scholarly journals The Relationship between Functional Health Literacy, Self-Rated Health, and Social Support between Younger and Older Adults in Ghana

Author(s):  
Padmore Amoah

It is well established that health literacy positively affects health outcomes, and social support influences this association. What remains unclear is which aspect of social support (instrumental, informational, and emotional support) is responsible for this effect and whether the influence differs from one population group to another. This study addresses these lacunae. It examines the impact each type of support makes on the relation between functional health literacy (FHL) and self-rated health status among younger and older adults in Ghana. Data were pooled from two cross-sectional surveys, together comprising 521 participants in the Ashanti Region. The results indicated that young adults were more likely to possess sufficient FHL and perceive their health more positively than older adults. While FHL was positively associated with health status, the relation was stronger when young adults received a high level of emotional support. Among older persons, informational support substantially moderated the association between FHL and health status. Thus, social support modifies the relations between FHL and health status among younger and older adults in different ways and to different degrees. Therefore, interventions to improve FHL and health amongst younger and older adults should pay due regard to relevant aspects of social support.

2013 ◽  
Vol 103 (8) ◽  
pp. 1516-1523 ◽  
Author(s):  
Paul L. Geltman ◽  
Jo Hunter Adams ◽  
Jennifer Cochran ◽  
Gheorghe Doros ◽  
Denis Rybin ◽  
...  

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 379-379
Author(s):  
Amy Albright ◽  
Deanna Dragan ◽  
Anne Halli-Tierney ◽  
Dana Carroll ◽  
Rebecca Allen

Abstract The aim of the current study is to provide comprehensive health care to older adults by assessing physical and mental health in a geriatric primary care setting, including evaluation of both subjective and functional health literacy. Health literacy is vital to understanding medical information and making subsequent decisions based on this information. Knowledge of patient health literacy may be particularly important for care providers, as it can provide guidance on how to best communicate with the patient (Nouri & Rudd, 2015). It may be particularly important to monitor health literacy within older adults, as several studies (e.g., Kobayashi et al., 2015) have shown that health literacy decreases with mild cognitive impairment. Approximately 250 patients (mean age = 76; 74% female; 16% African American) attending an interdisciplinary geriatrics clinic in West Alabama have been recruited to take part in a variety of behavioral health screenings. The current study assessed subjective health literacy using questions developed by Chew, Bradley, and Boyko (2004) and functional health literacy using the Newest Vital Sign (Weiss et al., 2005). While there was a significant correlation between subjective and functional health literacy (r = .43, p < .001), 81% of patients reported adequate subjective health literacy, while only 41% demonstrated adequate health literacy on a functional screening measure. Based on these findings, self-reported health literacy may not necessarily be reflective of performance on more functional measures. Given the potential consequences of overestimating health literacy, this represents a serious barrier to patient care.


2014 ◽  
Vol 3 (1) ◽  
pp. 119 ◽  
Author(s):  
Gholamreza Sharifirad ◽  
Mahnoush Reisi ◽  
SeyedHomamodin Javadzade ◽  
AkbarBabaei Heydarabadi ◽  
Firouzeh Mostafavi ◽  
...  

2020 ◽  
Author(s):  
Chiara Cerami ◽  
Marco Canevelli ◽  
Gaia Santi ◽  
Caterina Galandra ◽  
Alessandra Dodich ◽  
...  

Background: The early identification of fragile populations in the Covid-19 era would help governments to allocate resources and plan strategies to contain consequences of the pandemic. Beyond frailty, social vulnerability to environmental stressors, such as the social distancing enforced to reduce the SARS-CoV2 contagion, can modify long-term disease risk and induce health status changes in the general population. Methods: We assessed frailty and social vulnerability indices in 1258 Italian residents during the lockdown phase (March 14-31, 2020) via an on-line survey. We compared indices taking into account age categories (young, middle, older adults and elders) and gender. Results: While frailty showed a linear increase with age and was greater in females than in males, social vulnerability was higher in young adults and elders compared to middle aged and older adults, and in males than females. Both frailty and social vulnerability contributed in explaining the individual perception of the impact of Covid-19 emergency on health, which was further modulated by proactive attitudes/behaviors and social isolation.Conclusions: Social isolation and loneliness following the Covid-19 outbreak may exert dramatic psychosocial effects in the general population. The early detection of vulnerable categories, at risk to become ill and develop long-lasting health status changes, would help in the next future to prevent consequences on general well-being by allocating resources to targeted interventions managing psychosocial distress and increasing young adults and elderly resilience towards the post-Covid-19 crisis.


2022 ◽  
pp. 174239532110733
Author(s):  
Lennert Griese ◽  
Doris Schaeffer ◽  
Eva-Maria Berens

Objectives People with chronic illness are particularly dependent on navigating and using the health care system. This requires navigational health literacy (HL-NAV). The article aims to examine the distribution and predictors of HL-NAV in a sample of chronically ill individuals. Methods Data of 1,105 people with chronic illness from the general population in Germany were collected in December 2019 and January 2020. HL-NAV was assessed by 12 items (score 0–100). Bivariate and multiple linear regression analysis were performed. Results HL-NAV score was 39.1 (SD 27.3). In bivariate analyses, HL-NAV was lower among chronically ill persons aged 65 or above, with low education, limited functional health literacy, low social status, financial deprivation, poor social support, multiple chronic conditions, and an illness duration of 6–10 years. In multivariate analyses, advanced age, lower education, less functional health literacy, lower social status, and less social support remained associated with lower HL-NAV. Discussion The results underline the importance of promoting HL-NAV among people with chronic illness. Strategies should aim at strengthening individual competencies taking into account the social and situational factors but also at reducing the demands placed on chronically ill people by providing user-friendly and trustworthy information on the health care system along the illness trajectory.


2017 ◽  
Vol 70 (4) ◽  
pp. 868-874 ◽  
Author(s):  
Nidia Farias Fernandes Martins ◽  
Daiane Porto Gautério Abreu ◽  
Bárbara Tarouco da Silva ◽  
Deisa Salyse dos Reis Cabral Semedo ◽  
Marlene Teda Pelzer ◽  
...  

ABSTRACT Objective: to characterize the national and international scientific production on the relationship of Functional Health Literacy and the adherence to the medication in older adults. Method: integrative review of literature, searching the following online databases: Scientific Electronic Library Online (SCIELO); Latin American and Caribbean Health Sciences Literature (LILACS); Medical Literature Analysis and Retrieval System Online (MEDLINE); and Cumulative Index to Nursing & Allied Health Literature (CINAHL), in June 2016. We selected 7 articles that obeyed the inclusion criteria. Results: all articles are from the USA. The inappropriate Functional Health Literacy affects the non-adherence to medication; however, there are several strategies and interventions that can be practiced to change this relationship. Conclusion: nursing needs to explorefurther this theme, since it can exert a differentiated care for adherence to medication in older adults, considering the literacy.


2014 ◽  
Vol 49 (4) ◽  
pp. 1249-1267 ◽  
Author(s):  
Marina Serper ◽  
Rachel E. Patzer ◽  
Laura M. Curtis ◽  
Samuel G. Smith ◽  
Rachel O'Conor ◽  
...  

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