Vogt Dominique, Schaeffer Doris, Messer Melanie, Berens Eva-Maria, Hurrelmann Klaus
Department of Health Services Research and Nursing Science, School of Public Health, Bielefeld University, Universitätsstraße 25, Bielefeld, Germany.
Professor of Public Health and Education, Hertie School of Governance, Friedrichstraße 180, Berlin, Germany.
Health Promot Int. 2018 Oct 1;33(5):739-747. doi: 10.1093/heapro/dax012.
Health literacy is especially important for older people to maintain or enhance remaining health resources and self-management skills. The aim of the study was to determine the level of health literacy and the association between health literacy, demographic and socio-economic factors in German older adults aged 65 years and above stratified by age group. Health literacy was assessed via computer-assisted personal interviews using HLS-EU-Q47 on a representative sample of the German-speaking population. Descriptive statistics, bivariate analyses and logistic regression modelling stratified by age group were conducted to assess health literacy of 475 respondents aged 65 years and above. Overall, 66.3% of all respondents aged 65 years and above had limited health literacy. Limited health literacy was especially prevalent among respondents above 76 years of age (80.6%). Limited health literacy was associated with financial deprivation (OR: 3.05; 95% CI: 1.99-4.67) and limited functional health literacy (OR: 2.16; 95% CI: 1.29-3.61). Financial deprivation was strongest predictor for limited health literacy in the total sample and stratified by age group. Limited health literacy is a frequent phenomenon in German adults aged 65 years and above. Research on health literacy in old age and the role in health disparities is urgently needed.
健康素养对于老年人维持或增强剩余的健康资源及自我管理技能尤为重要。本研究的目的是确定65岁及以上德国老年人的健康素养水平，以及按年龄组分层的健康素养、人口统计学和社会经济因素之间的关联。通过计算机辅助个人访谈，使用HLS-EU-Q47对德语区人群的代表性样本进行健康素养评估。对475名65岁及以上的受访者进行了描述性统计、双变量分析和按年龄组分层的逻辑回归建模，以评估健康素养。总体而言，所有65岁及以上的受访者中，66.3%的人健康素养有限。健康素养有限在76岁以上的受访者中尤为普遍（80.6%）。健康素养有限与经济贫困（比值比：3.05；95%置信区间：1.99 - 4.67）和功能性健康素养有限（比值比：2.16；95%置信区间：1.29 - 3.61）相关。经济贫困是总样本及按年龄组分层中健康素养有限的最强预测因素。健康素养有限在65岁及以上的德国成年人中是一种常见现象。迫切需要对老年人的健康素养及其在健康差异中的作用进行研究。
