Differences in Health Literacy of Older Adults According to Sociodemographic Characteristics

Authors

  • Tamara Štemberger-Kolnik Research Institute, Faculty of Health Sciences in Celje, Celje, Slovenia; Directorate of Public Health, Ministry of Health of the Republic of Slovenia, Celje, Slovenia https://orcid.org/0000-0002-8241-0550
  • Andreja Ljubič Directorate of Public Health, Ministry of Health of the Republic of Slovenia, Celje, Slovenia
  • Bojana Filej Research Institute, Faculty of Health Sciences in Celje, Celje, Slovenia https://orcid.org/0000-0001-7194-7259
  • Mojca Poredoš Faculty of Education, University of Ljubljana, Ljubljana, Slovenia
  • Boris Miha Kaučič Research Institute, Faculty of Health Sciences in Celje, Celje, Slovenia https://orcid.org/0000-0002-9708-3214

DOI:

https://doi.org/10.3889/oamjms.2022.8335

Keywords:

Health literacy, Older adults, Health promotion, Health education

Abstract

BACKGROUND: The research is based on the concept of health literacy. This is the “sixth vital sign” to navigating the healthcare system and raising self-efficacy in the field of healthcare.

AIM: The study aim was to present the health literacy of the elderly in the Savinja statistical region in Slovenia.

METHODS: The study was based on a non-experimental quantitative research approach. The study included 199 elderly people aged 65 and more, without the presence of dementia. The data were collected using the Health Literacy and Montreal Cognitive Assessment questionnaire. We used a non-random, convenience sampling.

RESULTS: We established that in the study population, 64.8 % of the population was below the level of acceptable general health literacy, whereas only 3.5 % of this population had an excellent level of health literacy. Statistically significant differences in the level of health literacy are shown in the field of healthcare treatment in older adults living with their families (F = 5,198; p ˂ 0,001). Respondents who engaged in activities in day care centres also had a higher level of health literacy (t = 3,738; p < 0,001). People with low health literacy, who use health services more frequently, should be given access to health education, based on individual presentation of contents, supported by andragogical knowledge.

CONCLUSION: The health literacy of older adults is the basis for their greater care for their own health and a better quality of life.

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References

Kump S. The influence of older adults’ education and skills on individual and social well-being. Andrag. Spoznan. 2015;21(2):9-27. https://doi.org/10.4312/as.21.2.9-27 DOI: https://doi.org/10.4312/as.21.2.9-27

World Health Organization. Active Ageing: A Policy Framework. Geneva: World Health Organization; 2002. Available from: https://apps.who.int/iris/bitstream/handle/10665/67215/WHO_NMH_NPH_02.8.pdf?sequence=1&isAllowed=y [Last accessed on 2021 Dec 05].

Pais R, Ruano L, Moreira C, Carvalho OP, Barros H. Prevalence and incidence of cognitive impairment in an elder Portuguese population (65-85 years old). BMC Geriatr. 2020;20(1):470. https://doi.org/10.1186/s12877-020-01863-7 PMid:33198643 DOI: https://doi.org/10.1186/s12877-020-01863-7

Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, et al. Health literacy in Europe: Comparative results of the European health literacy survey (HLS-EU). Eur J Public Health. 2015;25(6):1053-1058. https://doi.org/10.1093/eurpub/ckv043 PMid:25843827 DOI: https://doi.org/10.1093/eurpub/ckv043

Komisyonu A. The 2018 Ageing Report: Economic and Budgetary Projections for the 28 EU Member States (2016-2070). Luxembourg: Publications Office of the European Union; 2018.

Crimmins EM, Kim JK, Langa KM, Weir DR. Assessment of cognition using surveys and neuropsychological assessment: The health and retirement study and the aging, demographics, and memory study. J Gerontol B Psychol Sci Soc Sci. 2011;66(Suppl 1):i162-71. https://doi.org/10.1093/geronb/gbr048 DOI: https://doi.org/10.1093/geronb/gbr048

Geboers B, Reijneveld SA, Koot JA, De Winter AF. Moving towards a comprehensive approach for health literacy interventions: The development of a health literacy intervention model. Int J Environ Res Public Health 2018;15(6):1268. https://doi.org/10.3390/ijerph15061268 PMid:29914065 DOI: https://doi.org/10.3390/ijerph15061268

Chesser AK, Woods NK, Smothers K, Rogers N. Health literacy and older adults: A systematic review. Gerontol Geriatr Med. 2016;2:2333721416630492. https://doi.org/10.1177/2333721416630492 PMid:28138488 DOI: https://doi.org/10.1177/2333721416630492

Sorensen K. Health Literacy: A Neglected European Public Health Disparity. Maastricht: Universitaire Pers Maastricht; 2013.

Mårtensson L, Hensing G. Health literacy a heterogeneous phenomenon: A literature review. Scand J Caring Sci. 2012;26(1):151-60. https://doi.org/10.1111/j.1471-6712.2011.00900.x PMid:21627673 DOI: https://doi.org/10.1111/j.1471-6712.2011.00900.x

Hersh L, Salzman B, Snyderman D. Health literacy in primary care practice. Am Fam Physician. 2015;92(2):118-24. PMid:26176370

Liu C, Wang D, Liu C, Jiang J, Wang X, Chen H, et al. What is the meaning of health literacy? A systematic review and qualitative synthesis. Fam Med Community Health. 2020;8(2):e000351. https://doi.org/10.1136/fmch-2020-000351 PMid:32414834 DOI: https://doi.org/10.1136/fmch-2020-000351

Kickbusch I, Pelican JM, Apfel F, Tsouros A. Health Literacy the Solid Facts. Copenhagen: World Health Organization, Regional Office for Europe; 2013.

Bitzer EM, Sørensen K. Health literacy. Gesundheitswesen. 2018;80(8/9):754-66. https://doi.org/10.1055/a-0664-0395 PMid:30176683 DOI: https://doi.org/10.1055/a-0664-0395

Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health. 2012;12(1):80. https://doi.org/10.1186/1471-2458-12-80 PMid:22276600 DOI: https://doi.org/10.1186/1471-2458-12-80

Paakkari L, Paakkari O. Health literacy as a learning outcome in schools. Health Educ. 2012;112:133-52. DOI: https://doi.org/10.1108/09654281211203411

Baur C. Calling the nation to act: Implementing the national action plan to improve health literacy. Nurs Outlook. 2011;59(2):63-9. https://doi.org/10.1016/j.outlook.2010.12.003 PMid:21402201 DOI: https://doi.org/10.1016/j.outlook.2010.12.003

Koh HK, Brach C, Harris LM, Parchman ML. A proposed “health literate care model” would constitute a systems approach to improving patients’ engagement in care. Health Aff (Millwood). 2013;32(2):357-67. https://doi.org/10.1377/hlthaff.2012.1205. PMid:23381529 DOI: https://doi.org/10.1377/hlthaff.2012.1205

Parnell TA. Health Literacy in Nursing: Providing Personcentered Care. New York: Springer Publishing Company; 2014. DOI: https://doi.org/10.1891/9780826161734

Kim S, Song Y, Park J, Utz S. Patients’ experiences of diabetes self-management education according to healthliteracy levels. Clin Nurs Res. 2020;29(5):285-92. https://doi.org/10.1177/1054773819865879 PMid:31394916 DOI: https://doi.org/10.1177/1054773819865879

Kanj M, Mitic W. Consultants to the Eastern Mediterranean Region. p. 1-46. Available from: https://www.who.int/healthpromotion/conferences/7gchp/Track1_Inner.pdf [Last accessed on 2021 Nov 21].

Schiavo R. Health communication: From Theory to Practice. 217. Hoboken, New Jersey: John Wiley and Sons; 2013.

Aminuddin HB, Jiao N, Jiang Y, Hong J, Wang W. Effectiveness of smartphone-based self-management interventions on selfefficacy, self-care activities, health-related quality of life and clinical outcomes in patients with Type 2 diabetes: A systematic review and meta-analysis. Int J Nurs Stud. 2021;116:103286. https://doi.org/10.1016/j.ijnurstu.2019.02.003 PMid:30827741 DOI: https://doi.org/10.1016/j.ijnurstu.2019.02.003

Azlan AA, Hamzah MR, Tham JS, Ayub SH, Ahmad AL, Mohamad E. Associations between health literacy and sociodemographic factors: A cross-sectional study in Malaysia utilising the HLS-M-Q18. Int J Environ Res Publ Healthx. 2021;18(9):4860-4871. https://doi.org/10.3390/ijerph18094860 PMid:34063294 DOI: https://doi.org/10.3390/ijerph18094860

Nasreddine ZS, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I, et al. The montreal cognitive assessment, MoCA: A brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005;53(4):695-9. https://doi.org/10.1111/j.1532-5415.2005.53221.x PMid:15817019 DOI: https://doi.org/10.1111/j.1532-5415.2005.53221.x

Hobson J. The montreal cognitive assessment (MoCA). Occup Med (Lond). 2015;65(9):764-5. https://doi.org/10.1093/occmed/kqv078 PMid:26644445 DOI: https://doi.org/10.1093/occmed/kqv078

Sammer G, Lenz E. The montreal cognitive assessment (MoCA) and brain structure. GeroPsych 2020;33:101-14. DOI: https://doi.org/10.1024/1662-9647/a000226

Sørensen K, Van den Broucke S, Pelikan JM, Fullam J, Doyle G, Slonska Z, et al. Measuring health literacy in populations: Illuminating the design and development process of the European health literacy survey questionnaire (HLS-EU-Q). BMC Public Health. 2013;13:948. https://doi.org/10.1186/1471-2458-13-948 PMid:24112855 DOI: https://doi.org/10.1186/1471-2458-13-948

Kozar I. Poročilo o Raziskavi Zdravstveno Opismenjevanje, Interno Gradivo. Ljubljana: VIVA, Zavod za Boljše Življenje; 2013.

Hair FJ, Black WC, Babin BJ, Anderson RE. Multivariate Data Analysis. 7th ed. London, United Kingdom: Pearson; 2019. Available from: https://www.textileebook.com/2020/11/multivariate-data-analysis-8th-edition-pdf-by-joseph-f-hairjr-william-c-black-barr-y-j-babin-rolph-e-anderson.html [Last accessed on 2021 Nov 21].

Anstey KJ, Eramudugolla R, Ross LA, Lautenschlager NT, Wood J. Road safety in an aging population: Risk factors, assessment, interventions, and future directions. Int Psychogeriatr. 2016;28(3):349-56. https://doi.org/10.1017/S1041610216000053 PMid:26888735 DOI: https://doi.org/10.1017/S1041610216000053

Panagioti M, Skevington SM, Hann M, Howells K, Blakemore A, Reeves D, et al. Effect of health literacy on the quality of life of older patients with long-term conditions: A large cohort study in UK general practice. Qual Life Res. 2018;27(5):1257-68. https://doi.org/10.1007/s11136-017-1775-2 PMid:29322478 DOI: https://doi.org/10.1007/s11136-017-1775-2

Buckworth J. Promoting self-efficacy for healthy behaviors. ACSMs Health Fit J. 2017;21(5):40-2. https://doi.org/10.1249/FIT.0000000000000318 DOI: https://doi.org/10.1249/FIT.0000000000000318

Sentell T, Zhang W, Davis J, Baker KK, Braun KL. The influence of community and individual health literacy on self-reported health status. J Gen Intern Med. 2014;29(2):298-304. https://doi.org/10.1007/s11606-013-2638-3 PMid:24096723 DOI: https://doi.org/10.1007/s11606-013-2638-3

Lifshitz-Vahav H, Shrira A, Bodner E. The reciprocal relationship between participation in leisure activities and cognitive functioning: The moderating effect of self-rated literacy level. Aging Ment Health. 2017;21(5):524-31. https://doi.org/10.1080/13607863.2015.1124838 PMid:26745357 DOI: https://doi.org/10.1080/13607863.2015.1124838

Ma T, Meng H, Ye Z, Jia C, Sun M, Liu D. Health literacy mediates the association between socioeconomic status and productive aging among elderly Chinese adults in a newly urbanized community. Front Public Health. 2021;9:647230. https://doi.org/10.3389/fpubh.2021.647230 PMid:33898380 DOI: https://doi.org/10.3389/fpubh.2021.647230

Horowitz BP, Wong SD, Dechello K. Intergenerational service learning: To promote active aging, and occupational therapy gerontology practice. Gerontol Geriatr Educ. 2010;31(1):75-91. https://doi.org/10.1080/02701960903578345 PMid:20390628 DOI: https://doi.org/10.1080/02701960903578345

Babnik K, Štemberger Kolnik T, Bratuž A. Health literacy concept: integration of definitions and the role of nursing in further development of the concept. Obzor Zdrav Neg. 2013;47(1):62-73.

Lee HY, Lee J, Kim NK. Gender differences in health literacy among Korean adults: Do women have a higher level of health literacy than men? Am J Mens Health. 2015;9(5):370-9. https://doi.org/10.1177/1557988314545485 PMid:25122719 DOI: https://doi.org/10.1177/1557988314545485

Chen X, Orom H, Hay JL, Waters EA, Schofield E, Li Y, et al. Differences in rural and urban health information access and use. J Rural Health. 2019;35(3):405-17. https://doi.org/10.1111/jrh.12335. PMid:30444935 DOI: https://doi.org/10.1111/jrh.12335

Boyle PA, Yu L, Wilson RS, Segawa E, Buchman AS, Bennett DA. Cognitive decline impairs financial and health literacy among community-based older persons without dementia. Psychol Aging. 2013;28(3):614. https://doi.org/10.1037/a0033103 PMid:23957225 DOI: https://doi.org/10.1037/a0033103

Vaz de Almeida C. Health Skills: Beyond the Biomedical How Knowledge, Skills and Attributes Improve the Effectiveness of Results Defining Health Competence. Lisbon: Technical University of Lisbon; 2020. Available from: Available from: https://www.researchgate.net/publication/340608128 [Last accessed on 2021 Nov 21].

Andrade I, Silva C, Martins AC. Application of the health literacy index on the development of a manual for prevention of falls for older adults. Patient Educ Couns. 2017;100(1):154-9. https://doi.org/10.1016/j.pec.2016.07.036 PMid:27516436 DOI: https://doi.org/10.1016/j.pec.2016.07.036

Štemberger Kolnik T, Babnik K, Žvanut B, Pucer P, Majda Š. V domačem okolju je staranje bolj Kakovostno in lepše: European Project CoNSENSo and Majcen Dvoršak S, Štemberger Kolni T, Kvas A. Medicinske Sestre in Babice Ključne za Zdravstveni Sistem: Zbornik Prispevkov z Recenzijo. Ljubljana: Zbornica Zdravstvene in Babiške Nege Zveza Strokovnih Društev Medicinskih Sester, Babic in Zdravstvenih Tehnikov Slovenije; 2017. p. 49-55.

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Published

2022-05-18

How to Cite

1.
Štemberger-Kolnik T, Ljubič A, Filej B, Poredoš M, Kaučič BM. Differences in Health Literacy of Older Adults According to Sociodemographic Characteristics. Open Access Maced J Med Sci [Internet]. 2022 May 18 [cited 2024 Apr. 23];10(E):1556-63. Available from: https://oamjms.eu/index.php/mjms/article/view/8335

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