ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2021
Aging and Functional Health Literacy: A Population-based Study.
Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses 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
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Low income and health literacy: a systematic scoping review.Archives of public health = Archives belges de sante publique · 2025Pooled it
- Paving the Way for Alzheimer's Disease Prevention: A Systematic Review of Global Open-Access Neuroimaging Datasets in Healthy Individuals.Journal of Alzheimer's disease : JAD · 2023Pooled it
- Preliminary development of a Risk Factor Index to identify older adults at risk of adverse medication-related outcomes: A Delphi Study.Exploratory research in clinical and social pharmacy · 2026Article
- Knowledge, attitudes, and practices toward postoperative fatigue syndrome among postoperative patients.Scientific reports · 2026Article
- Nigrostriatal dopaminergic integrity in relation to prefrontal cortex activity and gait performance during dual-task walking in older adults.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025Article
- Factors associated with functional health literacy and the quality of life of riverside residents served by the primary care network in the Brazilian amazon: a cross-sectional study.BMC primary care · 2024Article
- Knowledge, attitude, and practice (KAP) towards pulmonary nodules among Chinese adults: a mediation analysis.Scientific reports · 2024Article
- Psychosocial implications of early COVID-19 restrictions on older adults in a small-town region in Southwestern, Pennsylvania (USA).International psychogeriatrics · 2024Article
- Which factors preceding dementia identification impact future healthcare use trajectories: multilevel analyses in administrative data.BMC geriatrics · 2024Observational
- COVID-19 vaccine literacy: A scoping review.Human vaccines & immunotherapeutics · 2023Article
- Association between health literacy and dysphagia in the community-dwelling older population: a cross-sectional study.Aging clinical and experimental research · 2023Article
- Factors that influence health literacy in patients with coronary artery disease.Revista latino-americana de enfermagem · 2023Article
- Exploring Older Adult Health Literacy in the Day-to-Day Management of Polypharmacy and Making Decisions About Deprescribing: A Mixed Methods Study.Health literacy research and practice · 2023Article
- Heterogenous subtypes of health literacy among individuals with Metabolic syndrome: a latent class analysis.Annals of medicine · 2023Article
- Validity and Reliability of the Parental Health Literacy Questionnaire for Caregivers of Children Aged 0 to 3 Years in China.International journal of environmental research and public health · 2022Article
- Multidimensional health literacy profiles and health-related behaviors in the elderly: A cross-sectional survey.International journal of nursing sciences · 2022Article
- Low health literacy and multiple medications in community-dwelling older adults: a population-based cohort study.BMJ open · 2022Article
- Gender differences in factors associated with the health literacy of hospitalized older patients with chronic diseases: A cross-sectional study.Frontiers in public health · 2022Article
- The promotion of active aging through older adult education in the context of population aging.Frontiers in public health · 2022Review
- Prospective cross-sectional study on the knowledge and practice of patients visiting outpatient urology clinic in Nigeria on coronavirus disease.The Pan African medical journal · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesTo investigate functional health literacy and its associated factors among older adults drawn from a disadvantaged area.
designCross-sectional epidemiologic study.
settingPopulation-based cohort randomly selected from the voter registration lists.
participantsIndividuals aged 65+ (N=1066). MEASUREMENTS: The Short Test of Functional Health Literacy in Adults (S-TOFHLA); demographics; self-rated health; number of prescription drugs; modified Center for Epidemiologic Studies- Depression scale; Mini-Mental State Examination; Wechsler Test of Adult Reading; Clinical Dementia Rating; cognitive domain composite scores; independence in Instrumental Activities of Daily Living and medication management; health services utilization (emergency/urgent care visits and hospitalizations).
resultsLow (inadequate or marginal) S-TOFHLA scores were obtained by 7.04% of the sample. In unadjusted analyses, participants with low S-TOFHLA scores were significantly more likely than those with higher scores to be older, male, non-White, with lesser education and lower household income, to have lower scores on the Wechsler Test of Adult Reading, the Mini-Mental State Examination, and all cognitive domains; to be more dependent in Instrumental Activities of Daily Living and be taking more prescription drugs. In a multiple regression model including all covariates, only older age, male sex, and lower reading level were independently associated with inadequate or marginal S-TOFHLA scores.
conclusionIn a population-based sample of older adults, low functional health literacy was associated with age, sex, education, and reading ability. Basic functional health literacy is essential for understanding health information and instructions. Clinicians should formally or informally assess health literacy in their older patients to ensure effective communication and enhance health outcomes.
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