2011
DOI: 10.1590/s1980-57642011dn05010005 View full text |Buy / Rent full text
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Abstract: The Mini-Mental State Examination (MMSE) is a widely used screening test for cognitive impairment, but is heavily biased by education. Educational level has frequently been ranked using years of schooling, which may not be a good indirect measure of educational level because there is great heterogeneity in standards of schooling among populations and across regions of the same country. S-TOFHLA is a measure of health literacy with some results indicating that it is a good measure for literacy level.ObjectiveTo… Show more

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“…The high prevalence of insufficient and marginal literacy found by the present study, totaling 58.0% of the sample, has been mentioned in studies of American health services 18 , but in Brazil there is no information about such studies, except for that of CartheryGoulart et al 14 and two more specific studies for the area of mental health 19,20 . Carthery-Goulart et al…”
Section: Discussioncontrasting
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“…The high prevalence of insufficient and marginal literacy found by the present study, totaling 58.0% of the sample, has been mentioned in studies of American health services 18 , but in Brazil there is no information about such studies, except for that of CartheryGoulart et al 14 and two more specific studies for the area of mental health 19,20 . Carthery-Goulart et al…”
Section: Discussioncontrasting
“…Previous studies have reported similar associations (Lindeboom et al, 1993;Brucki et al, 2011). Control group performance on the following CAMCOG-R subscales was significantly associated with level of education, after controlling for age, sex, and quality of education: language, memory, remote memory, abstract thinking, and orientation.…”
Section: Discussionsupporting
“…Thus, we assessed the validity of the SAHLPA by correlating the test scores with variables that were shown to be conceptually and empirically associated with health literacy. [6][7][8] For the assessment of construct validity three variables were used -formal education, self-reported functional literacy, and global cognitive functioning -and the testing was conducted in the entire sample of 226 older adults. To assess discriminative validity we correlated the SAHLPA scores with understanding of standard medical prescriptions in a sub-sample of 93 older adults.…”
Section: Methodsmentioning