ArticleGeriatrics & gerontology international2024
Health literacy, worry about unmet needs for medical care, and psychological well-being among older Chinese adults.
Article in Geriatrics & gerontology international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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6 citing papers in PubMed.
- Health Literacy and Unmet Needs in Patients With Multiple Sclerosis: A Cross-Sectional Study.Journal of clinical nursing · 2026Article
- Long-term care insurance pilot exposure and severe-depression risk among older adults with baseline severe IADL impairment: a panel difference-in-difference-in-differences analysis.BMC geriatrics · 2026Article
- Factors associated with unmet healthcare needs among community-dwelling older adults in South Korea: a cross-sectional study using KNHANES 2023.BMC geriatrics · 2026Article
- Prevalence and determinants of unmet healthcare needs in Chinese residents: evidence from the China family panel studies, 2012-2022.Frontiers in public health · 2026Article
- Hotspots and Trends in Research on Mental Health of the Rural Elderly: A Bibliometric Analysis Using CiteSpace.Healthcare (Basel, Switzerland) · 2025Article
- Health literacy, worry about unmet needs for medical care, and psychological well-being among older Chinese adults.Geriatrics & gerontology international · 2024Article
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3 authors.
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Abstract
aimThis study aims to examine the relationship between older adults' health literacy and their psychological well-being and the role of worry about future unmet needs for medical care in mediating this relationship.
methodsWe adopted a sample of 965 older Chinese people aged 60+ (49.74% female) from the 2021 Chinese General Social Survey. A series of structural equation models (SEMs) were performed. Health literacy was measured by three items regarding older people's ability to understand medical professionals, ask them questions, and read medical instructions. A single-item question was adopted to measure participants' worry about unmet needs for future medical care. Psychological well-being was measured by three items regarding emotional problems and depressed or anxious mood in the past 4 weeks.
resultsWorry about future unmet needs for medical care mediates the relationship between lack of health literacy and Chinese older people's psychological well-being. The indirect effect accounts for 22.3% of the total effect. The SEM model has a satisfactory model fit (goodness of fit index = 1.000, comparative fit index = 0.999, Tucker-Lewis index = 0.997, root mean square error of approximation = 0.009, standardized root mean square residual = 0.023, chi-square test = 50.96, P = 0.321).
conclusionsThe findings of this study underscore the importance of improving communication quality between healthcare providers and older adults. Clinical interventions that promote health literacy and address worries about unmet needs for medical services may benefit older adults. Geriatr Gerontol Int 2024; 24: 202-207.
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