ArticleAging clinical and experimental research2024
Health literacy and falls among community-dwelling older people in China: is there a sex difference?
Article in Aging clinical and experimental research, 2024. 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.
- Relationship Between Odds of Reporting a Fall in the Past Year and Health Literacy Among Community-Dwelling Older Adults in Japan: A Preliminary Cross-Sectional Study.International journal of environmental research and public health · 2026Article
- Factors associated with fall prevention-related health literacy practices among community-dwelling older adults in Northern Thailand: a cross-sectional study.BMC geriatrics · 2026Article
- Associations Between Health Literacy, Environmental Factors, and Fall Prevention Behaviors Among Community-Dwelling Older Adults in Northern Thailand: A Cross-Sectional Study.International journal of environmental research and public health · 2026Article
- Exploring service demands of community-embedded elderly care based on the Kano model: a cross-sectional study in Hefei, China.BMC geriatrics · 2026Article
- Beyond patient education: fall prevention knowledge, health literacy, and implementation gaps in Chinese hospitals-a patient-caregiver study.Frontiers in public health · 2026Article
- Dyadic Health Literacy and Its Association with Care Collaboration and Satisfaction in Heart Failure Patient-Caregiver Dyads: A Cross-Sectional Study.Journal of multidisciplinary healthcare · 2026Article
- Distinguishing characteristics of falls among community-dwelling Cantonese-speaking older adults in Southern China: A community-based observational study.Journal of public health research · 2025Article
- Development and validation of a fall health literacy scale for Chinese hospitals from the perspective of older adults.Frontiers in public health · 2025Observational
- Older People at High Risk of Falls With and Without Cognitive Impairment and Factors Related to Falls: A Cross-Sectional Study.Sage open agingArticle
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12 authors.
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Abstract
backgroundHealth literacy is one of the important determinants of healthy aging, yet few studies have focused on the association between health literacy and falls.
aimsThis study aims to explore the relationship between health literacy and falls, with a focus on sex differences among older people in China.
methodsThis cross-sectional study enrolled 2,144 older people aged ≥ 60 years from Shandong Province, China in 2021. We used general health literacy screening scale to assess health literacy, and collected the incidence of falls in the past year. Logistic regression models were employed to analyze the relationship between health literacy and falls. We investigated the sex differences by subgroup analyses.
resultsThe prevalence of adequate health literacy and falls was 21.7% (95% CI: 20.0-23.5%) and 25.4% (95% CI: 23.6-27.3%), respectively. In a fully-adjusted model, adequate health literacy was associated with a lower prevalence of falls in older adults (OR = 0.71, 95%CI: 0.52-0.96). Subgroup analysis revealed sex differences in this relationship (P
conclusionsOlder people with adequate health literacy have lower prevalence of falls, which appears to differ by sex. This relationship was significant among men but not among women. These findings emphasize the need for policymakers and healthcare providers to consider sex differences when designing and implementing programs aimed at improving health literacy and preventing falls in the older population. Improving health literacy among older women could be a strategic component in bridging sex inequality in falls.
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