Influence of health literacy and self-management on quality of life among older adults with hypertension and diabetes in Northwest China
Objective: This study investigated the relationship between health literacy, self-management, and quality of life among older adults diagnosed with hypertension and diabetes. Additionally, the influence of these factors on quality of life was assessed to provide a theoretical basis for enhancing the...
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Elsevier
2025-07-01
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| Series: | Experimental Gerontology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0531556525001056 |
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| author | Yiliyaer Aihemaiti Zhihong Li Ying Tong Lijun Ma Fang Li |
| author_facet | Yiliyaer Aihemaiti Zhihong Li Ying Tong Lijun Ma Fang Li |
| author_sort | Yiliyaer Aihemaiti |
| collection | DOAJ |
| description | Objective: This study investigated the relationship between health literacy, self-management, and quality of life among older adults diagnosed with hypertension and diabetes. Additionally, the influence of these factors on quality of life was assessed to provide a theoretical basis for enhancing the well-being of individuals with chronic conditions. Methods: A cohort of 600 older adults diagnosed with hypertension and diabetes were recruited in Xinjiang, China. Data were collected through a questionnaire survey, and the relationship between health literacy, self-management levels, and quality of life were analysed using a structural equation model (SEM). Results: Of the 600 distributed questionnaires, 556 were completed. Among the older adults with hypertension and diabetes, 17 (3.0 %) demonstrated very adequate health literacy, 188 (33.8 %) had adequate health literacy, 67 (12.1 %) exhibited possible insufficient health literacy, and 284 (51.1 %) were categorized as having insufficient health literacy. The mean self-efficacy score was 6.97 ± 1.03, reflecting low levels of self-management. The average Physical Component Summary score for quality of life was 51.10 ± 12.80, while the average Mental Component Summary score was 70.89 ± 9.43. SEM analysis indicated that quality of life exerted a significant positive effect on health literacy (β = 0.369, P < 0.001) and self-management (β = 0.133, P < 0.01). Furthermore, health literacy was found to significantly positively influence self-management (β = 0.210, P < 0.01). Conclusion: Quality of life in older adults with chronic conditions is significantly influenced by their health literacy and self-management levels. Higher health literacy and improved self-management are associated with enhanced overall quality of life. |
| format | Article |
| id | doaj-art-a499f2394ebc4de69185ca7fc1290170 |
| institution | OA Journals |
| issn | 1873-6815 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Experimental Gerontology |
| spelling | doaj-art-a499f2394ebc4de69185ca7fc12901702025-08-20T02:34:53ZengElsevierExperimental Gerontology1873-68152025-07-0120611277610.1016/j.exger.2025.112776Influence of health literacy and self-management on quality of life among older adults with hypertension and diabetes in Northwest ChinaYiliyaer Aihemaiti0Zhihong Li1Ying Tong2Lijun Ma3Fang Li4School of Nursing, Xinjiang Medical University, Urumqi 830054, Xinjiang, ChinaSchool of Nursing, Xinjiang Medical University, Urumqi 830054, Xinjiang, ChinaSchool of Nursing, Xinjiang Medical University, Urumqi 830054, Xinjiang, ChinaSchool of Nursing, Xinjiang Medical University, Urumqi 830054, Xinjiang, ChinaXinjiang Regional Population Disease and Health Care Research Center, Urumqi 830054, Xinjiang, China; The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, Xinjiang, China; Corresponding author at: Xinjiang Regional Population Disease and Health Care Research Center, The First Affiliated Hospital of Xinjiang Medical University, No.393 of Xin Yi Road, Xin Shi District, Urumqi 830054, Xinjiang, China.Objective: This study investigated the relationship between health literacy, self-management, and quality of life among older adults diagnosed with hypertension and diabetes. Additionally, the influence of these factors on quality of life was assessed to provide a theoretical basis for enhancing the well-being of individuals with chronic conditions. Methods: A cohort of 600 older adults diagnosed with hypertension and diabetes were recruited in Xinjiang, China. Data were collected through a questionnaire survey, and the relationship between health literacy, self-management levels, and quality of life were analysed using a structural equation model (SEM). Results: Of the 600 distributed questionnaires, 556 were completed. Among the older adults with hypertension and diabetes, 17 (3.0 %) demonstrated very adequate health literacy, 188 (33.8 %) had adequate health literacy, 67 (12.1 %) exhibited possible insufficient health literacy, and 284 (51.1 %) were categorized as having insufficient health literacy. The mean self-efficacy score was 6.97 ± 1.03, reflecting low levels of self-management. The average Physical Component Summary score for quality of life was 51.10 ± 12.80, while the average Mental Component Summary score was 70.89 ± 9.43. SEM analysis indicated that quality of life exerted a significant positive effect on health literacy (β = 0.369, P < 0.001) and self-management (β = 0.133, P < 0.01). Furthermore, health literacy was found to significantly positively influence self-management (β = 0.210, P < 0.01). Conclusion: Quality of life in older adults with chronic conditions is significantly influenced by their health literacy and self-management levels. Higher health literacy and improved self-management are associated with enhanced overall quality of life.http://www.sciencedirect.com/science/article/pii/S0531556525001056Chronic diseaseHealth literacyQuality of lifeSelf-managementStructural equation modeling |
| spellingShingle | Yiliyaer Aihemaiti Zhihong Li Ying Tong Lijun Ma Fang Li Influence of health literacy and self-management on quality of life among older adults with hypertension and diabetes in Northwest China Experimental Gerontology Chronic disease Health literacy Quality of life Self-management Structural equation modeling |
| title | Influence of health literacy and self-management on quality of life among older adults with hypertension and diabetes in Northwest China |
| title_full | Influence of health literacy and self-management on quality of life among older adults with hypertension and diabetes in Northwest China |
| title_fullStr | Influence of health literacy and self-management on quality of life among older adults with hypertension and diabetes in Northwest China |
| title_full_unstemmed | Influence of health literacy and self-management on quality of life among older adults with hypertension and diabetes in Northwest China |
| title_short | Influence of health literacy and self-management on quality of life among older adults with hypertension and diabetes in Northwest China |
| title_sort | influence of health literacy and self management on quality of life among older adults with hypertension and diabetes in northwest china |
| topic | Chronic disease Health literacy Quality of life Self-management Structural equation modeling |
| url | http://www.sciencedirect.com/science/article/pii/S0531556525001056 |
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