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Health literacy among older adults is associated with their 10-years’ cognitive functioning and decline - the Doetinchem Cohort Study

Overview of attention for article published in BMC Geriatrics, March 2018
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  • Above-average Attention Score compared to outputs of the same age (63rd percentile)

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Title
Health literacy among older adults is associated with their 10-years’ cognitive functioning and decline - the Doetinchem Cohort Study
Published in
BMC Geriatrics, March 2018
DOI 10.1186/s12877-018-0766-7
Pubmed ID
Authors

Bas Geboers, Ellen Uiters, Sijmen A. Reijneveld, Carel J. M. Jansen, Josué Almansa, Astrid C. J. Nooyens, W. M. Monique Verschuren, Andrea F. de Winter, H. Susan J. Picavet

Abstract

Many older adults have low levels of health literacy which affects their ability to participate optimally in healthcare. It is unclear how cognitive decline contributes to health literacy. To study this, longitudinal data are needed. The aim of this study was therefore to assess the associations of cognitive functioning and 10-years' cognitive decline with health literacy in older adults. Data from 988 participants (mean age = 65.3) of the Doetinchem Cohort Study were analyzed. Health literacy was measured by the Brief Health Literacy Screening. Memory, mental flexibility, information processing speed, and global cognitive functioning were assessed at the same time as health literacy and also 10 years earlier. Logistic regression analyses were performed, adjusted for age, gender, and educational level. Higher scores on tests in all cognitive domains were associated with a lower likelihood of having low health literacy after adjustment for confounders (all ORs < 0.70, p-values<.001). Similar associations were found for past cognitive functioning (all ORs < 0.75, p-values<.05). Before adjustment, stronger cognitive decline was associated with a greater likelihood of having low health literacy (all ORs > 1.37, p-values<.05). These associations lost significance after adjustment for educational level, except for the association of memory decline (OR = 1.40, p = .023, 95% CI: 1.05 to 1.88). Older adults with poorer cognitive functioning and stronger cognitive decline are at risk for having low health literacy, which can affect their abilities to promote health and self-manage disease. Low health literacy and declining cognitive functioning might be a barrier for person-centered care, even in relatively young older adults.

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X Demographics

The data shown below were collected from the profiles of 6 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 121 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 121 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 23 19%
Student > Bachelor 14 12%
Student > Ph. D. Student 10 8%
Student > Doctoral Student 8 7%
Student > Postgraduate 8 7%
Other 17 14%
Unknown 41 34%
Readers by discipline Count As %
Nursing and Health Professions 25 21%
Medicine and Dentistry 17 14%
Psychology 11 9%
Social Sciences 8 7%
Sports and Recreations 3 2%
Other 12 10%
Unknown 45 37%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 March 2021.
All research outputs
#7,249,276
of 25,129,395 outputs
Outputs from BMC Geriatrics
#1,837
of 3,567 outputs
Outputs of similar age
#118,873
of 338,023 outputs
Outputs of similar age from BMC Geriatrics
#47
of 63 outputs
Altmetric has tracked 25,129,395 research outputs across all sources so far. This one has received more attention than most of these and is in the 69th percentile.
So far Altmetric has tracked 3,567 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.3. This one is in the 47th percentile – i.e., 47% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 338,023 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 63% of its contemporaries.
We're also able to compare this research output to 63 others from the same source and published within six weeks on either side of this one. This one is in the 26th percentile – i.e., 26% of its contemporaries scored the same or lower than it.