Fear of coronavirus and health literacy levels of older adults during the COVID-19 pandemic

Ayaz‐Alkaya, Sultan; Dülger, Hanifi

doi:10.1016/j.gerinurse.2021.11.001

Cited by 19 publications

(20 citation statements)

References 27 publications

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“…For instance, a minority group is far less likely to be health literate among the elderly, and black participants or ethnic minorities typically have poorer health literacy compared to the white population of older adults in the U.S. [ 68 , 73 ]. Educational attainment positively affects health literacy among older adults [ 15 , 18 , 30 , 56 , 68 , 71 ] and is particularly linked to the elderly’s health literacy in China [ 33 ] and Turkey [ 74 ]. Additionally, occupation is shown to be linked to health literacy, so that older adults of a low occupational class are vulnerable population with limited health literacy in England [ 72 ], Vietnam [ 55 ] and South Korea [ 75 ].…”

Section: Literature Reviewmentioning

confidence: 99%

Do Health Information Sources Influence Health Literacy among Older Adults: A Cross-Sectional Study in the Urban Areas of Western China

Liu

Zhou

et al. 2022

IJERPH

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Background: Previous studies have found that the dissemination pattern and delivery mechanism of information can provide crucial resources and empowerment for individuals to the promotion of health literacy. The present study investigates how health information sources are associated with health literacy among older adults in west China, and tries to explain the mechanisms underlying the link between health information sources and health literacy in the Chinese context. Methods: The cross-sectional study employed a representative sample of 812 urban citizens aged 60 and older in 2017 in Western China. Results: We found that health information sources including healthcare practitioners (B = 4.577, p < 0.001), neighbors (B = 2.545, p < 0.05), newspapers (B = 4.280, p < 0.001), and television (B = 4.638, p < 0.001) were positively associated with health literacy. Additionally, age (B = −1.781, p < 0.001) was negatively associated with health literacy, and the socio-economic status factors including minority (B = −10.005, p < 0.001), financial strain status of perceived very difficult (B = −10.537, p < 0.001), primary school (B = 11.461, p < 0.001), junior high school (B = 18.016, p < 0.001), polytechnic school or senior high school (B = 21.905, p < 0.001), college and above (B = 23.433, p < 0.001) were significantly linked to health literacy, and suffering from chronic diseases (B = 3.430, p < 0.01) was also positively related to health literacy. Conclusions: Health information sources including healthcare practitioners, neighbors, newspapers, and television have a strong influence on health literacy, which implies that the four main types of sources are the important patterns of health information dissemination in the reinforcement of health literacy. In addition, the present findings also indicate age, minority and disease differences in health literacy and confirm the influence of enabling factors including educational attainment and financial strain on health literacy. Based on these findings and their implications, specific evidence is presented for the reinforcement of health literacy in interpersonal and mass communication, and in the educational and financial settings in the Chinese context. The present results also suggest that the age-specific, minority-specific and disease-specific measures should be taken to promote health literacy among older adults.

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Section: Literature Reviewmentioning

confidence: 99%

Do Health Information Sources Influence Health Literacy among Older Adults: A Cross-Sectional Study in the Urban Areas of Western China

Liu

Zhou

et al. 2022

IJERPH

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“…The mean FCV-19S of adult individuals living in Turkey during the pandemic was determined as 18.1 ± 6.1 points (Aksoy et al , 2021). Older adults with high health literacy in Turkey had increased fear of COVID-19 (Ayaz-Alkaya and Dülger, 2022). In a study of university students in China (Ji et al , 2020) during the first wave of the pandemic, the mean fear scale scored as 0: no fear, 9: extreme fear was determined as 7.8 ± 2.0 point.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of orthorexia nervosa tendency and fear of COVID-19 in university students receiving health education

Uzdil

Üstüner

2022

NFS

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Purpose This study aims to evaluate level of fear and the tendency toward orthorexia nervosa (ON) during the COVID-19 pandemic in the university students receiving health education. Design/methodology/approach A total of 765 students, consisting of 626 females (81.8%) and 139 males (18.2%) were included in the study. The demographic characteristics, anthropometric measurements, Eating Attitude Test-26 (EAT-26), Fear of COVID-19 Scale (FCV-19S) and the tendency toward ON were assessed using an online questionnaire. Findings The FCV-19S scores differed according to gender and were higher in the female students (P < 0.001). In students with a high EAT-26 score, the tendency toward ON was higher (P < 0.001). According to estimated regression models, a unit increase of the FCV-19S scores led to a decrease of 0.10 points in the Orthorexia Nervosa Evaluation Scale-11 (ORTO-11) scores. It was determined that students with high FCV-19S scores had a tendency toward ON and increased EAT-26 scores (P < 0.001 and P = 0.004, respectively). There was a weak negative correlation between the FCV-19S score and the ORTO-11 score (P < 0.001) and a weak positive correlation between the FCV-19S score and the EAT-26 score (P = 0.001). Originality In this cross-sectional study, it was determined that the fear of COVID-19 was related to an increase in the tendency toward ON and eating attitude in students receiving health education. Because of the fear and ON tendencies of students due to the COVID-19 pandemic, it would be beneficial to provide education on adequate and balanced nutrition during this period.

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“…Increased levels of COVID-19-related anxiety were observed in older adults, which was similar to the findings of previous studies ( 15 – 17 ). Older adults are more vulnerable to infection and have higher rates of hospitalization and mortality than younger adults due to an increased risk of severe illness following infection ( 23 , 24 ). These are reasons why older adults may have had increased COVID-19-related anxiety.…”

Section: Discussionmentioning

confidence: 99%

“…These are reasons why older adults may have had increased COVID-19-related anxiety. Furthermore, older adults may experience fear of COVID-19 due to misinformation ( 23 ). Thus, it may be necessary to assess their health literacy, which refers to the ability to access and understand accurate information.…”

Section: Discussionmentioning

confidence: 99%

COVID-19-related anxiety and lifestyle changes

Han

Jang²,

Ko³

2022

Front. Public Health

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This study aimed to identify factors that affect lifestyle changes and focused on coronavirus disease (COVID-19)-related anxiety since the COVID-19 outbreak in South Korea. Data from 213,848 individuals from the 2020 Korean Community Health Survey were analyzed using a complex sampling design. Descriptive statistics, t-tests, one-way ANOVA, and multiple regression analyses were performed. Participants reported a high level of COVID-19-related anxiety, with a score of 19.28 out of 25. The score of healthy behavioral change index was −0.51, indicating negative changes in physical activity, dietary habits, and sleep patterns. A slight positive change was reported for addictive behavioral change index, such as smoking and alcohol consumption, at 0.27 scores, indicating a decrease in these behaviors. COVID-19-related anxiety was an important factor that negatively affected health behavior. The high-risk groups that were vulnerable to anxiety included older adults and those who have little social support or few social encounters. Thus, identifying high-risk groups with the potential for worsened health behavior and providing interventions to reduce the anxiety caused by COVID-19 are necessary.

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Fear of coronavirus and health literacy levels of older adults during the COVID-19 pandemic

Cited by 19 publications

References 27 publications

Do Health Information Sources Influence Health Literacy among Older Adults: A Cross-Sectional Study in the Urban Areas of Western China

Do Health Information Sources Influence Health Literacy among Older Adults: A Cross-Sectional Study in the Urban Areas of Western China

Evaluation of orthorexia nervosa tendency and fear of COVID-19 in university students receiving health education

COVID-19-related anxiety and lifestyle changes

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