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The role of medication adherence in the association between health literacy and diabetes self-care among reproductive-aged women with diabetes mellitus: A Structural Equation Model
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Mahtab Nameni   , Shabnam Omidvar * , Mohammadreza Kordbagheri |
| Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R. Iran. , shomidvar@yahoo.com |
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Abstract: (25 Views) |
Background: The increasing global burden of diabetes, especially in developing nations, highlights the imperative to know more about medication adherence and self-care practices among reproductive-age women with diabetes. The objective of this research was to assess the interrelations between health literacy, medication adherence, and diabetes self-care among reproductive-age women with diabetes
Methods: In this cross-sectional study, 214 diabetic women (30.29 ± 6.52 years old) visited a diabetes clinic in Tehran, Iran (December 2022–March 2023). Convenience sampling was conducted, and the participants responded to questionnaires on demographics, diabetes self-care (DSCA), health literacy (HELIA), and medication adherence (MMAS-8). Structural equation modeling (SPSS26/AMOS24) examined variable relationships (significance: p < 0.05).
Results: Adherence to medication was low (83.7%), with no demographic correlations of note. Health literacy was positively related to adherence (r = 0.389, p < 0.001) and self-care (r = 0.315, p < 0.001). Adherence to medication mediated the relationship between health literacy and self-care (β = 0.447, p < 0.001). Health literacy was directly related to better adherence (β = 0.401, p < 0.001) and self-care (β = 0.331, p < 0.001).
Conclusion: Poor adherence to medication continues to exist among women of reproductive age with diabetes. Health literacy improves adherence and self-care, with adherence acting as a mediator. Interventions aimed at health literacy could potentially enhance diabetes care in this group. |
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| Keywords: Medication adherence, Diabetes Mellitus, reproductive health, health literacy, self-care. |
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Full-Text [PDF 1457 kb]
(11 Downloads)
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Type of Study: Original Article |
Subject:
پزشکی اجتماعی
Received: 2025/06/18 | Accepted: 2025/09/2 | Published: 2025/09/21
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