The Association of Health Literacy with Self-Management in People with Type 2 Diabetes Living in Communities, Pathum Thani Province


  • Wimonrut Boonsatean School of Nursing, Rangsit University.
  • Orathai Reantippayasakul School of Nursing, Rangsit University.


health literacy, self-management, type 2 diabetes



               A correlational research study was conducted aiming to investigate the relationships among health literacy, demographic characteristics, and self-management of people with type 2 diabetes living in communities in Pathum Thani province, Thailand. The 303 participants were randomly selected using a multistage sampling method using the following inclusion criteria: (i) had been diagnosed with type 2 diabetes for at least one year (ii) consistently taking oral anti-diabetic agent(s), and (iii) were Thai citizens who spoke Thai language and were willing to be interviewed. The instruments consisted of the interview forms on demographic characteristics, Health Literacy, and the Diabetes Self-Management. Data were analyzed using descriptive statistics. Mann Whitney U test, Kruskal Wallis, and Spearman Rank Correlation Coefficient were used to investigate the associations among health literacy and other variables. The results showed that demographic characteristics such as educational level, marital status, family income, and duration of having diabetes were significantly associated with health literacy sum scale (p<0.05). Sum scale of health literacy and self-management were found to be significantly associated (p<0.001). All levels of health literacy were related to healthcare use subscale (p<0.01), and communicative health literacy was significantly related to sum scale and all subscales of self-management (p<0.05).

           These research findings may assist nurses to design health teaching plans concerning self-care management that are appropriate to the level of patient’s health literacy. Additionally, the study of diabetes populations in other communities and study of predictive factors of health literacy and self-management of people with diabetes may widen such knowledge and lead to practice enhancements.


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