Aging and Functional Health Literacy: A Population-based Study.
Aging and Functional Health Literacy: A Population-based Study.
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衰老和功能健康素养：一项基于人群的研究。
DOI：
10.1016/j.jagp.2020.12.007
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发表时间：
2021-09
期刊：
影响因子：
--
通讯作者：
Chang CH
中科院分区：
文献类型：
--
作者：
Ganguli M;Hughes TF;Jia Y;Lingler J;Jacobsen E;Chang CH
探讨弱势地区老年人功能性健康素养及其相关因素。横断面流行病学研究。从选民登记名单中随机选出的人口群组。1066名年龄在65岁以上的人。成人功能性健康素养测验（S-TOFHLA）;人口统计学;自测健康;处方药数量;改良的流行病学研究中心-抑郁量表（mCES-D）;简易精神状态检查（MMSE）;成人阅读韦氏测试（WTAR）;临床痴呆评定（CDR®）;认知领域综合评分;日常生活工具活动（IADL）和药物管理的独立性;保健服务利用率（急诊/紧急护理就诊和住院）。7.04%的样本获得了低（不足或边缘）S-TOFHLA评分。在未调整的分析中，S-TOFHLA评分低的参与者比评分高的参与者更有可能是年龄较大，男性，非白人，教育程度较低，家庭收入较低，WTAR，MMSE和所有认知领域的评分较低;在IADL中更依赖，服用更多处方药。在包括所有协变量的多元回归模型中，只有年龄较大、男性和较低的阅读水平与S-TOFHLA评分不足或边缘独立相关。在一个以人口为基础的老年人样本中，低功能性健康素养与年龄、性别、教育和阅读能力有关。基本的功能性卫生知识对于理解卫生信息和指导至关重要。临床医生应正式或非正式地评估老年患者的健康素养，以确保有效的沟通和提高健康结果。
To investigate functional health literacy and its associated factors among older adults drawn from a disadvantaged area. Cross-sectional epidemiologic study. Population-based cohort randomly selected from the voter registration lists. 1066 individuals aged 65+ years. The Short Test of Functional Health Literacy in Adults (S-TOFHLA); demographics; self-rated health; number of prescription drugs; modified Center for Epidemiologic Studies- Depression scale (mCES-D); Mini-Mental State Examination (MMSE); Wechsler Test of Adult Reading (WTAR); Clinical Dementia Rating (CDR®); cognitive domain composite scores; independence in Instrumental Activities of Daily Living (IADLs) and medication management; health services utilization (emergency/urgent care visits and hospitalizations). Low (inadequate or marginal) S-TOFHLA scores were obtained by 7.04% of the sample. In unadjusted analyses, participants with low S-TOFHLA scores were significantly more likely than those with higher scores to be older, male, non-White, with lesser education and lower household income, to have lower scores on the WTAR, the MMSE, and all cognitive domains; to be more dependent in IADLs and be taking more prescription drugs. In a multiple regression model including all covariates, only older age, male sex, and lower reading level were independently associated with inadequate or marginal S-TOFHLA scores. In a population-based sample of older adults, low functional health literacy was associated with age, sex, education, and reading ability. Basic functional health literacy is essential for understanding health information and instructions. Clinicians should formally or informally assess health literacy in their older patients to ensure effective communication and enhance health outcomes.
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影响因子：
2.7
作者：
Chesser AK;Keene Woods N;Smothers K;Rogers N
通讯作者：
Rogers N
影响因子：
7.2
作者：
Ganguli, Mary;Chang, Chung-Chou H.;Lee, Ching-Wen
通讯作者：
Lee, Ching-Wen
DOI：
10.1590/s1980-57642011dn05010005
发表时间：
2011-03-01
期刊：
Dementia & Neuropsychologia
影响因子：
--
作者：
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通讯作者：
Nitrini, Ricardo
影响因子：
3.5
作者：
James BD;Boyle PA;Bennett JS;Bennett DA
通讯作者：
Bennett DA
影响因子：
4.2
作者：
Chan, Rita Wai Yu;Kisa, Adnan
通讯作者：
Kisa, Adnan