ArticleBMJ open2018
Health literacy, cognitive ability and smoking: a cross-sectional analysis of the English Longitudinal Study of Ageing.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Characteristics of participants who take up screening tests for diabetes and lipid disorders: a systematic review.BMJ open · 2022Pooled it
- Harnessing Hope and Bolstering Knowledge of How to Quit: A Qualitative Investigation of Including Efficacy Content in Tobacco Risk Communication via Daily SMS.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Trial
- Health Literacy and Tobacco Use: A Cross-Sectional Study of Associations Among Predominantly Low-Income Adults Motivated to Quit Smoking.Healthcare (Basel, Switzerland) · 2026Article
- Assessing stroke survivors' knowledge: a scoping review of tools and influencing factors.Journal of health, population, and nutrition · 2025Article
- The role of health literacy within the social determinants of health framework: a cross-sectional study on smoking behavior in Fujian, China.Frontiers in public health · 2025Article
- The impact of health literacy on smoking patterns among male residents: insights from Ningbo City.Frontiers in public health · 2025Article
- A cross-sectional assessment of the influence of information sources about substance use in adolescents' tobacco prevalence.Heliyon · 2024Article
- Development and assessment of analytic methods to improve the measurement of cognition in longitudinal studies of aging through the use of substudies with comprehensive neuropsychological testing.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024Article
- The influence of health literacy and knowledge about smoking hazards on the intention to quit smoking and its intensity: an empirical study based on the data of China's health literacy investigation.BMC public health · 2023Article
- The association between health literacy and e-cigarette use: evidence from Zhejiang, China.Frontiers in public health · 2023Article
- Assessment of Health Literacy and Health Promoting Behaviors among the Urban Adult Population.Ethiopian journal of health sciences · 2022Article
- Article
- Determinants of Lifestyle Choices Among South Korean College Students: An Experimental Analysis.Risk management and healthcare policy · 2022Article
- Environmental and economics-related factors of smoking among Iranian adults aged 35-70: a PERSIAN cohort-based cross-sectional study.Environmental science and pollution research international · 2021Article
- How to tackle health literacy problems in chronic kidney disease patients? A systematic review to identify promising intervention targets and strategies.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2021Article
- Health literacy, health perception and related factors among different ethnic groups: a cross-sectional study in southeastern Turkey.BMC public health · 2021Article
- Do Financial Literacy and Financial Education Influence Smoking Behavior in the United States?International journal of environmental research and public health · 2021Article
- Testing a One-Item Risk Measure to Predict Alameda Seven Health Behaviors in the Republic of Korea.International journal of environmental research and public health · 2021Article
- Article
- Influence of Puerperal Health Literacy on Tobacco Use during Pregnancy among Spanish Women: A Transversal Study.International journal of environmental research and public health · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectivesWe used logistic regression to investigate whether health literacy and cognitive ability independently predicted whether participants have ever smoked and, in ever smokers, whether participants still smoked nowadays.
designCross-sectional study.
settingThis study used data from Wave 2 (2004-05) of the English Longitudinal Study of Ageing, which is a cohort study of adults who live in England and who, at baseline, were aged 50 years and older.
participants8734 (mean age=65.31 years, SD=10.18) English Longitudinal Study of Ageing participants who answered questions about their current and past smoking status, and completed cognitive ability and health literacy tests at Wave 2. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome measures were whether participants reported ever smoking at Wave 2 and whether ever smokers reported still smoking at Wave 2.
resultsIn models adjusting for age, sex, age left full-time education and occupational social class, limited health literacy (OR=1.096, 95% CI 0.988 to 1.216) and higher general cognitive ability (OR=1.000, 95% CI 0.945 to 1.057) were not associated with reporting ever smoking. In ever smokers, limited compared with adequate health literacy was associated with greater odds of being a current smoker (OR=1.194, 95% CI 1.034 to 1.378) and a 1 SD higher general cognitive ability score was associated with reduced odds of being a current smoker (OR=0.878, 95% CI 0.810 to 0.951), when adjusting for age, sex, age left full-time education and occupational social class.
conclusionsWhen adjusting for education and occupation variables, this study found that health literacy and cognitive ability were independently associated with whether ever smokers continued to smoke nowadays, but not with whether participants had ever smoked.
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