ArticleAging clinical and experimental research2023
Association between health literacy and dysphagia in the community-dwelling older population: a cross-sectional study.
Article in Aging clinical and experimental research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 14 citations in OpenAlex.
- Prevalence and Predictors of Self-Reported Swallowing Difficulty in Community-Dwelling Older Adults.Journal of clinical medicine · 2026Article
- Construction of a Risk Prediction Model of Swallowing Dysfunction During Recovery from Acute Ischemic Stroke.Healthcare (Basel, Switzerland) · 2026Article
- Dysphagia in older patients with degenerative cervical myelopathy: A longitudinal analysis following subaxial posterior cervical surgery.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Effect of the year-round simple swallowing training program in community-dwelling older people with mild oropharyngeal dysphagia: study protocol for a randomized controlled trial.BMC geriatrics · 2026Article
- Exploring Factors Related to Dysphagia Among Community-Dwelling Older Adults: A Scoping Review.Dysphagia · 2026Review
- Nursing diagnosis "Inadequate health literacy" in older adults: content validity.Revista brasileira de enfermagem · 2026Article
- Association between oral dryness and dysphagia in community-dwelling older population.The journal of nutrition, health & aging · 2025Article
- Prevalence of Self-Reported Swallowing Difficulties and Swallowing-Related Quality of Life Among Community-Dwelling Older Adults in India.Dysphagia · 2024Article
- Health literacy and falls among community-dwelling older people in China: is there a sex difference?Aging clinical and experimental research · 2024Article
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Authors and funding
13 authors at 1 institution in 1 country.
Funding
Abstract
backgroundDysphagia, or swallowing disorders, has become a growing concern due to the aging population, and health literacy plays a crucial role in active aging. However, the relationship between them remains unclear.
aimsTo investigate the association between health literacy and dysphagia among community-dwelling older adults in China.
methodsA survey was conducted on 4462 older adults aged 65 and above in a community in Yiwu City, China, from May 2021 to January 2022. Swallowing problems were assessed using a 30 ml water swallowing test (WST) and the Eating Assessment Tool-10 questionnaire (EAT-10). The participants' health literacy was evaluated using the Chinese Health Literacy Scale (CHLS). Logistic regression and t tests were employed to measure the association between them.
resultsThe prevalence of dysphagia was 5.70% and 7.85% as determined by EAT-10 and 30 ml-WST, respectively. The health literacy level of community-dwelling older adults was 24.4 ± 4.93 (9-45). Participants with dysphagia exhibited lower levels of health literacy (p < 0.05). The logistic regression model demonstrated an inverse association between health literacy and dysphagia (OR = 0.94, 95%CI = 0.91-0.96 for EAT-10, and OR = 0.93, 95%CI = 0.92-0.95 for WST). Moreover, this association remained significant even after adjusting for covariates. DISCUSSION: Older adults with dysphagia have lower levels of health literacy, particularly in terms of their ability to seek medical advice, acquire and evaluate medical information, and access social support resources.
conclusionsHealth literacy is associated with dysphagia among community-dwelling older adults. Effective interventions should be implemented to provide support in terms of both medical services and social support for this population.
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