ArticleFrontiers in public health2026
Health literacy profiles and empowerment strategies for older adults on an offshore island: a community-based study.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Health literacy is a crucial determinant of health outcomes and reflects an individual's ability to obtain, process, and understand essential health information for informed decision-making. Limited health literacy is associated with poor self-management, increased hospitalizations, and reduced quality of life. This study aimed to assess the level of health literacy and identify related factors among older adults residing in Liuqiu Township, a rural island community in southern Taiwan. Materials and methods: A cross-sectional study was conducted with 80 older adults aged 65 and above (74.66 ± 5.77 years). Participants were recruited from Community Care Stations through purposive sampling. Health literacy was measured using the 20-item Mandarin Multidimensional Health Literacy Questionnaire (MMHLQ). Data were analyzed using independent t-tests, one-way ANOVA, and Pearson correlation. Results: The mean total health literacy score was 2.57 ± 0.61. The highest subdomain score was found in "understanding health information" (3.06 ± 0.66), while the lowest was in "accessing health information" (2.18 ± 0.87). Participants found searching for health information on the internet particularly difficult (1.49 ± 0.89). Significant differences were observed based on education level ( Conclusion: In response to high medication use and low digital access, our team implemented a "motorcycle-based" community empowerment program. We conducted door-to-door home visits to perform personalized medication reviews and family-centered education. This proactive strategy bridges the gap between passive literacy and health empowerment, providing a foundation for nursing professionals to promote healthy aging in resource-limited rural contexts.
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