Current Research in Medical Sciences
Current Research in Medical Sciences
CRMS
Medical Sciences
http://crms.mubabol.ac.ir
1
admin
2538-6212
2538-6212
8
10.22088/crms
14
8888
13
en
jalali
1404
1
1
gregorian
2025
4
1
9
1
online
1
fulltext
en
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
پزشکی اجتماعی
پزشکی اجتماعی
پژوهشی اصیل
Original Article
<span style="font-size:11pt"><span style="line-height:115%"><span style="text-autospace:none"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><b><i><span style="font-family:"Times New Roman","serif""><span style="color:#003399">Background</span></span></i></b><b><span style="font-family:"Times New Roman","serif""><span style="color:#003399">:</span></span></b> <span lang="EN" style="font-family:"Times New Roman","serif""><span style="color:black">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</span></span><span dir="RTL" lang="FA" style="font-family:"Times New Roman","serif""><span style="color:black"></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:12.0pt"><span style="text-autospace:none"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><span style="font-family:"Times New Roman","serif""><span style="color:black"></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="text-autospace:none"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><b><i><span style="font-family:"Times New Roman","serif""><span style="color:#003399">Methods</span></span></i></b><b><span style="font-family:"Times New Roman","serif""><span style="color:#003399">:</span></span></b> <span style="font-family:"Times New Roman","serif""><span style="color:black">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).</span></span><span dir="RTL" lang="FA" style="font-family:"Times New Roman","serif""><span style="color:black"></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:12.0pt"><span style="text-autospace:none"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><i><u><span style="font-family:"Times New Roman","serif""><span style="color:black"></span></span></u></i></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="text-autospace:none"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><b><i><span style="font-family:"Times New Roman","serif""><span style="color:#003399">Results</span></span></i></b><b><span style="font-family:"Times New Roman","serif""><span style="color:#003399">:</span></span></b> <span style="font-family:"Times New Roman","serif""><span style="color:black">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).</span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="text-autospace:none"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><span style="font-family:"Times New Roman","serif""><span style="color:black"></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:115%"><span style="text-autospace:none"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><b><i><span style="font-family:"Times New Roman","serif""><span style="color:#003399">Conclusion</span></span></i></b><b><span style="font-family:"Times New Roman","serif""><span style="color:#003399">:</span></span></b><span style="font-family:"Times New Roman","serif""><span style="color:black"> 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.</span></span></span></span></span></span></span>
Medication adherence, Diabetes Mellitus, reproductive health, health literacy, self-care.
70
86
http://crms.mubabol.ac.ir/browse.php?a_code=A-10-162-2&slc_lang=en&sid=1
Mahtab
Nameni
mahtabnameni@gmail.com
10031947532846002614
10031947532846002614
No
Student of Pharmacy, School of Pharmacy, Ayatollah Amoli Branch, Islamic Azad University, Amol, Iran.
Shabnam
Omidvar
shomidvar@yahoo.com
10031947532846002615
10031947532846002615
Yes
Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, I.R. Iran.
Mohammadreza
Kordbagheri
Kordbagheri@yahoo.com
10031947532846002616
10031947532846002616
No
Department of Statistics, Faculty of Mathematical Sciences, Shahid Beheshti University, Tehran, Iran