Vogt Dominique, Berens Eva-Maria, Schaeffer Doris
Public Health and Education, Hertie School of Governance, Berlin.
Fakultät für Gesundheitswissenschaften, Universität Bielefeld, Bielefeld.
Gesundheitswesen. 2020 May;82(5):407-412. doi: 10.1055/a-0667-8382. Epub 2018 Oct 15.
Health literacy is a frequently discussed concept. Previous studies indicate that older people more often experience difficulties in dealing with health-relevant information compared to the general population. However, existing studies consider older people as a homogeneous group. Therefore, there is a research gap on assessment of health literacy among different subpopulations of older adults.
The aim of the study is to make a detailed assessment of health literacy in old age. For this purpose, we conducted an age-specific analysis of HLS-GER study data using descriptive analytic procedures. Analysis of variance (ANOVA) was used to assess the association between mean health literacy scores and age.
A large proportion of the older population from the HLS-GER sample of 475 persons aged 65 and older has limited health literacy. Perceived difficulties arise in particular in the domains health care as well as in finding and assessing health information. The results also show statistically significant differences between the age groups. Especially those aged 76 and above have a significantly lower level of health literacy in all domains and dimensions than younger older people.
These results underline the need for more age-differentiated health literacy research. Additionally, more attention needs to be given to age differentiation in the development of interventions as well.
健康素养是一个经常被讨论的概念。先前的研究表明,与普通人群相比,老年人在处理与健康相关的信息时更常遇到困难。然而,现有研究将老年人视为一个同质化群体。因此,在评估老年人群不同亚群体的健康素养方面存在研究空白。
本研究的目的是对老年人的健康素养进行详细评估。为此,我们使用描述性分析程序对HLS-GER研究数据进行了特定年龄分析。方差分析(ANOVA)用于评估平均健康素养得分与年龄之间的关联。
在475名65岁及以上的HLS-GER样本中,很大一部分老年人群的健康素养有限。在医疗保健领域以及查找和评估健康信息方面尤其存在感知困难。结果还显示各年龄组之间存在统计学上的显著差异。特别是76岁及以上的人群在所有领域和维度上的健康素养水平明显低于年龄较小的老年人。
这些结果强调了开展更多针对不同年龄的健康素养研究的必要性。此外,在制定干预措施时也需要更多地关注年龄差异。