ArticleBMC public health2023
Association between multiple chronic conditions and insufficient health literacy: cross-sectional evidence from a population-based sample of older adults living in Switzerland.
Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Unravelling the role of health literacy among individuals with multimorbidity: a systematic review and meta-analysis.BMJ open · 2024Pooled it
- A multistage research on factors influencing and active learning intervention on health literacy of community-residing elderly adults in Nanjing.BMC public health · 2025Trial
- Review
- Shared Experiences and Care Improvement Priorities for Multimorbidity Management: An Experience-Based Co-Design Study.Learning health systems · 2026Article
- Exploring oral health care needs of Canadians with rheumatic diseases: a qualitative study.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2026Article
- Evaluating a Digital Chronic Condition Prevention Intervention (THRIVE) in Australian General Practice: Protocol for a Mixed Methods Feasibility Study (ePREVENT-360).JMIR research protocols · 2026Article
- Nonlinear Interaction Patterns in Health Literacy Identified through Explainable Artificial Intelligence: A Focus on Age and Education.Healthcare informatics research · 2026Article
- Exploring the Joint Impact of METS-VF and Functional Limitation on Cardiometabolic Multimorbidity Risk.Journal of diabetes research · 2026Article
- Latent profiles analysis of Traditional Chinese Medicine Health Literacy in middle-aged and older adult patients with chronic diseases and its association with disease burden and self management.Frontiers in public health · 2026Article
- Article
- Nutrition literacy and socio-demographic determinants among Chinese women of childbearing age.Frontiers in public health · 2026Article
- Revisiting successful aging through a machine learning approach to quantifying the influence of chronic diseases.Scientific reports · 2025Article
- On the edge of dependency: how older adults with rheumatoid arthritis experience living with frailty.EULAR rheumatology open · 2025Article
- Evaluating older adults' satisfaction with age-friendly hospitals services: insights from an Eastern Taiwan regional teaching hospital.BMC geriatrics · 2025Article
- Investigating health literacy and sociodemographic factors in college students.Scientific reports · 2025Article
- Change in Stress Among Individuals with Chronic Health Conditions and Low Health Literacy Using a Tailored Communication App Promoting Self-Management.Behavioral sciences (Basel, Switzerland) · 2025Article
- Health literacy and hypertension-related multimorbidity: unravelling the mediating role of self-management - insights from the lifelines cohort study.BMC public health · 2025Article
- Article
- Developing a digital health competency assessment framework for public health services: a Delphi-AHP approach.Frontiers in public health · 2025Article
- Health literacy and chronic disease: a comparison of somatic and mental illness.Frontiers in public health · 2025Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundHealth literacy is the ability to find, understand, assess, and apply health information. Individuals suffering from multiple chronic conditions have complex healthcare needs that may challenge their health literacy skills. This study aimed to investigate the relationship between multimorbidity, the number of chronic conditions, and health literacy levels in a sample of adults aged 58+ in Switzerland.
methodsWe used data from 1,615 respondents to a paper-and-pencil questionnaire administered as part of wave 8 (2019/2020) of the Survey of Health, Ageing and Retirement in Europe (SHARE) in Switzerland. Health literacy was measured using the short version of the European Health Literacy Survey questionnaire. The final score ranged from 0 to 16 and was categorised into three health literacy levels: inadequate (0-8), problematic (9-12), and sufficient (13-16). The number of chronic conditions was self-reported based on a pre-defined list. Associations were examined using multivariable ordinary least squares and ordered probit regression models, controlling for key socio-demographic characteristics.
resultsOverall, 63.5% of respondents reported having at least one chronic condition. Respondents who reported one, two, and three or more chronic conditions were more likely to have lower health literacy scores compared to respondents who did not report any chronic condition (p<0.05, p<0.01, and p<0.001, respectively). Suffering from two and three or more chronic conditions (vs. no chronic condition) was significantly associated with a higher likelihood of having inadequate or problematic health literacy levels (both p-values <0.01).
conclusionsOur findings suggest a need to improve health literacy in older adults suffering from chronic conditions. Improved health literacy could constitute a promising lever to empower individuals to better self-manage their health to ultimately reduce the double burden of chronic diseases and insufficient health literacy in this vulnerable population.
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