ArticleInternational journal of environmental research and public health2021
Impact of Health Literacy on the Progression of Frailty after 4 Years among Community-Dwelling Older Adults.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Perceptions of frailty pathway implementation in an acute setting among healthcare professionals: a qualitative study using the CFIR 2.0.BMC geriatrics · 2026Article
- Effects of a Community-Based Multi-Component Intervention on Subjective Well-Being in Older Adults: The Chofu-Digital-Choju Project in Japan.Geriatrics (Basel, Switzerland) · 2026Article
- Mediating Role of Health Literacy in Relationship Between Frailty and Medical Costs in Community-Dwelling Older Adults.Healthcare (Basel, Switzerland) · 2025Article
- Health literacy and frailty: the mediating role of instrumental activities of daily living.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2025Article
- Health Literacy and Internet Use Among Japanese Older Adults: A Gender-Stratified Cross-Sectional Analysis of the Moderating Effects of Neighborhood Relationships.Healthcare (Basel, Switzerland) · 2024Article
- Limited health literacy increases the likelihood of cognitive frailty among older adults.BMC geriatrics · 2024Article
- Regional differences in frailty among older adults with type 2 diabetes: a multicenter cross-sectional study in Japan.BMC geriatrics · 2024Article
- Associations of eHealth Literacy with Social Activity among Community-Dwelling Older Adults: A Cross-Sectional Study.European journal of investigation in health, psychology and education · 2024Article
- The roles of health literacy and social support in the association between smartphone ownership and frailty in older adults: a moderated mediation model.BMC public health · 2024Article
- Article
- Health Support for At-Risk Older Adults during COVID-19.Healthcare (Basel, Switzerland) · 2023Article
- Successful Aging for Community-Dwelling Older Adults: An Experimental Study with a Tablet App.International journal of environmental research and public health · 2022Article
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Authors and funding
6 authors.
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Abstract
Health literacy (HL) promotes healthy lifestyle behaviors among older adults, and its relationship with frailty remains unclear. This study examined whether HL is a predictor of frailty progression among community-dwelling older adults. Data from two surveys conducted in 2012 and 2016 involving older residents (mean age, 71.6 ± 4.6 years) of Kashiwa City, Chiba Prefecture, Japan were used. Only healthy individuals without frailty and cognitive impairments participated in the 2012 assessment, where the Kihon Checklist (KCL), HL, and other variables were assessed. Logistic and multiple logistic analyses were used to assess the effects of HL and other factors on frailty between the 'high HL' vs. 'low HL' groups in 2012 and between the 'robust' vs. 'frailty-progressing' groups in 2016. Of the 621 robust participants, 154 (25.4%) had progression of frailty in 2016, which was significantly associated with advanced age, higher KCL score, lower HL, poor mental health, and lack of social support. Furthermore, low HL was a predictor of frailty progression. Low HL may be associated with frailty progression. The obtained results suggest that increased health literacy should be effective in preventing frailty for community-dwelling older residents.
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