Self-efficacy links health literacy and numeracy to glycemic control.
Self-efficacy links health literacy and numeracy to glycemic control.
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DOI：
10.1080/10810730.2010.499980
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发表时间：
2010
影响因子：
4.4
通讯作者：
Rothman RL
中科院分区：
文献类型：
--
作者：
Osborn CY;Cavanaugh K;Wallston KA;Rothman RL
健康素养、算术能力和血糖控制之间关系的机制尚不清楚。我们探讨了自我效能感在预测的健康素养和算术与血糖控制（A1 C）联系起来的途径中的作用。成人1型或2型糖尿病患者（N=383）在三个医疗中心的初级保健和糖尿病诊所参加了一项横断面研究。收集的数据包括人口统计信息，健康素养，一般算术和A1 C。路径分析模型估计健康素养，算术和自我效能之间的关系作为A1 C的预测因子。健康素养（r=0.14，p<0.01）和算术技能（r=0.17，p<0.001）均与更高的自我效能相关;更高的糖尿病自我效能与较低的A1 C水平相关（r=-0.25，p<0.001）。当结合考虑时，计算能力与自我效能相关（r=0.13，p<0.05），健康素养对自我效能的影响降低至无意义（r=0.06，p=0.30）。健康素养和算术能力均与更高的糖尿病自我效能感相关;更高的糖尿病自我效能感与较低的A1 C水平相关。糖尿病自我效能可能是改善糖尿病控制和促进与糖尿病管理所需的健康素养和一般算术技能相关的健康公平的干预措施的重要目标。
The mechanisms underlying the relationship between health literacy, numeracy, and glycemic control are unclear. We explored the role of self-efficacy in the predicted pathway linking health literacy and numeracy to glycemic control (A1C). Adults with type 1 or type 2 diabetes mellitus (N=383) were enrolled in a cross-sectional study at primary care and diabetes clinics at three medical centers. Data collected included demographic information, health literacy, general numeracy, and A1C. Path analytic models estimated relations among health literacy, numeracy, and self-efficacy as predictors of A1C. Health literacy (r=0.14, p<0.01) and numeracy skills (r=0.17, p<0.001) were each associated with greater self-efficacy; and greater diabetes self-efficacy was associated with lower A1C levels (r=−0.25, p<001). When considered in combination, numeracy was related to self-efficacy (r=0.13, p<0.05) and the effect of health literacy on self-efficacy was reduced to non-significance (r=0.06, p=0.30). Health literacy and numeracy are each associated with greater diabetes self-efficacy; and greater diabetes self-efficacy is associated with lower A1C levels. Diabetes self-efficacy may be an important target of interventions to improve diabetes control and promote health equity related to health literacy and general numeracy skills needed for diabetes management.
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