Assessing health literacy among older adults living in subsidized housing: a cross-sectional study
Objectives This study aimed to assess functional health literacy levels among older adults living in subsidized housing in Hamilton, Ontario, and to assess the relationships between health literacy and other important health indicators, such as education level, age, ethnicity, body mass index (BMI),...
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| Veröffentlicht in: | Canadian journal of public health 2018-06, Vol.109 (3), p.401-409 |
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| container_title | Canadian journal of public health |
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| creator | Agarwal, Gina Habing, Kendra Pirrie, Melissa Angeles, Ric Marzanek, Francine Parascandalo, Jenna |
| description | Objectives
This study aimed to assess functional health literacy levels among older adults living in subsidized housing in Hamilton, Ontario, and to assess the relationships between health literacy and other important health indicators, such as education level, age, ethnicity, body mass index (BMI), and self-reported health status.
Methods
Older adults (
n
= 237) living in subsidized housing buildings in Hamilton, ON, were assessed using the NVS-UK as a measure of functional health literacy in addition to a health indicator questionnaire through structured interview. Health literacy levels were analyzed using descriptive statistics and logistic regression to determine relationships between health literacy levels and other health indicators.
Results
Participants’ mean age was 73 years, 67% were female, 70% were not educated beyond high school, and 91% were white. Over 82% of participants had below adequate health literacy levels using the NVS-UK. Multivariable logistic regression revealed significant relationships between functional health literacy and BMI, education level, and pain and discomfort levels. No significant relationships were found between health literacy level and age group, anxiety and depression levels, CANRISK (Diabetes risk) score, gender, marital status, mobility issues, self-care issues, self-reported health status, or performance of usual activities.
Conclusions
As the population of older adults continues to grow, the appropriate resources must be available to both improve and support the health literacy level of the population. Future health research should gather information on the health literacy levels of target populations to ensure more equitable health service. This research provides a significant opportunity to better understand populations with health literacy barriers. |
| doi_str_mv | 10.17269/s41997-018-0048-3 |
| format | Article |
| fullrecord | <record><control><sourceid>jstor_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6964402</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>27173981</jstor_id><sourcerecordid>27173981</sourcerecordid><originalsourceid>FETCH-LOGICAL-c496t-2b795da99d389d815a2cac1ff6e05dabdda7406cca9ed737ab5e80cb537f68f63</originalsourceid><addsrcrecordid>eNp9kUtP3DAUhS1UBFPgD1RqFambbkL9ih-bSgjxkpDYwNpybGfGo0xMfRMk-PX1EAq0C1aW7_nOsa8OQl8IPiaSCv0TONFa1pioGmOuaraDFkRTXEsuxSe0wBirmlPB9tFngHW5MibZHtqnWiuCNV-gqxOAABCHZbUKth9XVR_HkK17rOwmlWnqfciV9VM_QtEetmQcKphaiD4-BV-t0rT1H6LdzvYQjl7OA3R3fnZ7ellf31xcnZ5c145rMda0lbrxVmvPlPaKNJY660jXiYDLvPXeSo6Fc1YHL5m0bRMUdm3DZCdUJ9gB-jXn3k_tJngXhjHb3tznuLH50SQbzb_KEFdmmR6M0IJzTEvAj5eAnH5PAUazieBC39shlFUMxUJwRSXRBf3-H7pOUx7KeobSpuGaEsIKRWfK5QSQQ_f6GYLNc1NmbsqUpsy2KbM1fXu_xqvlbzUFYDMARRqWIb-9_WHs19m1hjHlt1RJJCvB7A-Aoap4</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2255492113</pqid></control><display><type>article</type><title>Assessing health literacy among older adults living in subsidized housing: a cross-sectional study</title><source>MEDLINE</source><source>PAIS Index</source><source>REPÈRE - Free</source><source>JSTOR Archive Collection A-Z Listing</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>SpringerLink Journals - AutoHoldings</source><creator>Agarwal, Gina ; Habing, Kendra ; Pirrie, Melissa ; Angeles, Ric ; Marzanek, Francine ; Parascandalo, Jenna</creator><creatorcontrib>Agarwal, Gina ; Habing, Kendra ; Pirrie, Melissa ; Angeles, Ric ; Marzanek, Francine ; Parascandalo, Jenna</creatorcontrib><description>Objectives
This study aimed to assess functional health literacy levels among older adults living in subsidized housing in Hamilton, Ontario, and to assess the relationships between health literacy and other important health indicators, such as education level, age, ethnicity, body mass index (BMI), and self-reported health status.
Methods
Older adults (
n
= 237) living in subsidized housing buildings in Hamilton, ON, were assessed using the NVS-UK as a measure of functional health literacy in addition to a health indicator questionnaire through structured interview. Health literacy levels were analyzed using descriptive statistics and logistic regression to determine relationships between health literacy levels and other health indicators.
Results
Participants’ mean age was 73 years, 67% were female, 70% were not educated beyond high school, and 91% were white. Over 82% of participants had below adequate health literacy levels using the NVS-UK. Multivariable logistic regression revealed significant relationships between functional health literacy and BMI, education level, and pain and discomfort levels. No significant relationships were found between health literacy level and age group, anxiety and depression levels, CANRISK (Diabetes risk) score, gender, marital status, mobility issues, self-care issues, self-reported health status, or performance of usual activities.
Conclusions
As the population of older adults continues to grow, the appropriate resources must be available to both improve and support the health literacy level of the population. Future health research should gather information on the health literacy levels of target populations to ensure more equitable health service. This research provides a significant opportunity to better understand populations with health literacy barriers.</description><identifier>ISSN: 0008-4263</identifier><identifier>EISSN: 1920-7476</identifier><identifier>DOI: 10.17269/s41997-018-0048-3</identifier><identifier>PMID: 29981094</identifier><language>eng</language><publisher>Cham: Springer Science + Business Media</publisher><subject>Adults ; Age ; Aged ; Anxiety ; Body mass ; Body mass index ; Body size ; Cross-Sectional Studies ; Diabetes ; Diabetes mellitus ; Education ; Ethnicity ; Female ; Health education ; Health literacy ; Health Literacy - statistics & numerical data ; Health research ; Health risks ; Housing ; Housing subsidies ; Humans ; Indicators ; Levels ; Male ; Marital status ; Medicine ; Medicine & Public Health ; Mental depression ; Minority & ethnic groups ; Mobility ; Older people ; Ontario ; Pain ; Population ; Populations ; Public Health ; Public Housing ; QUANTITATIVE RESEARCH ; Questionnaires ; Regression analysis ; Statistics ; Surveys and Questionnaires</subject><ispartof>Canadian journal of public health, 2018-06, Vol.109 (3), p.401-409</ispartof><rights>The Canadian Public Health Association 2018</rights><rights>Canadian Journal of Public Health is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c496t-2b795da99d389d815a2cac1ff6e05dabdda7406cca9ed737ab5e80cb537f68f63</citedby><cites>FETCH-LOGICAL-c496t-2b795da99d389d815a2cac1ff6e05dabdda7406cca9ed737ab5e80cb537f68f63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/27173981$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/27173981$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,727,780,784,803,885,27866,27924,27925,41488,42557,51319,53791,53793,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29981094$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Agarwal, Gina</creatorcontrib><creatorcontrib>Habing, Kendra</creatorcontrib><creatorcontrib>Pirrie, Melissa</creatorcontrib><creatorcontrib>Angeles, Ric</creatorcontrib><creatorcontrib>Marzanek, Francine</creatorcontrib><creatorcontrib>Parascandalo, Jenna</creatorcontrib><title>Assessing health literacy among older adults living in subsidized housing: a cross-sectional study</title><title>Canadian journal of public health</title><addtitle>Can J Public Health</addtitle><addtitle>Can J Public Health</addtitle><description>Objectives
This study aimed to assess functional health literacy levels among older adults living in subsidized housing in Hamilton, Ontario, and to assess the relationships between health literacy and other important health indicators, such as education level, age, ethnicity, body mass index (BMI), and self-reported health status.
Methods
Older adults (
n
= 237) living in subsidized housing buildings in Hamilton, ON, were assessed using the NVS-UK as a measure of functional health literacy in addition to a health indicator questionnaire through structured interview. Health literacy levels were analyzed using descriptive statistics and logistic regression to determine relationships between health literacy levels and other health indicators.
Results
Participants’ mean age was 73 years, 67% were female, 70% were not educated beyond high school, and 91% were white. Over 82% of participants had below adequate health literacy levels using the NVS-UK. Multivariable logistic regression revealed significant relationships between functional health literacy and BMI, education level, and pain and discomfort levels. No significant relationships were found between health literacy level and age group, anxiety and depression levels, CANRISK (Diabetes risk) score, gender, marital status, mobility issues, self-care issues, self-reported health status, or performance of usual activities.
Conclusions
As the population of older adults continues to grow, the appropriate resources must be available to both improve and support the health literacy level of the population. Future health research should gather information on the health literacy levels of target populations to ensure more equitable health service. This research provides a significant opportunity to better understand populations with health literacy barriers.</description><subject>Adults</subject><subject>Age</subject><subject>Aged</subject><subject>Anxiety</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Body size</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Education</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Health education</subject><subject>Health literacy</subject><subject>Health Literacy - statistics & numerical data</subject><subject>Health research</subject><subject>Health risks</subject><subject>Housing</subject><subject>Housing subsidies</subject><subject>Humans</subject><subject>Indicators</subject><subject>Levels</subject><subject>Male</subject><subject>Marital status</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental depression</subject><subject>Minority & ethnic groups</subject><subject>Mobility</subject><subject>Older people</subject><subject>Ontario</subject><subject>Pain</subject><subject>Population</subject><subject>Populations</subject><subject>Public Health</subject><subject>Public Housing</subject><subject>QUANTITATIVE RESEARCH</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Statistics</subject><subject>Surveys and 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Gina</creator><creator>Habing, Kendra</creator><creator>Pirrie, Melissa</creator><creator>Angeles, Ric</creator><creator>Marzanek, Francine</creator><creator>Parascandalo, Jenna</creator><general>Springer Science + Business Media</general><general>Springer International Publishing</general><general>Springer Nature 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health literacy among older adults living in subsidized housing</title><author>Agarwal, Gina ; Habing, Kendra ; Pirrie, Melissa ; Angeles, Ric ; Marzanek, Francine ; Parascandalo, Jenna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c496t-2b795da99d389d815a2cac1ff6e05dabdda7406cca9ed737ab5e80cb537f68f63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adults</topic><topic>Age</topic><topic>Aged</topic><topic>Anxiety</topic><topic>Body mass</topic><topic>Body mass index</topic><topic>Body size</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Education</topic><topic>Ethnicity</topic><topic>Female</topic><topic>Health education</topic><topic>Health literacy</topic><topic>Health Literacy - statistics & numerical data</topic><topic>Health research</topic><topic>Health risks</topic><topic>Housing</topic><topic>Housing subsidies</topic><topic>Humans</topic><topic>Indicators</topic><topic>Levels</topic><topic>Male</topic><topic>Marital status</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental depression</topic><topic>Minority & ethnic groups</topic><topic>Mobility</topic><topic>Older people</topic><topic>Ontario</topic><topic>Pain</topic><topic>Population</topic><topic>Populations</topic><topic>Public Health</topic><topic>Public Housing</topic><topic>QUANTITATIVE RESEARCH</topic><topic>Questionnaires</topic><topic>Regression analysis</topic><topic>Statistics</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Agarwal, Gina</creatorcontrib><creatorcontrib>Habing, Kendra</creatorcontrib><creatorcontrib>Pirrie, Melissa</creatorcontrib><creatorcontrib>Angeles, Ric</creatorcontrib><creatorcontrib>Marzanek, Francine</creatorcontrib><creatorcontrib>Parascandalo, 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Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Canadian journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Agarwal, Gina</au><au>Habing, Kendra</au><au>Pirrie, Melissa</au><au>Angeles, Ric</au><au>Marzanek, Francine</au><au>Parascandalo, Jenna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessing health literacy among older adults living in subsidized housing: a cross-sectional study</atitle><jtitle>Canadian journal of public health</jtitle><stitle>Can J Public Health</stitle><addtitle>Can J Public Health</addtitle><date>2018-06-01</date><risdate>2018</risdate><volume>109</volume><issue>3</issue><spage>401</spage><epage>409</epage><pages>401-409</pages><issn>0008-4263</issn><eissn>1920-7476</eissn><abstract>Objectives
This study aimed to assess functional health literacy levels among older adults living in subsidized housing in Hamilton, Ontario, and to assess the relationships between health literacy and other important health indicators, such as education level, age, ethnicity, body mass index (BMI), and self-reported health status.
Methods
Older adults (
n
= 237) living in subsidized housing buildings in Hamilton, ON, were assessed using the NVS-UK as a measure of functional health literacy in addition to a health indicator questionnaire through structured interview. Health literacy levels were analyzed using descriptive statistics and logistic regression to determine relationships between health literacy levels and other health indicators.
Results
Participants’ mean age was 73 years, 67% were female, 70% were not educated beyond high school, and 91% were white. Over 82% of participants had below adequate health literacy levels using the NVS-UK. Multivariable logistic regression revealed significant relationships between functional health literacy and BMI, education level, and pain and discomfort levels. No significant relationships were found between health literacy level and age group, anxiety and depression levels, CANRISK (Diabetes risk) score, gender, marital status, mobility issues, self-care issues, self-reported health status, or performance of usual activities.
Conclusions
As the population of older adults continues to grow, the appropriate resources must be available to both improve and support the health literacy level of the population. Future health research should gather information on the health literacy levels of target populations to ensure more equitable health service. This research provides a significant opportunity to better understand populations with health literacy barriers.</abstract><cop>Cham</cop><pub>Springer Science + Business Media</pub><pmid>29981094</pmid><doi>10.17269/s41997-018-0048-3</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Canadian journal of public health, 2018-06, Vol.109 (3), p.401-409 |
| issn | 0008-4263 1920-7476 |
| language | eng |
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| source | MEDLINE; PAIS Index; REPÈRE - Free; JSTOR Archive Collection A-Z Listing; EZB-FREE-00999 freely available EZB journals; PubMed Central; SpringerLink Journals - AutoHoldings |
| subjects | Adults Age Aged Anxiety Body mass Body mass index Body size Cross-Sectional Studies Diabetes Diabetes mellitus Education Ethnicity Female Health education Health literacy Health Literacy - statistics & numerical data Health research Health risks Housing Housing subsidies Humans Indicators Levels Male Marital status Medicine Medicine & Public Health Mental depression Minority & ethnic groups Mobility Older people Ontario Pain Population Populations Public Health Public Housing QUANTITATIVE RESEARCH Questionnaires Regression analysis Statistics Surveys and Questionnaires |
| title | Assessing health literacy among older adults living in subsidized housing: a cross-sectional study |
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