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So Young Shin 1 Article
The Influence of Health Literacy and Diabetes Knowledge on Diabetes Self-care Activities in Korean Low-income Elders with Diabetes
Ji Hye Jeong, Nam Hee Park, So Young Shin
J Korean Acad Community Health Nurs. 2014;25(3):217-224.   Published online September 30, 2014
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AbstractAbstract PDF
This study aimed to assess the levels of and relationships among health literacy, knowledge about diabetes, and self-care activities in the Korean low-income elderly with diabetes and to identify factors influencing the self-care activities of this vulnerable population.
This study surveyed a total of 151 low-income elderly patients with diabetes registered at 16 Visiting Health Care Services in B City, Korea. Health literacy was measured with the Newest Vital Sign. Diabetes knowledge was measured with the Diabetes Knowledge Test. The Summary of Diabetes Self-care Activities Questionnaire was used to assess diabetes self-care activities. A stepwise multiple regression analysis was conducted to identify significant factors influencing diabetes self-care activities in these patients.
In the regression model, diabetes knowledge (beta=.322, p<.001), exercise (beta=.337, p<.001), and experiences of diabetes education (beta=.241, p=.001) were significantly associated with increased diabetes self-care activities in low-income elderly patients with diabetes when gender, education, health literacy, and subjective health state were controlled.
To improve diabetes self-care activities in the low-income elderly with diabetes, it is important to develop a customized program considering their knowledge, exercise, and diabetes education experience.


Citations to this article as recorded by  
  • The Relationship between Health Literacy of Elderly Diabetics and Adherence to Treatment, Babol, Iran, 2021
    Abdollah Goli Roshan, Seyedeh Navabeh Hosseinkhani, Reza Norouzadeh
    Qom Univ Med Sci J.2021; 14(12): 70.     CrossRef
  • The Role of Health Literacy in Diabetes Knowledge, Self-Care, and Glycemic Control: a Meta-analysis
    Laura Marciano, Anne-Linda Camerini, Peter J. Schulz
    Journal of General Internal Medicine.2019; 34(6): 1007.     CrossRef
  • Evidence-based health literacy improvements: trends on health literacy studies in Korea
    Soo Jin Kang, Mi Sook Lee
    Korean Journal of Health Education and Promotion.2015; 32(4): 93.     CrossRef

RCPHN : Research in Community and Public Health Nursing