Unlocking the secrets: How well do nutrition and dietetics students understand diabulimia and health literacy?

dc.authoridhttps://orcid.org/0000-0002-4622-9252
dc.authoridhttps://orcid.org/0000-0002-7073-2907
dc.contributor.authorÇelik, Zehra Margot
dc.contributor.authorBayram, Hatice Merve
dc.date.accessioned2025-06-23T08:32:25Z
dc.date.available2025-06-23T08:32:25Z
dc.date.issued2025
dc.departmentSağlık Bilimleri Fakültesi
dc.description.abstractBackground: Despite the significant health risks associated with it, diabulimia, which involves the omission of insulin for the purpose of weight control in individuals with type 1 diabetes, remains underrecognized. Aim: This study assessed diabulimia knowledge in third- and fourth-year nutrition and dietetics students and its relationship with health literacy. Methods: This cross-sectional study included 231 students (90.5% female) in the third (38.5%) and fourth (61.5%) years of the Nutrition and Dietetics Departments at two universities and was carried out between June and July 2024. A questionnaire covering demographic characteristics, Diabulimia Knowledge Level Scale (DKLS) and Turkish Health Literacy Scale (THLS-32) was administered to the students in person. Data analysis was performed using SPSS 28.0. Results: DKLS scores of third-year students were lower than those of the fourth-year students (p = 0.014). Similarly, THLS-32 scores were higher in fourth-year students (p = 0.012). However, there was no statistical significance in DKLS, THLS-32 scores and THLS-32 classification between the universities (p = 0.307, p = 0.137, and p = 0.491, respectively). No relationship between age, DKLS and THLS-32 was found. Conclusion: Fourth-year students demonstrated higher diabulimia knowledge and health literacy scores, highlighting the impact of advanced education. However, no differences were found between the universities. These findings underscore the need for further research to explore the factors contributing to knowledge and health literacy development, including curriculum design, teaching methods, and clinical training. Additionally, expanding this investigation to include other healthcare professionals could provide a broader perspective of existing gaps in diabulimia awareness and health literacy.
dc.identifier.doi10.1177/02601060241310639
dc.identifier.issn0260-1060
dc.identifier.issn2047-945X
dc.identifier.urihttps://hdl.handle.net/11363/9974
dc.identifier.wos001399744800001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.institutionauthorBayram, Hatice Merve
dc.institutionauthoridhttps://orcid.org/0000-0002-7073-2907
dc.language.isoen
dc.publisherSAGE PUBLICATIONS INC, 2455 TELLER RD, THOUSAND OAKS, CA 91320
dc.relation.ispartofNUTRITION AND HEALTH
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectDiabulimia
dc.subjectdiabetes mellitus
dc.subjecteating disorders
dc.subjecthealth literacy
dc.titleUnlocking the secrets: How well do nutrition and dietetics students understand diabulimia and health literacy?
dc.typeArticle

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