Diabetes Health Literacy, Self-Care Behaviors and Associated Factors among Adult Diabetes Patient Attending Follow-Up Care at Public Hospitals in the East Arsi Zone, Oromia Region, Ethiopia,2025.

dc.contributor.advisorFekadu Aga
dc.contributor.advisorSosina Workineh
dc.contributor.authorAbebe Basha
dc.date.accessioned2026-06-22T15:46:28Z
dc.date.available2026-06-22T15:46:28Z
dc.date.issued2025-06-04
dc.description.abstractBackground: Diabetes health literacy and self-care behavior play an important role in avoiding and controlling complications of diabetes mellitus and are positively associated with good glycemic control and quality of life improvement. However, we lack evidence describing their magnitude in the East Arsi zone of the Oromia regional state of Ethiopia. Objectives: This study was aimed to assess the magnitude of diabetes health literacy, self-care behavior, and associated factors among adult diabetes patients attending follow-up care at selected public hospitals in East Arsi zone, Oromia, Ethiopia, 2025. Methods: An institutional based cross-sectional study was employed in five public hospitals found in East Arsi zone, which was selected by simple random sampling, with a sample size of 468 adult diabetes patients. Data were collected using a structured questionnaire and analyzed using binary logistic regression to assess associations between dependent and independent variables. Result: More than half, 270 (57.7%) of the study participants had low diabetes health literacy level (DHL), and 260(55.6%) had poor self-care behavior. Being male (AOR=0.602, 95%CI:0.401-0.905), low level of education (AOR=0.519, 95%CI: 0.283-0.949), living in rural areas (AOR=1.619, 95%CI: 1.055-2.485), had not attended diabetes education (AOR=1.588, 95%CI:1.004-2.513) and receiving diabetes information only from one source (AOR=0.629, 95%CI: 0.414-0.955), were significantly associated with low DHL. Again, younger (AOR=3.397,95%CI:1.407-11.224), lives in rural (AOR=0.489, 95%CI:0.316-0.755), never having been exposed to DM education (AOR=1.796, 95% CI: 1.111-2.901) and a monthly income of <1000 (AOR=0.234, 95% CI: 0.092-0.591) and 2001-3000 (AOR=0.531, 95% CI: 0.142-0.869) were significantly associated with poor diabetes self-care behavior. Conclusion: Large number of the study participant had low diabetes health literacy level and poor self-care behavior; improving and monitoring awareness of diabetes patient will improve further.
dc.identifier.urihttps://etd.aau.edu.et/handle/123456789/8387
dc.language.isoen
dc.subjectDiabetes mellitus
dc.subjecthealth literacy
dc.subjectself-care behavior
dc.titleDiabetes Health Literacy, Self-Care Behaviors and Associated Factors among Adult Diabetes Patient Attending Follow-Up Care at Public Hospitals in the East Arsi Zone, Oromia Region, Ethiopia,2025.
dc.typeThesis

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