Health literacy among older adults is associated with their 10-years cognitive functioning and decline : the Doetinchem Cohort Study

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dc.contributor.authorGeboers, Basen_ZA
dc.contributor.authorUiters, Ellenen_ZA
dc.contributor.authorReijneveld, Sijmen A.en_ZA
dc.contributor.authorJansen, Carel J. M.en_ZA
dc.contributor.authorAlmansa, Josueen_ZA
dc.contributor.authorNooyens, Astrid C. J.en_ZA
dc.contributor.authorVerschuren, W. M. Moniqueen_ZA
dc.contributor.authorDe Winter, Andrea F.en_ZA
dc.contributor.authorPicavet, H. Susan J.en_ZA
dc.date.accessioned2019-10-21T12:29:20Z
dc.date.available2019-10-21T12:29:20Z
dc.date.issued2018-03
dc.descriptionCITATION: Geboers, B. et al. 2018. Health literacy among older adults is associated with their 10-years’ cognitive functioning and decline - the Doetinchem Cohort Study. BMC Geriatrics, 18:77, doi.org/10.1186/s12877-018-0766-7.en_ZA
dc.descriptionThe original publication is available at https://bmcgeriatr.biomedcentral.com/en_ZA
dc.description.abstractBackground: Many older adults have low levels of health literacy which affects their ability to participate optimally in healthcare. It is unclear how cognitive decline contributes to health literacy. To study this, longitudinal data are needed. The aim of this study was therefore to assess the associations of cognitive functioning and 10-years’ cognitive decline with health literacy in older adults. Methods: Data from 988 participants (mean age = 65.3) of the Doetinchem Cohort Study were analyzed. Health literacy was measured by the Brief Health Literacy Screening. Memory, mental flexibility, information processing speed, and global cognitive functioning were assessed at the same time as health literacy and also 10 years earlier. Logistic regression analyses were performed, adjusted for age, gender, and educational level. Results: Higher scores on tests in all cognitive domains were associated with a lower likelihood of having low health literacy after adjustment for confounders (all ORs < 0.70, p-values<.001). Similar associations were found for past cognitive functioning (all ORs < 0.75, p-values<.05). Before adjustment, stronger cognitive decline was associated with a greater likelihood of having low health literacy (all ORs > 1.37, p-values<.05). These associations lost significance after adjustment for educational level, except for the association of memory decline (OR = 1.40, p = .023, 95% CI: 1.05 to 1.88). Conclusion: Older adults with poorer cognitive functioning and stronger cognitive decline are at risk for having low health literacy, which can affect their abilities to promote health and self-manage disease. Low health literacy and declining cognitive functioning might be a barrier for person-centered care, even in relatively young older adults.en_ZA
dc.description.sponsorshipDutch Ministry of Health, Welfare and Sporten_ZA
dc.description.sponsorshipNational Institute for Public Health and the Environmenten_ZA
dc.description.versionPublishers versionen_ZA
dc.identifier.citationGeboers, B. et al. 2018. Health literacy among older adults is associated with their 10-years’ cognitive functioning and decline - the Doetinchem Cohort Study. BMC Geriatrics, 18:77, doi.org/10.1186/s12877-018-0766-7.en_ZA
dc.identifier.issn1471-2318 (online)
dc.identifier.otherdoi.org/10.1186/s12877-018-0766-7
dc.identifier.urihttp://hdl.handle.net/10019.1/106678
dc.language.isoen_ZAen_ZA
dc.publisherBioMed Centralen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectHealth literacyen_ZA
dc.subjectCognitive functioningen_ZA
dc.subjectCognitive declineen_ZA
dc.subjectOlder adultsen_ZA
dc.subjectLongitudinalen_ZA
dc.titleHealth literacy among older adults is associated with their 10-years cognitive functioning and decline : the Doetinchem Cohort Studyen_ZA
dc.typeArticleen_ZA
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