Huang Chi Hsien, Lai Yu-Cheng, Lee Yi Chen, Teong Xiao Tong, Kuzuya Masafumi, Kuo Kuang-Ming
Department of Community Healthcare and Geriatrics, Nagoya University Graduate School of Medicine, Nagoya 4668550 Japan.
Department of Family Medicine, E-Da Hospital, I-Shou University, Kaohsiung City 82445, Taiwan.
J Clin Med. 2018 Nov 26;7(12):481. doi: 10.3390/jcm7120481.
Health literacy has been reported to have effects on health behavior change and health-related outcomes, but few studies have explored the association between health literacy and frailty. The aim of our study is to investigate the relationships between health literacy and frailty among community-dwelling seniors. This cross-sectional study enrolled 603 community-dwelling older adults (307 women) in residential areas, with a mean age of 70.9 ± 5.82 years. Health literacy was assessed using the Mandarin version of the European Health Literacy Survey Questionnaire. Physical frailty was defined by Fried frailty phenotype. Logistic regression was carried out to determine potential risk factors of frailty. In the multivariate logistic regression model, physical activity (Odds Ratio [OR] 1.47, 95% Confidence Interval [CI] 1.06⁻2.03) and health literacy (sufficient vs. excellent: OR 2.51, 95% CI 1.32⁻4.77) were associated with prefrailty and frailty. In subgroup analysis, pre-frailty and frailty were also negatively associated with health literacy in individuals with 'insufficiently active' (inadequate vs. excellent: OR 5.44, 95% CI 1.6⁻18.45) and 'sufficiently/highly active' physical activity levels (sufficient vs. excellent: OR 2.41, 95% CI 1.07⁻5.42). Therefore, in these community-dwelling elderly adults, health literacy was associated with pre-frailty and frailty regardless of age, gender, socio-economic status, and education level.
据报道，健康素养对健康行为改变和健康相关结果有影响，但很少有研究探讨健康素养与虚弱之间的关联。我们研究的目的是调查社区居住老年人中健康素养与虚弱之间的关系。这项横断面研究纳入了603名居住在居民区的社区老年人（307名女性），平均年龄为70.9±5.82岁。使用欧洲健康素养调查问卷的中文版评估健康素养。身体虚弱采用弗里德虚弱表型定义。进行逻辑回归以确定虚弱的潜在风险因素。在多变量逻辑回归模型中，身体活动（优势比[OR]1.47，95%置信区间[CI]1.06⁻2.03）和健康素养（足够与优秀：OR 2.51，95%CI 1.32⁻4.77）与虚弱前期和虚弱相关。在亚组分析中，在身体活动水平为“活动不足”（不足与优秀：OR 5.44，95%CI 1.6⁻18.45）和“足够/高度活动”的个体中，虚弱前期和虚弱也与健康素养呈负相关（足够与优秀：OR 2.41，95%CI 1.07⁻5.42）。因此，在这些社区居住的老年人中，无论年龄、性别、社会经济地位和教育水平如何，健康素养都与虚弱前期和虚弱相关。
