Observational studyAging clinical and experimental research2020
Associations of health and financial literacy with mortality in advanced age.
Observational study in Aging clinical and experimental research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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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.
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Who cites it
17 citing papers in PubMed.
- Social Media-Delivered Patient Education to Enhance Self-management and Attitudes of Patients with Type 2 Diabetes During the COVID-19 Pandemic: Randomized Controlled Trial.Journal of medical Internet research · 2022Trial
- Health literacy and therapeutic adherence: a network and mediation analysis in dyslipidemic outpatients.Internal and emergency medicine · 2026Article
- Optimization of the multimorbidity management model for older adults: a study on the mediating effect of health literacy on self-efficacy and health status.BMC geriatrics · 2026Article
- APOE ε4 and Decline in Health and Financial Literacy in Advanced Age.Journal of the American Geriatrics Society · 2026Article
- Trajectories of psychological and social well-being preceding death.BMJ mental health · 2025Article
- Health and Financial Literacy and the Acquisition of COVID-19 Knowledge in Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025Article
- Number of chronic diseases and cognitive function among the elderly in China: a moderated mediation model.Frontiers in psychology · 2025Article
- Can Changes in Financial Performance Be Used in the Diagnosis of Neurocognitive Disorders? A Systematic Review of Findings from Greece.Brain sciences · 2024Review
- Well-Being and Aging-Related Decline in Financial and Health Literacy in Advanced Age.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023Article
- Psychological Well-being Relates to Healthcare and Financial Decision Making in a Study of Predominantly White Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023Article
- Pulmonary Function Trajectories Preceding Death Among Older Adults: A Long-Term Community-Based Cohort Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023Article
- Financial Fraud and Deception in Aging.Advances in geriatric medicine and research · 2023Article
- Understanding the role of financial health literacy in midlife and old age: A scoping review.Health & social care in the community · 2022Article
- Association between health literacy and mortality: a systematic review and meta-analysis.Archives of public health = Archives belges de sante publique · 2021Review
- The Association of Late Life Cognitive Activity with Healthcare and Financial Decision-Making in Community-Dwelling, Nondemented Older Adults.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2021Article
- Factors Associated With Healthcare and Financial Decision Making Among Older Black Adults Without Dementia.Clinical gerontologistArticle
- Assessing numerical reasoning provides insight into financial literacy.Applied neuropsychology. AdultArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundHealth and financial literacy are central to older adults' well-being and financial standing, but the relation of literacy with mortality in advanced age remains unclear.
aimsTo determine whether lower literacy, as reflected in measures of total literacy and subscales of health and financial literacy, was associated with an increased risk of mortality.
methodsParticipants were 931 community-based older adults from the Rush Memory and Aging Project [age: mean (SD) = 80.9 (7.6), range 58.8-100.8], an ongoing, prospective observational cohort study of aging. Participants were without dementia at the time literacy was assessed. Proportional hazards models were used to determine whether literacy measures were associated with mortality.
resultsDuring up to 8 years of follow-up, 224 (24.1% of 931) participants died. In models that adjusted for age, sex, and education, lower total, health, and financial literacy were each associated with an increased risk of mortality (total literacy: HR = 1.020, 95% CI 1.010-1.031, p < 0.001; health literacy: HR = 1.015, 95% CI 1.008-1.023, p < 0.001; financial literacy: HR = 1.013, 95% CI 1.003-1.023, p = 0.014). These associations persisted after additionally adjusting for income and indices of health status; however, only the association of lower health literacy with mortality persisted after further adjusting for a robust measure of global cognition. DISCUSSION: We suspect that the current associations of lower literacy with mortality reflect the detrimental effect of early pathologic brain aging on literacy.
conclusionsLower literacy, particularly lower health literacy, is associated with mortality in advanced age.
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