Research Article

The Influence of Health Literacy and Depression on Diabetes Self-Management: A Cross-Sectional Study

Table 2

Group comparison of high and low health literacy levels by participant characteristics.

CharacteristicsLow health literacy (≤10)High health literacy (>10)Unadjusted odds ratio

Sociodemographic
Age: <60 years, (%) 56 (44)57 (58)0.58 (0.34–0.98)0.042
Sex: male, (%)65 (52)54 (55)1.15 (0.68–1.96)0.601
Marital status: with partner, (%)86 (68)61 (62)0.77 (0.44–1.34)0.348
Highest educational attainment
 (i) Up to primary schooling27 ()6 ()0.24 (0.09–0.61)<0.001
 (ii) Secondary schooling81 (66)65 (66)1.09 (0.63–1.91)
 (iii) More than secondary schooling15 ()27 (28)2.81 (1.40–5.66)
Country of birth: overseas-born, (%)80 (64)45 (46)0.49 (0.29–0.84)0.009

Clinical characteristics
Self-rated health: fair or poor, (%)111 (90)88 (90)0.97 (0.41–2.32)0.946
: high (>7%), (%)96 (76)85 (87)2.04 (1.00–4.17)0.047

Knowledge and psychological factors
Confidence diabetes management: low (up to 8), (%)94 (75)60 (61)1.86 (1.05–3.29)0.032
Knowledge about diabetes: low (up to 7), (%) 83 (66)53 (54)1.64 (0.95–2.82)0.073
Psychological status, depressed (PHQ-2: ≥2)71 (56)41 (42)0.56 (0.33–0.95)0.031
DSMQ-16 score: low (up to 35), (%) 64 (51)57 (58)0.74 (0.44–1.26)0.283