摘要
目的探讨中老年2型糖尿病患者健康促进生活方式在健康素养与病耻感间的中介效应。方法采用分层随机抽样方法选取潍坊市三所综合性医院415名2型糖尿病(type 2 diabetes mellitus,T2MD)患者进行问卷调查,采用2型糖尿病病耻感评估量表(Type 2 Diabetes Stigma Assessment Scale,DSAS-2)、健康素养量表和2型糖尿病健康促进量表(Type 2 Diabetes and Health Promotion Scale,T2DHPS)。结果病耻感与健康素养呈负相关(r=-0.547,P<0.01),与健康促进生活方式呈负相关(r=-0.505,P<0.01),健康促进生活方式与健康素养呈正相关(r=0.398,P<0.01)。健康促进生活方式在健康素养与病耻感间起中介作用(β=0.0383,P<0.01),中介效应占总效应的16.00%。结论健康素养可以通过健康促进生活方式影响2型糖尿病患者的病耻感,提示可以通过从健康促进生活方式干预,改善糖尿病患者的病耻感。
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.
作者
李雪莹
于晴
马桂峰
刘建明
LI Xueying;YU Qing;MA Guifeng;LIU Jianming(School of Public Health,Shandong Second Medical University,Weifang,Shandong 261053,China;School of Basic Medicine,Shandong Second Medical University,Weifang,Shandong 261053,China)
出处
《公共卫生与预防医学》
2024年第3期28-31,共4页
Journal of Public Health and Preventive Medicine
基金
山东省教学改革重点项目(Z2021305)
山东省研究生教育教学改革研究重点项目(SDYJG21040)
山东省教育科学十三五规划课题(2020ZC262)
食品安全风险监测预警体系的评价与优化路径研究(LH2022GG06)。
关键词
2型糖尿病
健康促进
健康素养
病耻感
中介效应
Type 2 diabetes mellitus
Health promotion
Health literacy
Disease stigma
Mediating effect
