ArticleBMC geriatrics2018
Health literacy among older adults is associated with their 10-years' cognitive functioning and decline - the Doetinchem Cohort Study.
Article in BMC geriatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06971393 (A Comparison of Health Literacy Estimates Among Patients, Caregivers and a Geriatric Team), which is not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Comparison of Health Literacy Estimates Among Patients, Caregivers and a Geriatric Team
Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Efficacy of an educational multimedia in promoting public health literacy on age-related cognitive-communicative health: a randomized controlled trial.Scientific reports · 2025Trial
- A multistage research on factors influencing and active learning intervention on health literacy of community-residing elderly adults in Nanjing.BMC public health · 2025Trial
- Subjective-objective health literacy discrepancy, reduced healthcare utilization, and functional limitations associated with hearing loss.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Article
- Socioeconomic inequalities in disability among older adults in urban and rural Indonesia: a population-based study.BMC public health · 2026Article
- The dose-response relationship between light physical activity and electronic health literacy among community-dwelling older adults.BMC public health · 2026Article
- Latent class analysis of quality of life among patients with Kashin-Beck disease and its association with health literacy and social support.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- Determinants of health literacy among older adults in Saboba district in Ghana: a cross-sectional study.BMC public health · 2025Article
- Article
- Health literacy and chronic disease prevalence: age-group differences in Zhejiang, China.Frontiers in public health · 2025Article
- Factors influencing nutritional literacy among rural older adults: a cross-sectional survey based on the theory of planned behavior.Frontiers in nutrition · 2025Article
- Health literacy among lactating women and the promotion of breastfeeding and maternal and child health.Revista da Escola de Enfermagem da U S P · 2025Article
- Article
- Health literacy mediates the relationships of cognitive and physical functions with health-related quality of life in older adults.Frontiers in public health · 2024Article
- Measuring the reliability of proxy respondents in behavioural assessments: an open question.Aging clinical and experimental research · 2023Article
- Relationship between Treatment Burden, Health Literacy, and Medication Adherence in Older Adults Coping with Multiple Chronic Conditions.Medicina (Kaunas, Lithuania) · 2023Article
- Mental Health Literacy and Stigma in a Municipality in the North of Portugal: A Cross-Sectional Study.International journal of environmental research and public health · 2023Article
- Are older people worse off in 2040 regarding health and resources to deal with it? - Future developments in complex health problems and in the availability of resources to manage health problems in the Netherlands.Frontiers in public health · 2023Article
- Differences in the Mediating Role of HL in Socioeconomic Inequalities in Health Across Age Groups: Results from the Dutch Doetinchem Cohort Study.Health literacy research and practice · 2023Article
- Understanding the role of financial health literacy in midlife and old age: A scoping review.Health & social care in the community · 2022Article
Corrections and comments
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany older adults have low levels of health literacy which affects their ability to participate optimally in healthcare. It is unclear how cognitive decline contributes to health literacy. To study this, longitudinal data are needed. The aim of this study was therefore to assess the associations of cognitive functioning and 10-years' cognitive decline with health literacy in older adults.
methodsData from 988 participants (mean age = 65.3) of the Doetinchem Cohort Study were analyzed. Health literacy was measured by the Brief Health Literacy Screening. Memory, mental flexibility, information processing speed, and global cognitive functioning were assessed at the same time as health literacy and also 10 years earlier. Logistic regression analyses were performed, adjusted for age, gender, and educational level.
resultsHigher scores on tests in all cognitive domains were associated with a lower likelihood of having low health literacy after adjustment for confounders (all ORs < 0.70, p-values<.001). Similar associations were found for past cognitive functioning (all ORs < 0.75, p-values<.05). Before adjustment, stronger cognitive decline was associated with a greater likelihood of having low health literacy (all ORs > 1.37, p-values<.05). These associations lost significance after adjustment for educational level, except for the association of memory decline (OR = 1.40, p = .023, 95% CI: 1.05 to 1.88).
conclusionOlder adults with poorer cognitive functioning and stronger cognitive decline are at risk for having low health literacy, which can affect their abilities to promote health and self-manage disease. Low health literacy and declining cognitive functioning might be a barrier for person-centered care, even in relatively young older adults.
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