ArticleBMJ open2025
Factors associated with health literacy in older adults aged 65 and over: a secondary data analysis of the 2021 Korea Health Panel applying the Andersen behavioural model.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Trends in informal and formal care utilisation and unmet care needs among older adults in Korea: evidence from repeated national surveys.European journal of ageing · 2026Article
- Association between health literacy and successful aging among older Korean adults.Scientific reports · 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
- The Effect of Elderly Patients' Health Information Literacy, Ageism, and Communication Skills on Clinical Nurses' Burnout: A Cross-Sectional Study.Nursing reports (Pavia, Italy) · 2026Article
- Utilization of usual source of care and health literacy among older adults with hypertension: a retrospective study.Innovation in aging · 2025Article
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3 authors.
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Abstract
objectivesUsing the Korea Health Panel 2021 survey data, we identify factors associated with health literacy (HL) among older adults aged 65 years and older.
designA secondary data analysis of the 2021 Korea Health Panel survey.
settingKorea Health Panel survey.
participantsData were from 3410 older adults ≧65 years of age, drawn from the 2016 registration census of the Korea Health Panel 2021 survey, with a stratified selection approach for participants. OUTCOME MEASURE: To explore the factors associated with HL within the framework of the Andersen behavioural model, considering predisposing factors (age, gender, region and spouse), enabling factors (National Basic Livelihood Security recipient, education level, economic activity, usual source of care) and need factors (subjective health status, usual activities, depression/anxiety and chronic disease). ANALYSIS: Stepwise multiple regression analysis was employed to examine the factors associated with HL among the study participants within the framework of the Andersen behavioural model.
resultsStatistically significant associations with HL were found for predisposition factors (age, gender and residential area), enabling factors (National Basic Livelihood Security recipient, educational background and usual source of care) and need factors (subjective health status, usual activities and the presence of chronic diseases). While the National Basic Livelihood Security recipient was significant in model 2 (p=0.011), it became nonsignificant in model 3 after adding need factors (p
conclusionsThis study highlights the importance of enabling factors, such as education level and usual source of care, and need factors, such as subjective health status and chronic disease management, in improving HL among older adults. Strategies addressing these factors could enhance HL and support healthy ageing by improving access to care and tailored health information.
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