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Khedmat, Leila, Faeghi, Ali, Raei, Mehdi, Naimi, Effat, Rahmati, Fatemeh. (1405). The Relationship between Health Literacy and Health-Promoting Behaviors in Patients with Type 2 Diabetes Mellitus: Evidence from a Military Hospital-Based Study in Iran. , 11(3), 9-22. doi: 10.22038/jhl.2025.85614.1706
Leila Khedmat; Ali Faeghi; Mehdi Raei; Effat Naimi; Fatemeh Rahmati. "The Relationship between Health Literacy and Health-Promoting Behaviors in Patients with Type 2 Diabetes Mellitus: Evidence from a Military Hospital-Based Study in Iran". , 11, 3, 1405, 9-22. doi: 10.22038/jhl.2025.85614.1706
Khedmat, Leila, Faeghi, Ali, Raei, Mehdi, Naimi, Effat, Rahmati, Fatemeh. (1405). 'The Relationship between Health Literacy and Health-Promoting Behaviors in Patients with Type 2 Diabetes Mellitus: Evidence from a Military Hospital-Based Study in Iran', , 11(3), pp. 9-22. doi: 10.22038/jhl.2025.85614.1706
Khedmat, Leila, Faeghi, Ali, Raei, Mehdi, Naimi, Effat, Rahmati, Fatemeh. The Relationship between Health Literacy and Health-Promoting Behaviors in Patients with Type 2 Diabetes Mellitus: Evidence from a Military Hospital-Based Study in Iran. , 1405; 11(3): 9-22. doi: 10.22038/jhl.2025.85614.1706

The Relationship between Health Literacy and Health-Promoting Behaviors in Patients with Type 2 Diabetes Mellitus: Evidence from a Military Hospital-Based Study in Iran

Journal of Health Literacy
مقاله 1، دوره 11، شماره 3 - شماره پیاپی 42، مهر 2026، صفحه 9-22    اصل مقاله (1.53 M)
نوع مقاله: Original Article
شناسه دیجیتال (DOI): 10.22038/jhl.2025.85614.1706
نویسندگان
Leila Khedmat1؛ Ali Faeghi2؛ Mehdi Raei3؛ Effat Naimi4؛ Fatemeh Rahmati* 3
1Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
2Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran.
3Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
4Department of Internal Medicine, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran.
چکیده
Background and Objective: Diabetes Mellitus (DM) ranks as one of the most common non-contagious diseases and its importance has been widely acknowledged. Nevertheless, health literacy and lifestyle factors have a big impact on how well people control and manage this condition. The current relationship between health-promoting behaviors and health literacy among DM patients of the Military hospital is discussed in this article.

Materials and Methods: This cross-sectional investigation encompassed a sample of 281 type 2 DM patients attending the endocrinology clinic at Baqiyatallah Hospital. Data collection was achieved through the employment of a checklist comprising 12 demographic items, a 33-item Health Literacy Instrument for Adults (HELIA) questionnaire, and a 51-item Walker's Health-Promoting Lifestyle Profile (HPLP II) questionnaire. Data analysis was completed by implementing Pearson’s correlation coefficient, independent t-tests, analysis of variance, and hierarchical linear regression, which was done by using SPSS ver. 22.

Results: The mean age of the participants was calculated to be 45.2 ± 17.2 years. The participents’ charachteristics mostly consisted of being men (66.9%), married (63.7%), and having a diploma (45.9%). In this study, a moderate positive correlation was found between health literacy and health-promoting behaviors (r=0.405) (p=0.000). Furthermore, people ages 45 and above and those with a non-medical job had the highest scores on health-promoting behaviors, and non-smokers had a higher score on health literacy. Liner Regression analysis demonstrated that reading, access, decision-making, and behavioral intention significantly predicted health-promoting behaviors (R²=0.295, p<0.000),with decision-making showing the strongest effect (β=0.242, p=0.002).

Conclusion: The findings of the current study verify that there is a relationship between health literacy and lifestyle, and that edjucational programs focus more on improving specific domains like accessing, reading and decision-making, as identified in the regression for DM patients.
کلیدواژه‌ها
Diabetes Mellitus؛ Health Behavior؛ Health Literacy؛ Lifestyle؛ Self Care
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