ArticleBMC geriatrics2024
Limited health literacy increases the likelihood of cognitive frailty among older adults.
Article in BMC geriatrics, 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.
- Public Health Policy Responses to Population Aging in Mexico: A Rights-Based and Socio-Legal Approach.Healthcare (Basel, Switzerland) · 2026Review
- Subjective-objective health literacy discrepancy, reduced healthcare utilization, and functional limitations associated with hearing loss.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Article
- Unravelling cognitive frailty: perceptions, misconceptions, and the path to prevention.The Gerontologist · 2026Article
- Perceptions of frailty pathway implementation in an acute setting among healthcare professionals: a qualitative study using the CFIR 2.0.BMC geriatrics · 2026Article
- The latent profile of health literacy among older adults patients with chronic disease comorbidity and its association with self-management behaviors.Frontiers in public health · 2026Article
- Factors associated with intrinsic capacity impairment among older adults in china: a national cross-sectional survey.BMC geriatrics · 2025Article
- Early identification of frailty in older adults in primary care: a study protocol of a longitudinal cohort study.BMC geriatrics · 2025Article
- The effect of community health nurse-led multi-faceted group-based frailty prevention program for older adults: a multi-site pretest-posttest design.BMC nursing · 2025Article
- Approaches to Reach Trustworthy Patient Education: A Narrative Review.Healthcare (Basel, Switzerland) · 2024Review
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Authors and funding
5 authors.
Funding
Abstract
backgroundCognitive frailty is a dual geriatric syndrome that is preventable with lifestyle changes. Lifestyle changes are influenced by literacy level. However, the association between limited health literacy (HL) and cognitive frailty (CF) is yet to be discovered.
objectivesThis study aims to determine the association between HL and CF among older adults.
methodsData was collected between April 2021 to March 2022 in this cross-sectional study. Citizens aged 60 years and older who can understand Malay and English were selected through purposive sampling from the AGELESS Trial screening sample frame. HLS-M-Q18 was administered to determine HL and CDR, and Fried's Criteria were used to assess the CF status.
resultsA total of 757 participants were included in the analysis. 68.2% of the total participants had a limited HL level. The prevalence of CF among older adults with limited HL was 48.2% as compared to those with adequate HL (28.2%) (p < 0.001). Based on the HLS-M-Q18 index scores, the robust group had a higher HL index score than those in the CF group: 36.1 (SD = 10.5) and 33.4 (SD = 8.6), respectively, p < 0.05. In binary logistic regression, limited HL, increasing age, lower income, lower education level and rural locality were associated with the increase of CF occurrence. Older adults with limited HL have 2.6 times higher odds of having CF.
conclusionApproximately two-thirds of multiethnic older adults in the study had limited HL, with those with limited HL has 2.6 times higher odds of having CF. These findings emphasize the importance of addressing HL to improve their health outcomes and well-being.
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