaviors for blood glucose level control in patients with type 2 diabetes, Chainat Province. Bangkok: Public Health, Thammasat University.
Department of Disease Control. (2017). Handbook for disease and health for people. Bangkok: Agricultural Cooperative Federation Printing.
Division of Non Communicable Diseases. (2020). Plan for diabetes prevention and control in 2020. Retrieved July 29, 2020, from https://www.chiangmaihealth.go.th/cmpho_web/document/191213157622983741.pdf
Drewnowski, A., & Specter, S.E. (2004). Poverty and obesity: The role of energy density and energy costs. The American Journal of Clinical Nutrition, 79(1), 6-16. https://doi.org/10.1093/ajcn/79.1.6
Health Education Division. (2017a). Report on the 2017 targeted population's health literacy and behavior (Research report). Bangkok: Health Education Division, Department of Health Service Support.
Health Education Division. (2018b). Health literacy and health behavior. Bangkok: Health Education Division, Ministry of Public Health.
International Diabetes Federation. (2019). IDF diabetes atlas ninth edition 2019. Brussels: International Diabetes Federation.
Indhraratana, A. (2014). Health literacy of health professionals. Journal of The Royal Thai Army Nurses, 15(3), 174-178.
Intarakamhang, U. (2017). Creating and developing of Thailand health literacy scales (Research report). Bangkok: The Behavioral Science Research Institute, Srinakharinwirot University.
Keiser, A.B., Zhang, N., & Plujim, W. (2018). Global prevalence of type 2 diabetes over the next ten years (2018-2028). Retrieved February 1, 2021, from http//doi.10.2337/db18-202-LB
Langford, A.T., Larkin, K., Resnicow, K., Zikmund-Fisher, J.B., & Fagerlin, A. (2017). Understanding the role of message frames on African-American willingness to participate in a hypothetical diabetes prevention study. Journal of Health Communication, 8(22), 647-656. http//doi.10.1080/10810730.2017.1339146
Mackert, M., & Walker, L. O. (2011). Cluster analysis identifies subpopulations for health promotion campaign design. Public Health Nursing, 28(5), 451-457.
Manhanzva, R., Marara, P., Duxbury, T., Bobbins, A.C., Pearse, N., Hoel, E., Mzizi, T., & Srinivas, S.C. (2017). Gender, and leadership for health literacy to combat the epidemic rise of noncommunicable diseases. Health Care for Women International, 38(8), 833-847. http//doi.10.1080/07399332.2017.1332062
Ministry of Public Health. (2017a). 5-year national NCD prevention and control strategic plan (2017-2021). Bangkok: Bureau of Non-Communicable Disease, Department of Disease Control, Ministry of Public Health.
Ministry of Public Health. (2017b). Operation manual of community-based intervention for NCDs controlling. Bangkok: Bureau of Non-Communicable Disease, Department of Disease Control, Ministry of Public Health.
Ministry of Public Health. (2017c). Clinical practice guideline for diabetes 2017. Pathumthani: Rom Yen Media.
Mokdad, A.H., Ford, E.S., Bowman, B.A., Dietz, W.H., Vinicor, F., Bales, V.S., Marks, J.S. (2003). Prevalence of obesity, diabetes, and obesity-related health risk factors. The Journal of the American Medical Association, 289(1), 76-79. http//doi.10.1001/jama.289.1.76
Norasing, M., & Thanomphan, S. (2019). Health literacy and health behavior in patients with uncontrolled blood sugar level or blood pressure: A case study of Nakornping hospital, Chiang Mai. Journal of Nakornping Hospital, 10(1), 35-50.
Office of the National Economic and Social Development Board. (2017). National Strategy 2018-2037. Retrieved October 7, 2022, from https://drive.google.com/filed/1XSBMp8OCsauJqECOBXZLB91-cRrNsEV/view
Poladao, K., Ratchompoo, W., Nakram, S., Prasomruk, P., Panthumas, S., & Saraboon, Y. (2020). Health literacy of type 2 diabetic patient and to compare urban area and rural area in Muang District, Amnatcharoen Province. Journal of Khon Kaen Provincial Health Office, 2(1), 21-39.
Poomthavorn, P. (2016). Diabetes in children and adolescents. Retrieved July 29, 2020, from https://www.rama.mahidol.ac.th/rama_hospital/th/services/knowledge/01302020-1536
Saengsri, A. (2017). Health behavior of people at risk for diabetes and hypertension in Bang Prog District, Patumtani Province. Journal of Allied Health Sciences, 2(1), 59-79.
Sathapitanon, P., Kanphai, K., Chatiket, P., & Chatiketu, P. (2003). Health communication: The potentials of mass media in health promotion. Bangkok: Phabpim Printing.
Sentell, T., Cruz, M.R.D., Heo, H.H., & Braun, K.L. (2013). Health literacy, health communication challenges, and cancer screening among rural native Hawaiian and Filipino women. Journal of Cancer Education, 28(2), 25-34. http;//doi.org.10.1007/s13187-013-0471-3
Sonthon, P. (2019). Association between health literacy in diabetes, self-care management in diabetes and clinical outcome among type 2 diabetes mellitus patients in Phetchabun Province. Phetchabun: Phetchabun Rajabhat University.
Suwannaphant, K., Laohasiriwong, W., Puttanapong, N., Saengsuwan, J., & Phajan, T. (2017). Association between socioeconomic status and diabetes mellitus: the national socioeconomics survey, 2010 and 2012. Journal of Clinical and Diagnostic Research, 11(7), 18-22.
Tachavijitjaru, C. (2018). Health literacy: A key Indicator towards good health behavior and health outcomes. Journal of Royal Thai Army Nurses, 19(1), 1-11.
Vasuthada, C., Jaikla, N., Dechavoot, L., & Jarujit, S. (2018). The relationship between perception toward non-communicable diseases and health promotion behaviors for noncommunicable diseases prevention among people in Muang District, Chanthaburi Province. Journal of Phrapokklao Nursing College, 29(2), 47-59.
Winkleby, M.A., Jatulis, D.E., Frank, E., & Fortmann, S.P. (1992). Socioeconomic status and health: How education, income, and occupation contribute to risk factors for cardiovascular disease. American Journal of Public Health, 82(6), 816-20.
Zarcadoolas, C., Pleasant, A.F., & Greer, D.S. (2006). Advancing health literacy: A framework for understanding and action. New Jersey: Jossey-Bass.
Zheng, Y., Ley, S.H., & Hu, F.B. (2018). Global aetiology and epidemiology of type 2 diabetes mellitus and its complications. Nature Reviews Endocrinology, 14(2), 88-98.



