Bas Geboers|Ellen Uiters|Sijmen A. Reijneveld|C.J.H. Jansen|Josué Almansa|Astrid C. J. Nooyens|W. M. Monique Verschuren|Andrea F. de Winter|H. Susan J. Picavet
Health literacy among older adults is associated with their 10-years’ cognitive functioning and decline - the Doetinchem Cohort Study
University Medical Center Groningen|University of Groningen|National Institute for Public Health and the Environment|University Medical Center Groningen|University of Groningen|University of Groningen|University Medical Center Groningen|University of Groningen|National Institute for Public Health and the Environment|National Institute for Public Health and the Environment|University Medical Center Groningen|University of Groningen|National Institute for Public Health and the Environment
many older adults low levels health literacy affects ability participate optimally healthcare unclear cognitive decline contributes health literacy study longitudinal data needed aim study therefore assess associations cognitive functioning 10years cognitive decline health literacy older adults data 988 participants mean age 653 doetinchem cohort study analyzed health literacy measured brief health literacy screening memory mental flexibility information processing speed global cognitive functioning assessed time health literacy also 10 years earlier logistic regression analyses performed adjusted age gender educational level higher scores tests cognitive domains associated lower likelihood low health literacy adjustment confounders ors 070 pvalues001 similar associations found past cognitive functioning ors 075 pvalues05 adjustment stronger cognitive decline associated greater likelihood low health literacy ors 137 pvalues05 associations lost significance adjustment educational level except association memory decline 140 p 023 95 ci 105 188 older adults poorer cognitive functioning stronger cognitive decline risk low health literacy affect abilities promote health selfmanage disease low health literacy declining cognitive functioning might barrier personcentered care even relatively young older adults