Levels of health literacy in a community-dwelling population of Chinese older adults.
Levels of health literacy in a community-dwelling population of Chinese older adults.
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DOI：
10.1093/gerona/glu179
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发表时间：
2014-11
期刊：
影响因子：
--
通讯作者：
M. Simon;Yu Li;XinQi Dong
中科院分区：
文献类型：
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作者：
M. Simon;Yu Li;XinQi Dong
背景：较低的健康素养水平与不良的健康结果有关，尤其是对老年人而言。然而，了解美国华裔老年人健康素养水平的研究有限。PINE研究对3159名居住在社区的中国老年人进行了流行病学队列研究，其中95%的老年人不会说或读英语。采用中文版成人医学素养快速评估（REALM-R）检验中国老年人的健康素养水平。使用Kruskal-Wallis检验和卡方统计来确定社会人口统计学和自我报告的健康特征之间的显著差异。使用Pearson和Spearman相关系数检验个人特征与健康素养水平之间的相关性。结果本组中国老年人的平均年龄为72.8岁（SD = 8.3，极差为60 ~ 105），REALM-R测试得分均值为6.9 [SD = 2.3，极差为0 ~ 8]。健康素养与教育程度、婚姻状况和同居人数呈正相关。年龄较大、女性、子女较多、在美国居住的年限、偏好说广东话或台山话与健康素养呈负相关。健康文献与自我报告的健康状况或生活质量无关。结论：在芝加哥华人人群中，老年人具有合理的中文健康素养水平。未来的纵向研究需要了解与中国老年人健康素养水平相关的风险/保护因素。
BACKGROUND Lower levels of health literacy have been associated with adverse health outcomes, especially for older adults. However, limited research has been conducted to understand health literacy levels among Chinese American older adults. METHODS The PINE study is an epidemiological cohort of 3,159 community-dwelling Chinese older adults, 95% of whom do not speak or read English. Chinese older adults' health literacy levels were examined using the Chinese version of the Rapid Estimate of Adult Literacy in Medicine, Revised (REALM-R) test. Kruskal-Wallis test and chi-square statistics were used to identify significant differences by sociodemographic and self-reported health characteristics. Pearson and Spearman correlation coefficients were used to examine correlations between personal characteristics and health literacy level. RESULTS The mean age among this sample of Chinese older adults was 72.8 years (SD = 8.3, range = 60-105) and the mean REALM-R test score was 6.9 [SD = 2.3, range (0-8)]. Health literacy was positively associated with education, marriage status, and number of people living with. Older age, being female, greater number of children, years in the United States, and preference for speaking Cantonese or Taishanese were negatively associated with health literacy. Health literary was not associated with self-reported health status or quality of life. CONCLUSIONS In this Chicago Chinese population, older adults had reasonable levels of health literacy in Chinese. Future longitudinal research is needed to understand risk/protective factors associated with health literacy level in Chinese older adults.