ArticlePloS one2024
Mediating role of health literacy in relationship between frailty and health-related quality of life in community-dwelling older adults.
Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Healthy aging among community-dwelling older adults aged ≥60 years in China: results from a 2023 cross-sectional study.Frontiers in public health · 2026Article
- Nursing diagnosis "Inadequate health literacy" in older adults: content validity.Revista brasileira de enfermagem · 2026Article
- An overview of PLOS curated collection in health literacy.PloS one · 2026Article
- Remote monitoring in older adults with cancer, opportunities and challenges: a narrative review.Aging clinical and experimental research · 2025Review
- Mediating Role of Health Literacy in Relationship Between Frailty and Medical Costs in Community-Dwelling Older Adults.Healthcare (Basel, Switzerland) · 2025Article
- Development and validation of a nomogram for predicting cognitive frailty in patients on cancer.BMC geriatrics · 2025Article
- The impact of health literacy on quality of life in patients with chronic diseases.Frontiers in public health · 2025Article
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3 authors.
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Abstract
purposeThe aim of this study was to investigate the mediating effects of health literacy on the relationship between frailty and health-related quality of life (HRQOL) among community-dwelling older adults.
methodsThis study used the Korean Frailty and Aging Cohort Database (KFACD) for secondary data analysis. We selected data from 1,631 people without missing main variable values for analysis. Frailty was determined based on the modified Fried's phenotype [MFP], and HRQOL was measured using the Korean version of the 5-level EuroQol questionnaire (EQ-5D-5L). Health literacy was assessed using the questions on the Behavioral Risk Factor Surveillance System (BRFSS) used by the U.S. Center for Disease Control and Prevention. To examine the mediating role of health literacy in the relationship between frailty and HRQOL, Baron & Kenny's three-step mediating effect verification method was utilized.
resultsThe participants had a mean frailty score of 1.37±1.02, health literacy score of 8.56±2.59, and HRQOL score of 0.84±0.10. Frailty was negatively correlated with health literacy (r = -0.27, p < .001) and HRQOL (r = -0.32, p < .001), while health literacy was positively correlated with HRQOL (r = 0.34, p < .001). We observed that health literacy played a partial mediating role in the relationship between frailty and HRQOL.
conclusionTo increase older adults' HRQOL, measures that directly prevent and manage frailty as well as interventions that target the enhancement of health literacy are needed.
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