Associations between health literacy, well-being and general health in adults with type 2 diabetes, considering culturally and linguistically diverse background: Results from the first diabetes MILES Australia study

IF 3.4 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2025-06-17 DOI:10.1111/dme.70090

Yingting Cao, Elizabeth Manias, Olumuyiwa Omonaiye, Alison Beauchamp, Rebecca Jessup, Brian Oldenburg, Jane Speight, Elizabeth Holmes-Truscott

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Abstract

Aim

To examine the relationships between health literacy, well-being and general health among adults with type 2 diabetes (T2DM) in Australia, overall and separately for those reporting culturally and linguistically diverse (CALD) backgrounds.

Method

Data were analyzed from 1962 adults with T2DM (aged 59 ± 9 years; 51% men) from the Diabetes MILES-1 survey. Participants completed the Health Literacy Management Scale (HeLMS), Personal Well-being Index (PWI) and EuroQOL Group Visual Analogue Scale (EQ-VAS) for general health status. Multiple linear regression examined associations between HeLMS Domains and outcomes (PWI; EQ-VAS) overall, and separately for CALD participants (13.7%; overseas-born in a primarily non-English-speaking country and/or primary non-English language).

Results

Approximately >70% of participants (regardless of CALD background) reported high health literacy across all HeLMS Domains (HeLMS score >4). Greater health literacy was associated with greater well-being and health status. ‘Attitudes toward health’ (Domain 1; PWI: β = 6.9, 95% CI (4.6–9.3); EQ-VAS: β = 9.0, (6.7–11.3)) and ‘socioeconomic considerations’ (Domain 4; β = 8.0, 95% CI (5.8, 10.3); β = 5.5, 95% CI (3.3–7.7)) were associated with both well-being and health status. ‘Social support’ (Domain 3; β = 4.3 95% CI (1.9–6.7)) and ‘being proactive’ (Domain 7; β = 4.6 95% CI (2.2, 7.0)) were associated with well-being only. Among participants from CALD backgrounds, Domain 1 was consistently associated with subjective well-being and general health.

Conclusion

Findings suggest the importance of domain-specific health literacy in protecting well-being and general health among adults with T2DM, including those from CALD backgrounds. Longitudinal studies are needed to understand these inter-relationships and to inform the development of appropriate interventions.

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考虑到文化和语言不同背景，2型糖尿病成人健康素养、幸福感和总体健康之间的关系：来自澳大利亚第一项糖尿病MILES研究的结果

目的：研究澳大利亚2型糖尿病（T2DM）成年人的健康素养、幸福感和总体健康之间的关系，包括总体和单独的文化和语言多样性（CALD）背景。方法：对1962例成人T2DM患者(59±9岁；（51%男性）。参与者完成了健康素养管理量表（HeLMS）、个人幸福指数（PWI）和EuroQOL集团视觉模拟量表（EQ-VAS）的一般健康状况。多元线性回归检验了HeLMS域与预后(PWI；EQ-VAS)， CALD参与者分别为13.7%；出生在主要非英语国家及/或主要非英语语言的海外人士)。结果：大约70%的参与者（无论CALD背景如何）报告了所有HeLMS领域的高健康素养（HeLMS评分为> - 4）。卫生知识普及程度越高，幸福感和健康状况越好。“对健康的态度”(领域1；Pwi: β = 6.9, 95% ci (4.6-9.3)；EQ-VAS: β = 9.0,(6.7-11.3))和“社会经济因素”(领域4；β = 8.0, 95% ci (5.8, 10.3)；β = 5.5, 95% CI(3.3-7.7))与幸福感和健康状况相关。“社会支持”(领域3；β = 4.3 95% CI(1.9-6.7))和“积极主动”(Domain 7；β = 4.6 95% CI(2.2, 7.0))仅与幸福感相关。在CALD背景的参与者中，区域1始终与主观幸福感和一般健康相关。结论：研究结果表明，特定领域的健康素养在保护2型糖尿病成年人的福祉和总体健康方面具有重要意义，包括那些来自CALD背景的人。需要进行纵向研究，以了解这些相互关系，并为制定适当的干预措施提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetic Medicine 医学-内分泌学与代谢

CiteScore

7.20

自引率

5.70%

发文量

229

审稿时长

3-6 weeks

期刊介绍： Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”