认知功能是老年糖尿病患者健康素养的一个风险因素。
Cognitive function is a risk for health literacy in older adults with diabetes.
机构信息
Department of Family and Community Medicine, Wake Forest School of Medicine, Winston-Salem, NC, United States.
出版信息
Diabetes Res Clin Pract. 2013 Aug;101(2):141-7. doi: 10.1016/j.diabres.2013.05.012. Epub 2013 Jun 24.
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.
目的
认知障碍在老年糖尿病患者中很常见，但认知功能与健康素养的关系程度尚不清楚。我们假设，认知功能与教育无关，与健康素养有关。
方法
该样本包括 537 名年龄在 60 岁及以上的非裔美国人、美国印第安人和白人男性和女性。认知功能的测量包括简易精神状态检查（MMSE）、词语流畅性、短暂注意力和数字广度倒背测试。健康素养使用 S-TOFHLA 进行评估。
结果
认知功能与健康素养相关，与教育和其他重要混杂因素无关。MMSE、数字广度倒背、词语流畅性或短暂注意力每增加一个单位，具有足够健康素养的几率分别增加 20%（p<.001）、34%（p<.001）、5%（p<.01）和 16%（p<.01）。
结论
这些结果表明，认知功能与老年糖尿病患者的健康素养有关。由于认知功能差可能会降低健康素养，因此，旨在提高老年人群健康素养的努力应将认知功能视为一个风险因素。
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