Health Literacy and Health Risk Behaviors Among Older Adults
Background Limited health literacy is associated with poorer physical and mental health, although the causal pathways are not entirely clear. In this study, the association between health literacy and the prevalence of health risk behaviors was examined among older adults. Methods A cross-sectional...
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| Veröffentlicht in: | American journal of preventive medicine 2007, Vol.32 (1), p.19-24 |
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| container_title | American journal of preventive medicine |
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| creator | Wolf, Michael S., PhD, MPH Gazmararian, Julie A., PhD, MPH Baker, David W., MD, MPH |
| description | Background Limited health literacy is associated with poorer physical and mental health, although the causal pathways are not entirely clear. In this study, the association between health literacy and the prevalence of health risk behaviors was examined among older adults. Methods A cross-sectional survey of 2923 new Medicare, managed-care enrollees was conducted in four U.S. metropolitan areas (Cleveland OH; Houston TX; Tampa FL; Fort Lauderdale–Miami FL). Health literacy was measured using the short form of the Test of Functional Health Literacy in Adults. Behaviors investigated included self-reported cigarette smoking, alcohol consumption, physical activity, body mass index, and seat belt use. Results Individuals with inadequate health literacy were more likely to have never smoked (46.7% vs. 38.6, p =0.01); to completely abstain from alcohol (75.6% vs. 57.9, p |
| doi_str_mv | 10.1016/j.amepre.2006.08.024 |
| format | Article |
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In this study, the association between health literacy and the prevalence of health risk behaviors was examined among older adults. Methods A cross-sectional survey of 2923 new Medicare, managed-care enrollees was conducted in four U.S. metropolitan areas (Cleveland OH; Houston TX; Tampa FL; Fort Lauderdale–Miami FL). Health literacy was measured using the short form of the Test of Functional Health Literacy in Adults. Behaviors investigated included self-reported cigarette smoking, alcohol consumption, physical activity, body mass index, and seat belt use. Results Individuals with inadequate health literacy were more likely to have never smoked (46.7% vs. 38.6, p =0.01); to completely abstain from alcohol (75.6% vs. 57.9, p <0.001); and to report a sedentary lifestyle (38.2% vs. 21.6%, p <0.001) compared to those with adequate health literacy. No significant differences were noted by mean body mass index or seat belt use. In multinomial logistic regression models that adjusted for relevant covariates, inadequate health literacy was not found to be significantly associated with any of the health risk behaviors investigated. Conclusions Among community-dwelling elderly, limited health literacy was not independently associated with health risk behaviors after controlling for relevant covariates.</description><identifier>ISSN: 0749-3797</identifier><identifier>EISSN: 1873-2607</identifier><identifier>DOI: 10.1016/j.amepre.2006.08.024</identifier><identifier>PMID: 17184964</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Comprehension ; Cross-Sectional Studies ; Female ; Health Behavior ; Humans ; Internal Medicine ; Male ; Risk-Taking</subject><ispartof>American journal of preventive medicine, 2007, Vol.32 (1), p.19-24</ispartof><rights>American Journal of Preventive Medicine</rights><rights>2007 American Journal of Preventive Medicine</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c512t-3d7e38584b8a7261f6b903da37c0d70d894d6ebea998845bff10750122918a473</citedby><cites>FETCH-LOGICAL-c512t-3d7e38584b8a7261f6b903da37c0d70d894d6ebea998845bff10750122918a473</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.amepre.2006.08.024$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,4024,27923,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17184964$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wolf, Michael S., PhD, MPH</creatorcontrib><creatorcontrib>Gazmararian, Julie A., PhD, MPH</creatorcontrib><creatorcontrib>Baker, David W., MD, MPH</creatorcontrib><title>Health Literacy and Health Risk Behaviors Among Older Adults</title><title>American journal of preventive medicine</title><addtitle>Am J Prev Med</addtitle><description>Background Limited health literacy is associated with poorer physical and mental health, although the causal pathways are not entirely clear. In this study, the association between health literacy and the prevalence of health risk behaviors was examined among older adults. Methods A cross-sectional survey of 2923 new Medicare, managed-care enrollees was conducted in four U.S. metropolitan areas (Cleveland OH; Houston TX; Tampa FL; Fort Lauderdale–Miami FL). Health literacy was measured using the short form of the Test of Functional Health Literacy in Adults. Behaviors investigated included self-reported cigarette smoking, alcohol consumption, physical activity, body mass index, and seat belt use. Results Individuals with inadequate health literacy were more likely to have never smoked (46.7% vs. 38.6, p =0.01); to completely abstain from alcohol (75.6% vs. 57.9, p <0.001); and to report a sedentary lifestyle (38.2% vs. 21.6%, p <0.001) compared to those with adequate health literacy. No significant differences were noted by mean body mass index or seat belt use. In multinomial logistic regression models that adjusted for relevant covariates, inadequate health literacy was not found to be significantly associated with any of the health risk behaviors investigated. Conclusions Among community-dwelling elderly, limited health literacy was not independently associated with health risk behaviors after controlling for relevant covariates.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Comprehension</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Health Behavior</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Risk-Taking</subject><issn>0749-3797</issn><issn>1873-2607</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkVtr3DAQRkVpaTZp_0Epfuqb3dHFukApbEKbFBYCvTwLWRo32viylezA_vva7EKhL3kSDGe-0Zwh5B2FigKVH_eV6_GQsGIAsgJdARMvyIZqxUsmQb0kG1DClFwZdUEuc94DgNLUvCYXVFEtjBQb8ukOXTc9FLs4YXL-WLghFOfa95gfi2t8cE9xTLnY9uPwu7jvAqZiG-Zuym_Iq9Z1Gd-e3yvy6-uXnzd35e7-9tvNdlf6mrKp5EEh17UWjXaKSdrKxgAPjisPQUHQRgSJDTpjtBZ107YUVA2UMUO1E4pfkQ-n3EMa_8yYJ9vH7LHr3IDjnK3Ugup18edAaiRnXMACihPo05hzwtYeUuxdOloKdtVr9_ak1656LWi76F3a3p_z56bH8K_p7HMBPp8AXHQ8RUw2-4iDxxAT-smGMT434f8A38Uhetc94hHzfpzTsKi21GZmwf5YT7xeGCQAr5cf_AVi-p_j</recordid><startdate>2007</startdate><enddate>2007</enddate><creator>Wolf, Michael S., PhD, MPH</creator><creator>Gazmararian, Julie A., PhD, MPH</creator><creator>Baker, David W., MD, MPH</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U1</scope><scope>7U2</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>2007</creationdate><title>Health Literacy and Health Risk Behaviors Among Older Adults</title><author>Wolf, Michael S., PhD, MPH ; Gazmararian, Julie A., PhD, MPH ; Baker, David W., MD, MPH</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c512t-3d7e38584b8a7261f6b903da37c0d70d894d6ebea998845bff10750122918a473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Comprehension</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Health Behavior</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Risk-Taking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wolf, Michael S., PhD, MPH</creatorcontrib><creatorcontrib>Gazmararian, Julie A., PhD, MPH</creatorcontrib><creatorcontrib>Baker, David W., MD, MPH</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of preventive medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wolf, Michael S., PhD, MPH</au><au>Gazmararian, Julie A., PhD, MPH</au><au>Baker, David W., MD, MPH</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health Literacy and Health Risk Behaviors Among Older Adults</atitle><jtitle>American journal of preventive medicine</jtitle><addtitle>Am J Prev Med</addtitle><date>2007</date><risdate>2007</risdate><volume>32</volume><issue>1</issue><spage>19</spage><epage>24</epage><pages>19-24</pages><issn>0749-3797</issn><eissn>1873-2607</eissn><abstract>Background Limited health literacy is associated with poorer physical and mental health, although the causal pathways are not entirely clear. In this study, the association between health literacy and the prevalence of health risk behaviors was examined among older adults. Methods A cross-sectional survey of 2923 new Medicare, managed-care enrollees was conducted in four U.S. metropolitan areas (Cleveland OH; Houston TX; Tampa FL; Fort Lauderdale–Miami FL). Health literacy was measured using the short form of the Test of Functional Health Literacy in Adults. Behaviors investigated included self-reported cigarette smoking, alcohol consumption, physical activity, body mass index, and seat belt use. Results Individuals with inadequate health literacy were more likely to have never smoked (46.7% vs. 38.6, p =0.01); to completely abstain from alcohol (75.6% vs. 57.9, p <0.001); and to report a sedentary lifestyle (38.2% vs. 21.6%, p <0.001) compared to those with adequate health literacy. No significant differences were noted by mean body mass index or seat belt use. In multinomial logistic regression models that adjusted for relevant covariates, inadequate health literacy was not found to be significantly associated with any of the health risk behaviors investigated. Conclusions Among community-dwelling elderly, limited health literacy was not independently associated with health risk behaviors after controlling for relevant covariates.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>17184964</pmid><doi>10.1016/j.amepre.2006.08.024</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0749-3797 |
| ispartof | American journal of preventive medicine, 2007, Vol.32 (1), p.19-24 |
| issn | 0749-3797 1873-2607 |
| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Aged Aged, 80 and over Comprehension Cross-Sectional Studies Female Health Behavior Humans Internal Medicine Male Risk-Taking |
| title | Health Literacy and Health Risk Behaviors Among Older Adults |
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