Relationship between Health Literacy and Dietary Adherence among People who are Diagnosed with Type 2 Diabetes Mellitus

10.30207/AHLA.202312.0048

Tsamara Alifia Ramadhani；Ratu Dien Prima Fermeza；Tri Sutanti Puji Hartati；Emyr Reisha Isaura

Dietary adherence ； health literacy ； type 2 diabetes mellitus

The Proceeding of the 9th AHLA International Health Literacy Conference: Health Literacy and Social Resilience

2023（2023 / 12 / 01）

50 - 50

英文

Background: Ninety percent of all types of people with diabetes globally are diagnosed with type 2 diabetes mellitus (T2DM). Diabetes is a nutrition-related disease that causes disability and even death. People with diabetes need diet therapy to control their blood sugar because the pancreas gland does not secrete enough insulin. This situation encourages people with diabetes to look for easy and reliable sources of information related to their condition. Health literacy is necessary for people with diabetes to improve their quality of life. Objectives: The current study was analytics review that analyzed the relationship between health literacy and dietary adherence among type 2 diabetes mellitus patients. Method: We used analytics review on the literature by searching English full-text articles using PubMed, Scopus, ScienceDirect, Web of Sciences, and Google Scholar before March 31st, 2023. We focused on the diet recommendation adherence among people with diabetes. Results: Of the six reviewed articles, two out of thirteen association and correlation tests for health literacy were significantly related to dietary adherence. Self-reported frequency of following diet recommendations was statistically significantly associated with functional health literacy, with β=0.58 (95%CI: 0.18 to 0.98). Self-reported frequency of following diet recommendations was statistically significantly associated with communicative health literacy, with β=0.67 (95%CI: 0.17 to 1.17). Meanwhile, six out of thirteen showed an indirect relationship between health literacy and dietary adherence through self-efficacy. Conclusion: Health literacy was related to dietary adherence that can affect the outcomes of type 2 diabetes mellitus. Therefore, the government and other stakeholders must improve people's health literacy, especially those focusing on type 2 diabetes mellitus.