Master's Program in Long-Term Care, College of Nursing, Taipei Medical University, Taipei 110, Taiwan.
Department of Rehabilitation, Xinwu Branch, Taoyuan General Hospital, Ministry of Health and Welfare, Taoyuan 327, Taiwan.
Medicina (Kaunas). 2020 Jul 2;56(7):330. doi: 10.3390/medicina56070330.
To investigate the health literacy (HL) among older adults in Taiwan, we referenced an existing integrated model of HL to confirm the influencing factors of HL in older adults. We propose this study to examine the personal, situational, and socioenvironmental factors influencing HL among older adults. : A cross-sectional survey was conducted at a district hospital and affiliated community center in northern Taiwan from August 2016 to May 2017. This study used the Mandarin Chinese version of the European Health Literacy Survey Questionnaire (EU-Q47). We designed three models based on the three domains of HL. Model 1 assesses personal factors. Model 2 incorporates situational factors. Model 3 adds the socioenvironmental factor. We recruited 161 participants aged over 65 years. Most adults in this study had limited overall HL. The final regression model revealed that age >85 years, unknown insurance status, and dominant spoken dialect of Hakka or Taiwanese were significantly associated with higher scores of HL. : Our study results may help clinicians with early identification of older adults at high risk for poor HL and help health administrators establish geriatric policies and health education plans.
为了调查台湾老年人的健康素养（HL），我们参考了现有的 HL 综合模型，以确定影响老年人 HL 的因素。我们提出这项研究，旨在检验影响老年人 HL 的个人、情境和社会环境因素。：本研究于 2016 年 8 月至 2017 年 5 月在台湾北部的一家地区医院和附属医院社区中心进行了一项横断面调查。本研究使用了欧洲健康素养调查问卷（EU-Q47）的简体中文版。我们根据 HL 的三个领域设计了三个模型。模型 1 评估个人因素。模型 2 纳入情境因素。模型 3 添加了社会环境因素。我们招募了 161 名年龄在 65 岁以上的参与者。本研究中大多数成年人的总体 HL 水平有限。最终的回归模型显示，年龄>85 岁、未知保险状况以及客家话或台湾话为主导方言与 HL 评分较高显著相关。：我们的研究结果可能有助于临床医生早期识别 HL 风险较高的老年人，并帮助卫生行政部门制定老年政策和健康教育计划。
