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首页> 外文期刊>Journal of health communication >Self-efficacy links health literacy and numeracy to glycemic control.
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Self-efficacy links health literacy and numeracy to glycemic control.

机译：自我效能将健康素养和计算能力与血糖控制联系起来。

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The mechanisms underlying the relationship between health literacy, numeracy, and glycemic control are unclear. We explored the role of diabetes self-efficacy in the predicted pathway linking health literacy and numeracy to glycemic control (A1C). Adults with type 1 or type 2 diabetes mellitus (N = 383) were enrolled in a cross-sectional study at primary care and diabetes clinics at three medical centers. Data collected included demographic information, health literacy, general numeracy, and A1C. Path models estimated relations among health literacy, numeracy, and diabetes self-efficacy as predictors of A1C. Health literacy (r = 0.14, p < .01) and numeracy (r = 0.17, p < .001) were each associated with greater diabetes self-efficacy, and greater diabetes self-efficacy was associated with lower A1C levels (r = -0.25, p < .001). When considered in combination, numeracy was related to diabetes self-efficacy (r = 0.13, p < .05), and the effect of health literacy on diabetes self-efficacy was reduced to non-significance (r = 0.06, p = .30). Health literacy and numeracy are each associated with greater diabetes self-efficacy, and greater diabetes self-efficacy is associated with lower A1C levels. Diabetes self-efficacy may be an important target of interventions to improve diabetes control and promote health equity related to health literacy and general numeracy skills needed for diabetes management.
机译：健康素养，计算能力和血糖控制之间关系的潜在机制尚不清楚。我们探讨了糖尿病自我效能在将健康素养和算术与血糖控制（A1C）联系起来的预测途径中的作用。患有1型或2型糖尿病的成年人（N = 383）在三个医疗中心的初级保健和糖尿病诊所参加了一项横断面研究。收集的数据包括人口统计信息，健康素养，一般计算能力和A1C。路径模型估计了健康素养，计算能力和糖尿病自我效能感之间的关系，作为A1C的预测因子。健康素养（r = 0.14，p <.01）和计算能力（r = 0.17，p <.001）分别与较高的糖尿病自我效能感相关，而较高的糖尿病自我效能感与较低的A1C水平相关（r =- 0.25，p <.001）。综合考虑，计算能力与糖尿病自我效能感相关（r = 0.13，p <.05），健康素养对糖尿病自我效能感的影响降低至无意义（r = 0.06，p = .30） ）。健康素养和计算能力与更高的糖尿病自我效能感相关，而更高的糖尿病自我效能感与较低的A1C水平相关。糖尿病的自我效能感可能是改善糖尿病控制和促进与健康素养和糖尿病管理所需的一般计算技能有关的健康公平的干预措施的重要目标。

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