Department of Gerontology, Simon Fraser University, 2800-515 Hastings Street, Vancouver, British Columbia V6B 5K3, Canada.
J Aging Health. 2010 Sep;22(6):827-54. doi: 10.1177/0898264310373502. Epub 2010 Jul 1.
The goal of this study is to examine the role of lifelong educational and learning practices and resources in enabling health literacy.
A subsample of older adults (n = 2,979) derived from the 2003 seven country IALSS (Canadian survey) was used. An expanded Andersen-Newman model that included lifelong learning enabling factors was used to develop predictors of health literacy.
The formal education, lifelong and lifewide learning enabling factors exhibited the most robust associations with health literacy. These included education level; self-study in the form of reading manuals, reference books and journals; computer/Internet use, use of the library; leisure reading of books; reading letters, notes and e-mails; and volunteerism.
Findings are discussed in relation to the development and maintenance of health literacy over the life course. Programs and policies that encourage lifelong and lifewide educational resources and practices by older persons are needed.
本研究旨在探讨终身教育和学习实践及资源在促进健康素养方面的作用。
本研究使用了 2003 年七个国家国际成人学习调查(加拿大调查)中老年人的一个亚样本(n=2979)。采用扩展的安德森-纽曼模型,纳入了终身学习促进因素,以制定健康素养的预测因素。
正规教育、终身和全方位学习促进因素与健康素养的关联最为密切。这些因素包括教育程度;以阅读手册、参考书和期刊的形式自学;使用计算机/互联网;使用图书馆;阅读书籍的休闲时间;阅读信件、笔记和电子邮件;以及志愿服务。
本文根据人生全程中健康素养的发展和维持讨论了这些发现。需要制定和实施鼓励老年人终身和全方位教育资源和实践的方案和政策。