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<p>Given Bangladesh’s rising diabetes burden and scarce data on health literacy, this study evaluated health literacy levels and associated sociodemographic factors among diabetic adults. A cross-sectional survey was conducted at Mujibur Rahman Memorial Diabetic Hospital, Kushtia, Bangladesh from November 2024 to March 2025, using face-to-face interviews with structured questionnaires. Health literacy was assessed using the 47-item European Health Literacy Survey Questionnaire. Among the 465 participants, health literacy levels were distributed as follows: 72.7% inadequate, 16.3% problematic, and 11% sufficient. Key sociodemographic factors such as gender, age, and educational attainment were associated with health literacy. Specifically, sufficient health literacy was higher among male participants (OR = 2.87; 95% CI = 1.28–6.44; <i>p</i> = 0.011). Older adults (OR = 0.15; 95%CI = 0.05–0.52; <i>p</i> = 0.002) and participants with lower educational attainment [e.g., primary education (OR = 0.02; 95%CI = 0.01–0.05; <i>p</i> &lt; 0.001) and secondary education (OR = 0.04; 95%CI = 0.01–0.12; <i>p</i> &lt; 0.001)] were less likely to demonstrate sufficient health literacy than their respective counterparts. Future research should both expand the geographic scope of assessment and explore underlying factors through mixed-methods approaches.</p>

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Sociodemographic determinants of health literacy in Bangladeshi adults with diabetes

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年2月13日

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  • Shammy Akter,
  • Bably Sabina Azhar,
  • Md. Sohanur Islam,
  • Sadia Alam,
  • Md. Hasan Al Banna

摘要

Given Bangladesh’s rising diabetes burden and scarce data on health literacy, this study evaluated health literacy levels and associated sociodemographic factors among diabetic adults. A cross-sectional survey was conducted at Mujibur Rahman Memorial Diabetic Hospital, Kushtia, Bangladesh from November 2024 to March 2025, using face-to-face interviews with structured questionnaires. Health literacy was assessed using the 47-item European Health Literacy Survey Questionnaire. Among the 465 participants, health literacy levels were distributed as follows: 72.7% inadequate, 16.3% problematic, and 11% sufficient. Key sociodemographic factors such as gender, age, and educational attainment were associated with health literacy. Specifically, sufficient health literacy was higher among male participants (OR = 2.87; 95% CI = 1.28–6.44; p = 0.011). Older adults (OR = 0.15; 95%CI = 0.05–0.52; p = 0.002) and participants with lower educational attainment [e.g., primary education (OR = 0.02; 95%CI = 0.01–0.05; p < 0.001) and secondary education (OR = 0.04; 95%CI = 0.01–0.12; p < 0.001)] were less likely to demonstrate sufficient health literacy than their respective counterparts. Future research should both expand the geographic scope of assessment and explore underlying factors through mixed-methods approaches.