Health Literacy and Difference in Current Wealth Among Middle-Aged and Older Adults

Gillen, Martie; Yang, Hongwei; Kim, Hyungsoo

doi:10.1007/s10834-019-09648-w

Cited by 4 publications

(7 citation statements)

References 77 publications

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“…Older participants who are famers show a faster decline in health literacy than those who are non-farmers in China [ 33 ]. Financial strain is a strong predictor of health literacy [ 15 , 18 , 69 , 76 ], specifically, older adults with lower income show a faster decline in health literacy in the U.S. [ 71 , 77 ] and Brazil [ 56 ].…”

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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“…Some studies described their participants having an average of 0 to 2 chronic medical conditions, but did not specify the illnesses (Bennett et al, 2012 ; Gillen et al, 2020 ; Gousia, 2016 ; James et al, 2012 , 2018 ; Sivakumar et al, 2016 ; Stewart et al, 2020 ). Other studies reported the participants' comorbidities, which included hypertension, diabetes ( n = 1026; Lamar et al, 2019 ; Patel et al, 2016 ), cancer ( n = 1053; Patel et al, 2016 ; Zhao et al, 2019 ) and cognitive impairment ( n = 1427; Han et al, 2015 ; Kapasi et al, 2019 ; Stewart, Boyle, et al, 2018 ; Wilson et al, 2017 ; Yu et al, 2017 , 2018 , 2020 , 2021 ).…”

Section: Resultsmentioning

confidence: 99%

“…Meanwhile, one study noted that health literacy could play a role in financial security in ageing by facilitating more income/savings through chronic disease prevention, health‐promoting practices and better healthcare spending (e.g. use of health/long‐term care insurance and lower out‐of‐pocket expenses; Gillen et al, 2020 ). Health literacy was also associated with knowledge of government health insurance programs (e.g.…”

Section: Resultsmentioning

confidence: 99%

“…Health literacy was also associated with knowledge of government health insurance programs (e.g. Medicare, a US‐based health insurance program for individuals aged ≥65 years and people with disabilities; Sivakumar et al, 2016 ) and having long‐term care insurance coverage in older adults (Gillen et al, 2020 ). Moreover, adequate health insurance literacy was suggested to minimise healthcare debts in people aged ≥50 years (Wiltshire, Liu, et al, 2021 ) and alleviate problems or worry in paying medical bills (i.e.…”

Section: Resultsmentioning

confidence: 99%

“…Financial literacy was related to increased retirement planning behaviours (Chambers et al, 2021;Palací et al, 2018;Topa et al, 2018); availing private long-term care insurance (Gousia, 2016) (Gillen et al, 2020). Moreover, adequate health insurance literacy was suggested to minimise healthcare debts in people aged ≥50 years (Wiltshire, Liu, et al, 2021) and alleviate problems or worry in paying medical bills (i.e.…”

Section: Current Descriptions Of Fhlmentioning

confidence: 99%

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Understanding the role of financial health literacy in midlife and old age: A scoping review

Leung

Parial

Szeto

et al. 2022

Health Social Care Comm

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As global population ageing persists, understanding older adults' capacity to navigate the financial and healthcare system is essential. This scoping review examines how the concept of financial health literacy (FHL) is described and measured in the existing literature, the factors that may affect it, and its potential outcomes in middle‐aged and older adults. The review follows the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta‐Analysis) extension guidelines to synthesise the available evidence on this topic. We utilised electronic databases and hand searching to identify relevant literature published between 2010 and 2022. A total of 29 articles were included in this review. The results showed that FHL involved accessing, understanding and utilising financial information for planning/management of healthcare expenses and selecting appropriate health services. However, FHL is not particularly depicted as a concept in the current literature, as most studies investigated health literacy, financial literacy and health insurance literacy as separate domains that were interrelated to one another. No validated measurement tool was developed for FHL. We propose five domains to indicate the concept and measurement of FHL in middle‐aged/older adults: money management, management of medical bills, understanding health insurance, deciding on appropriate health services, and planning for long‐term care needs. Demographic variables, such as sex (females), advanced age, cognitive impairment, low education and income and racial and ethnic minorities, were found to be related to low FHL. The reviewed studies also showed that FHL was related to several outcomes, including healthcare decision‐making, physical health and psychological well‐being. Hence, future studies to develop and validate assessment tools of FHL, together with the involvement of vulnerable groups, are imperative to understanding the concept of FHL. This could also facilitate the development of appropriate interventions that could enhance this capacity in the ageing population.

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Adverse Impacts of Declining Financial and Health Literacy in Old Age

Yu¹,

Mottola²,

Bennett³

et al. 2021

The American Journal of Geriatric Psychiatry

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Health Literacy and Difference in Current Wealth Among Middle-Aged and Older Adults

Cited by 4 publications

References 77 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

Understanding the role of financial health literacy in midlife and old age: A scoping review

Adverse Impacts of Declining Financial and Health Literacy in Old Age

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