Association between health literacy and dysphagia in the community-dwelling older population: a cross-sectional study
Background Dysphagia, or swallowing disorders, has become a growing concern due to the aging population, and health literacy plays a crucial role in active aging. However, the relationship between them remains unclear. Aims To investigate the association between health literacy and dysphagia among c...
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| Veröffentlicht in: | Aging clinical and experimental research 2023-10, Vol.35 (10), p.2165-2172 |
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| creator | Zhang, Huafang Ye, Chenxi Zhang, Simei Yang, Dan Gong, Xiaolan Li, Sihan Xue, Wenfeng Su, Jie Zhao, Lancai Qiu, Yufeng He, Xiaona Zhang, Yongming Tang, Mengling |
| description | Background
Dysphagia, or swallowing disorders, has become a growing concern due to the aging population, and health literacy plays a crucial role in active aging. However, the relationship between them remains unclear.
Aims
To investigate the association between health literacy and dysphagia among community-dwelling older adults in China.
Methods
A survey was conducted on 4462 older adults aged 65 and above in a community in Yiwu City, China, from May 2021 to January 2022. Swallowing problems were assessed using a 30 ml water swallowing test (WST) and the Eating Assessment Tool-10 questionnaire (EAT-10). The participants' health literacy was evaluated using the Chinese Health Literacy Scale (CHLS). Logistic regression and t tests were employed to measure the association between them.
Results
The prevalence of dysphagia was 5.70% and 7.85% as determined by EAT-10 and 30 ml-WST, respectively. The health literacy level of community-dwelling older adults was 24.4 ± 4.93 (9–45). Participants with dysphagia exhibited lower levels of health literacy (
p
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| doi_str_mv | 10.1007/s40520-023-02499-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10520086</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2868487469</sourcerecordid><originalsourceid>FETCH-LOGICAL-c541t-d6f7c9ca50bfb50b37d23c98b8ad918003671ae43993ea4168cff69ac9ec026a3</originalsourceid><addsrcrecordid>eNp9kctu1TAQhiMEohd4ARbIEhs2ATt2EpsNqiooSJXYwNqaOJMTV4kdbKdV3h6fc0opLFj4Nv7mt2f-onjF6DtGafs-ClpXtKQVz0MoVYonxSlrc0hypp4-2p8UZzHeUCpYPjwvTnhb05qr-rRYL2L0xkKy3pEO0x2iIyPClEYy2YQBzEbA9aTf4jLCzgKxjqQRifHzvDqbtrK_w2mybkf81GMgi1_W6SD4gQAxwcdYRjT7AEwkprXfXhTPBpgivrxfz4sfnz99v_xSXn-7-np5cV2aWrBU9s3QGmWgpt3Q5Ym3fcWNkp2EXjFJKW9aBii4UhxBsEaaYWgUGIWGVg3w8-LjUXdZuxl7gy4FmPQS7Axh0x6s_vvG2VHv_K1m-85S2WSFt_cKwf9cMSY922hyveDQr1FXshaiklVTZfTNP-iNX0OueU81UshWNCpT1ZE6NCbg8PAbRvXeVn20VWdb9cFWLXLS68d1PKT89jED_AjEfOV2GP68_R_ZX3y4sN0</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2868487469</pqid></control><display><type>article</type><title>Association between health literacy and dysphagia in the community-dwelling older population: a cross-sectional study</title><source>SpringerNature Journals</source><creator>Zhang, Huafang ; Ye, Chenxi ; Zhang, Simei ; Yang, Dan ; Gong, Xiaolan ; Li, Sihan ; Xue, Wenfeng ; Su, Jie ; Zhao, Lancai ; Qiu, Yufeng ; He, Xiaona ; Zhang, Yongming ; Tang, Mengling</creator><creatorcontrib>Zhang, Huafang ; Ye, Chenxi ; Zhang, Simei ; Yang, Dan ; Gong, Xiaolan ; Li, Sihan ; Xue, Wenfeng ; Su, Jie ; Zhao, Lancai ; Qiu, Yufeng ; He, Xiaona ; Zhang, Yongming ; Tang, Mengling</creatorcontrib><description>Background
Dysphagia, or swallowing disorders, has become a growing concern due to the aging population, and health literacy plays a crucial role in active aging. However, the relationship between them remains unclear.
Aims
To investigate the association between health literacy and dysphagia among community-dwelling older adults in China.
Methods
A survey was conducted on 4462 older adults aged 65 and above in a community in Yiwu City, China, from May 2021 to January 2022. Swallowing problems were assessed using a 30 ml water swallowing test (WST) and the Eating Assessment Tool-10 questionnaire (EAT-10). The participants' health literacy was evaluated using the Chinese Health Literacy Scale (CHLS). Logistic regression and t tests were employed to measure the association between them.
Results
The prevalence of dysphagia was 5.70% and 7.85% as determined by EAT-10 and 30 ml-WST, respectively. The health literacy level of community-dwelling older adults was 24.4 ± 4.93 (9–45). Participants with dysphagia exhibited lower levels of health literacy (
p
< 0.05). The logistic regression model demonstrated an inverse association between health literacy and dysphagia (OR = 0.94, 95%CI = 0.91–0.96 for EAT-10, and OR = 0.93, 95%CI = 0.92–0.95 for WST). Moreover, this association remained significant even after adjusting for covariates.
Discussion
Older adults with dysphagia have lower levels of health literacy, particularly in terms of their ability to seek medical advice, acquire and evaluate medical information, and access social support resources.
Conclusions
Health literacy is associated with dysphagia among community-dwelling older adults. Effective interventions should be implemented to provide support in terms of both medical services and social support for this population.</description><identifier>ISSN: 1720-8319</identifier><identifier>ISSN: 1594-0667</identifier><identifier>EISSN: 1720-8319</identifier><identifier>DOI: 10.1007/s40520-023-02499-4</identifier><identifier>PMID: 37505395</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Aging ; Cross-sectional studies ; Dysphagia ; Geriatrics/Gerontology ; Health education ; Health literacy ; Health services ; Medicine ; Medicine & Public Health ; Older people ; Original ; Original Article ; Regression analysis</subject><ispartof>Aging clinical and experimental research, 2023-10, Vol.35 (10), p.2165-2172</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c541t-d6f7c9ca50bfb50b37d23c98b8ad918003671ae43993ea4168cff69ac9ec026a3</citedby><cites>FETCH-LOGICAL-c541t-d6f7c9ca50bfb50b37d23c98b8ad918003671ae43993ea4168cff69ac9ec026a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40520-023-02499-4$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s40520-023-02499-4$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,315,781,785,886,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37505395$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Huafang</creatorcontrib><creatorcontrib>Ye, Chenxi</creatorcontrib><creatorcontrib>Zhang, Simei</creatorcontrib><creatorcontrib>Yang, Dan</creatorcontrib><creatorcontrib>Gong, Xiaolan</creatorcontrib><creatorcontrib>Li, Sihan</creatorcontrib><creatorcontrib>Xue, Wenfeng</creatorcontrib><creatorcontrib>Su, Jie</creatorcontrib><creatorcontrib>Zhao, Lancai</creatorcontrib><creatorcontrib>Qiu, Yufeng</creatorcontrib><creatorcontrib>He, Xiaona</creatorcontrib><creatorcontrib>Zhang, Yongming</creatorcontrib><creatorcontrib>Tang, Mengling</creatorcontrib><title>Association between health literacy and dysphagia in the community-dwelling older population: a cross-sectional study</title><title>Aging clinical and experimental research</title><addtitle>Aging Clin Exp Res</addtitle><addtitle>Aging Clin Exp Res</addtitle><description>Background
Dysphagia, or swallowing disorders, has become a growing concern due to the aging population, and health literacy plays a crucial role in active aging. However, the relationship between them remains unclear.
Aims
To investigate the association between health literacy and dysphagia among community-dwelling older adults in China.
Methods
A survey was conducted on 4462 older adults aged 65 and above in a community in Yiwu City, China, from May 2021 to January 2022. Swallowing problems were assessed using a 30 ml water swallowing test (WST) and the Eating Assessment Tool-10 questionnaire (EAT-10). The participants' health literacy was evaluated using the Chinese Health Literacy Scale (CHLS). Logistic regression and t tests were employed to measure the association between them.
Results
The prevalence of dysphagia was 5.70% and 7.85% as determined by EAT-10 and 30 ml-WST, respectively. The health literacy level of community-dwelling older adults was 24.4 ± 4.93 (9–45). Participants with dysphagia exhibited lower levels of health literacy (
p
< 0.05). The logistic regression model demonstrated an inverse association between health literacy and dysphagia (OR = 0.94, 95%CI = 0.91–0.96 for EAT-10, and OR = 0.93, 95%CI = 0.92–0.95 for WST). Moreover, this association remained significant even after adjusting for covariates.
Discussion
Older adults with dysphagia have lower levels of health literacy, particularly in terms of their ability to seek medical advice, acquire and evaluate medical information, and access social support resources.
Conclusions
Health literacy is associated with dysphagia among community-dwelling older adults. Effective interventions should be implemented to provide support in terms of both medical services and social support for this population.</description><subject>Aging</subject><subject>Cross-sectional studies</subject><subject>Dysphagia</subject><subject>Geriatrics/Gerontology</subject><subject>Health education</subject><subject>Health literacy</subject><subject>Health services</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Older people</subject><subject>Original</subject><subject>Original Article</subject><subject>Regression analysis</subject><issn>1720-8319</issn><issn>1594-0667</issn><issn>1720-8319</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kctu1TAQhiMEohd4ARbIEhs2ATt2EpsNqiooSJXYwNqaOJMTV4kdbKdV3h6fc0opLFj4Nv7mt2f-onjF6DtGafs-ClpXtKQVz0MoVYonxSlrc0hypp4-2p8UZzHeUCpYPjwvTnhb05qr-rRYL2L0xkKy3pEO0x2iIyPClEYy2YQBzEbA9aTf4jLCzgKxjqQRifHzvDqbtrK_w2mybkf81GMgi1_W6SD4gQAxwcdYRjT7AEwkprXfXhTPBpgivrxfz4sfnz99v_xSXn-7-np5cV2aWrBU9s3QGmWgpt3Q5Ym3fcWNkp2EXjFJKW9aBii4UhxBsEaaYWgUGIWGVg3w8-LjUXdZuxl7gy4FmPQS7Axh0x6s_vvG2VHv_K1m-85S2WSFt_cKwf9cMSY922hyveDQr1FXshaiklVTZfTNP-iNX0OueU81UshWNCpT1ZE6NCbg8PAbRvXeVn20VWdb9cFWLXLS68d1PKT89jED_AjEfOV2GP68_R_ZX3y4sN0</recordid><startdate>20231001</startdate><enddate>20231001</enddate><creator>Zhang, Huafang</creator><creator>Ye, Chenxi</creator><creator>Zhang, Simei</creator><creator>Yang, Dan</creator><creator>Gong, Xiaolan</creator><creator>Li, Sihan</creator><creator>Xue, Wenfeng</creator><creator>Su, Jie</creator><creator>Zhao, Lancai</creator><creator>Qiu, Yufeng</creator><creator>He, Xiaona</creator><creator>Zhang, Yongming</creator><creator>Tang, Mengling</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20231001</creationdate><title>Association between health literacy and dysphagia in the community-dwelling older population: a cross-sectional study</title><author>Zhang, Huafang ; Ye, Chenxi ; Zhang, Simei ; Yang, Dan ; Gong, Xiaolan ; Li, Sihan ; Xue, Wenfeng ; Su, Jie ; Zhao, Lancai ; Qiu, Yufeng ; He, Xiaona ; Zhang, Yongming ; Tang, Mengling</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c541t-d6f7c9ca50bfb50b37d23c98b8ad918003671ae43993ea4168cff69ac9ec026a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aging</topic><topic>Cross-sectional studies</topic><topic>Dysphagia</topic><topic>Geriatrics/Gerontology</topic><topic>Health education</topic><topic>Health literacy</topic><topic>Health services</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Older people</topic><topic>Original</topic><topic>Original Article</topic><topic>Regression analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Huafang</creatorcontrib><creatorcontrib>Ye, Chenxi</creatorcontrib><creatorcontrib>Zhang, Simei</creatorcontrib><creatorcontrib>Yang, Dan</creatorcontrib><creatorcontrib>Gong, Xiaolan</creatorcontrib><creatorcontrib>Li, Sihan</creatorcontrib><creatorcontrib>Xue, Wenfeng</creatorcontrib><creatorcontrib>Su, Jie</creatorcontrib><creatorcontrib>Zhao, Lancai</creatorcontrib><creatorcontrib>Qiu, Yufeng</creatorcontrib><creatorcontrib>He, Xiaona</creatorcontrib><creatorcontrib>Zhang, Yongming</creatorcontrib><creatorcontrib>Tang, Mengling</creatorcontrib><collection>Springer Nature OA/Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Aging clinical and experimental research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Huafang</au><au>Ye, Chenxi</au><au>Zhang, Simei</au><au>Yang, Dan</au><au>Gong, Xiaolan</au><au>Li, Sihan</au><au>Xue, Wenfeng</au><au>Su, Jie</au><au>Zhao, Lancai</au><au>Qiu, Yufeng</au><au>He, Xiaona</au><au>Zhang, Yongming</au><au>Tang, Mengling</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between health literacy and dysphagia in the community-dwelling older population: a cross-sectional study</atitle><jtitle>Aging clinical and experimental research</jtitle><stitle>Aging Clin Exp Res</stitle><addtitle>Aging Clin Exp Res</addtitle><date>2023-10-01</date><risdate>2023</risdate><volume>35</volume><issue>10</issue><spage>2165</spage><epage>2172</epage><pages>2165-2172</pages><issn>1720-8319</issn><issn>1594-0667</issn><eissn>1720-8319</eissn><abstract>Background
Dysphagia, or swallowing disorders, has become a growing concern due to the aging population, and health literacy plays a crucial role in active aging. However, the relationship between them remains unclear.
Aims
To investigate the association between health literacy and dysphagia among community-dwelling older adults in China.
Methods
A survey was conducted on 4462 older adults aged 65 and above in a community in Yiwu City, China, from May 2021 to January 2022. Swallowing problems were assessed using a 30 ml water swallowing test (WST) and the Eating Assessment Tool-10 questionnaire (EAT-10). The participants' health literacy was evaluated using the Chinese Health Literacy Scale (CHLS). Logistic regression and t tests were employed to measure the association between them.
Results
The prevalence of dysphagia was 5.70% and 7.85% as determined by EAT-10 and 30 ml-WST, respectively. The health literacy level of community-dwelling older adults was 24.4 ± 4.93 (9–45). Participants with dysphagia exhibited lower levels of health literacy (
p
< 0.05). The logistic regression model demonstrated an inverse association between health literacy and dysphagia (OR = 0.94, 95%CI = 0.91–0.96 for EAT-10, and OR = 0.93, 95%CI = 0.92–0.95 for WST). Moreover, this association remained significant even after adjusting for covariates.
Discussion
Older adults with dysphagia have lower levels of health literacy, particularly in terms of their ability to seek medical advice, acquire and evaluate medical information, and access social support resources.
Conclusions
Health literacy is associated with dysphagia among community-dwelling older adults. Effective interventions should be implemented to provide support in terms of both medical services and social support for this population.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>37505395</pmid><doi>10.1007/s40520-023-02499-4</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | SpringerNature Journals |
| subjects | Aging Cross-sectional studies Dysphagia Geriatrics/Gerontology Health education Health literacy Health services Medicine Medicine & Public Health Older people Original Original Article Regression analysis |
| title | Association between health literacy and dysphagia in the community-dwelling older population: a cross-sectional study |
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