Alireza Jafari, Mahdi Moshki, Ali Mohammad Mokhtari, Fatemehzahra Naddafi, Mahbobeh Nejatian
Validity and reliability of anxiety literacy (A-Lit) and its relationship with demographic variables in the Iranian general population
Frontiers in public health
although known health literacy hl plays explanatory role educational inequalities health unknown whether role varies across age groups purpose study investigate whether mediating role hl educational inequalities four health outcomes varies across age groups age 46 58 years age 59 71 years age 72 84 years used data dutch doetinchem cohort study included 3448 participants included years education predictor chronic illness prevalence incidence mental selfperceived health outcomes hl based selfreport mediator used multiplegroup mediation models compare indirect effects across age groups complete sample without age stratification hl partly mediated effect education health outcomes except incidence chronic diseases indirect effect estimates larger subjective selfperceived health proportion mediated pm 37 mental health pm 37 objective health outcomes prevalence chronic disease pm 17 prevalence chronic disease indirect effect estimate significantly larger among individuals age 46 58 years compared individuals age 59 71 years incidence chronic disease also compared individuals age 72 84 years indirect effect estimates differ significantly age groups using alternative cutoff point hl adjusting cognitive functioning meaningfully change results overall found explanatory role hl educational inequalities mental subjective health stable varied across age groups chronic diseases largest among individuals age 46 58 years future studies may investigate benefits starting intervene hl younger age means improve hl may also benefit subjective health older adults lower education hlrp hl research practice 202371e26e38 plain language summary study examined agegroup differences mediating role hl relationship education health overall found explanatory role hl educational inequalities mental subjective health stable varied across age groups chronic diseases largest among individuals age 46 58 years compared individuals age 59 71 years individuals age 72 84 years