Mediating effect of health promoting lifestyle on health literacy and stigma in middle-aged and elderly patients with type 2 diabetes
10.3969/j.issn.1006-2483.2024.03.007
- VernacularTitle:中老年2型糖尿病患者健康促进生活方式在健康素养与病耻感中介效应研究
- Author:
Xueying LI
1
;
Qing YU
1
;
Guifeng MA
1
;
Jianming LIU
2
Author Information
1. School of Public Health , Shandong Second Medical University , Weifang , Shandong 261053 , China
2. Intelligent Medical Engineering Department , Shandong Second Medical University , Weifang , Shandong 261053 , China
- Publication Type:Journal Article
- Keywords:
Type 2 diabetes mellitus;
Health promotion;
Health literacy;
Disease stigma;
Mediating effect
- From:
Journal of Public Health and Preventive Medicine
2024;35(3):28-31
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the mediating effect of health-promoting lifestyle on the relationship between health literacy and stigma among middle-aged and elderly patients with type 2 diabetes mellitus (T2DM). Methods A stratified random sampling method was used to select 415 patients with T2DM from three general hospitals in Weifang to conduct a questionnaire survey using the Disease Stigma Assessment Scale for Type 2 Diabetes Mellitus (DSAS-2), the Health Literacy Scale, and the Type 2 Diabetes Health Promotion Scale (T2DHPS). Results Sickness stigma was negatively correlated with health literacy (r=-0.547, P<0.01) and negatively correlated with health promotion (r=-0.505, P<0.01), while health promotion was positively correlated with health literacy (r=0.398, P<0.01). Health-promoting lifestyle mediated the association between health literacy and stigma (β=0.0383, P<0.01), with the mediating effect accounting for 16.00% of the total effect. Conclusion Health literacy can influence the stigma of patients with type 2 diabetes mellitus through health promotion lifestyle, suggesting that the stigma of patients with diabetes can be improved through health promotion lifestyle intervention.
