Sonja Van Hala, Eliza Taylor, Susan Cochella
Leadership Development in Graduate Medical Education: A Pilot Study of Implementation of a Validated Self-assessment Instrument
Family medicine
health literacy hl important determinant health suboptimal hl profound consequences individuals health systems however little known hl older singaporeans study determined prevalence sociodemographic healthrelated correlates limited marginal hl among older singaporeans 65 years data national survey analysed n 2327 hl measured using 4item brief 5point response scale range 420 classified limited marginal adequate multinomial logistic regression models applied identify correlates limited marginal hl versus adequate hl weighted prevalence limited hl 420 marginal hl 204 adequate hl 377 adjusted regression analysis older adults advanced age groups lower education living 13 room flats higher risk limited hl furthermore 3 chronic diseases relative risk ratio rrr 170 95 confidence interval 95 ci 115 252 poor selfrated health rrr 207 95 ci 156 277 vision impairment rrr 208 95 ci 155 280 hearing impairment rrr 157 95 ci 115 214 mild cognitive impairment rrr 487 95 ci 212 1119 also associated limited hl likelihood marginal hl higher among lower education 2 chronic diseases poor selfrated health rrr 148 95 ci 109 200 vision impairment rrr 145 95 ci 106 199 hearing impairment rrr 150 95 ci 108 208 twothirds older adults faced difficulties reading understanding exchanging using health information resources pressing need create awareness issues could result mismatch healthcare system demands hl older adults