AIMS: Cognitive impairment is common in older adults with diabetes, yet it is unclear to what extent cognitive function is associated with health literacy. We hypothesized that cognitive function, independent of education, is associated with health literacy. METHODS: The sample included 537 African American, American Indian, and White men and women 60 years or older. Measures of cognitive function included the Mini-Mental State Examination (MMSE), Verbal Fluency, Brief Attention, and Digit Span Backward tests. Health literacy was assessed using the S-TOFHLA. RESULTS: Cognitive function was associated with health literacy, independent of education and other important confounders. Every unit increase in the MMSE, Digit Span Backward, Verbal Fluency or Brief Attention was associated with a 20% (p<.001), 34% (p<.001), 5% (p<.01), and 16% (p<.01) increase in the odds of having adequate health literacy, respectively. CONCLUSIONS: These results suggest that cognitive function is associated with health literacy in older adults with diabetes. Because poor cognitive function may undermine health literacy, efforts to target older adults on improving health literacy should consider cognitive function as a risk factor.
AIMS: Cognitive impairment is common in older adults with diabetes, yet it is unclear to what extent cognitive function is associated with health literacy. We hypothesized that cognitive function, independent of education, is associated with health literacy. METHODS: The sample included 537 African American, American Indian, and White men and women 60 years or older. Measures of cognitive function included the Mini-Mental State Examination (MMSE), Verbal Fluency, Brief Attention, and Digit Span Backward tests. Health literacy was assessed using the S-TOFHLA. RESULTS: Cognitive function was associated with health literacy, independent of education and other important confounders. Every unit increase in the MMSE, Digit Span Backward, Verbal Fluency or Brief Attention was associated with a 20% (p<.001), 34% (p<.001), 5% (p<.01), and 16% (p<.01) increase in the odds of having adequate health literacy, respectively. CONCLUSIONS: These results suggest that cognitive function is associated with health literacy in older adults with diabetes. Because poor cognitive function may undermine health literacy, efforts to target older adults on improving health literacy should consider cognitive function as a risk factor.
Authors: Nancy D Berkman; Stacey L Sheridan; Katrina E Donahue; David J Halpern; Karen Crotty Journal: Ann Intern Med Date: 2011-07-19 Impact factor: 25.391
Authors: Sara A Quandt; Ronny A Bell; Beverly M Snively; Shannon L Smith; Jeanette M Stafford; Lindsay K Wetmore; Thomas A Arcury Journal: Ethn Dis Date: 2005 Impact factor: 1.847
Authors: Ronny A Bell; Sara A Quandt; Thomas A Arcury; Beverly M Snively; Jeanette M Stafford; Shannon L Smith; Anne H Skelly Journal: J Rural Health Date: 2005 Impact factor: 4.333
Authors: Rachel O'Conor; Michael S Wolf; Samuel G Smith; Melissa Martynenko; Daniel P Vicencio; Mary Sano; Juan P Wisnivesky; Alex D Federman Journal: Chest Date: 2015-05 Impact factor: 9.410
Authors: Mohamed Yaqoob Ali Yusuf; Richard Kirubakaran; Abdulaziz Mohamed Muqbel Albadwi; Ahmed Ebrahim Saad; Ahmed Hussain S Mjahed; Saleh Hamad Saleh Journal: Oman Med J Date: 2020-11-05
Authors: Bas Geboers; Ellen Uiters; Sijmen A Reijneveld; Carel J M Jansen; Josué Almansa; Astrid C J Nooyens; W M Monique Verschuren; Andrea F de Winter; H Susan J Picavet Journal: BMC Geriatr Date: 2018-03-20 Impact factor: 3.921