Effect of cognitive dysfunction on the relationship between age and health literacy

Kimberly A. Kaphingst, Melody Goodman, William D. MacMillan, Christopher R. Carpenter, Richard T. Griffey

Research output: Contribution to journalArticle

Abstract

Objective: Age is generally an inverse predictor of health literacy. However, the role of cognitive dysfunction among older adults in this relationship is not understood. Methods: We conducted a cross-sectional survey of 446 adult patients in a large urban academic level one trauma center, assessing health literacy and cognitive dysfunction. Results: Removing older patients (60 years of age and older) who screened positive for cognitive dysfunction attenuated the relationship between age and health literacy (r= -0.16, p= 0.001 vs. r= -0.35, p< 0.0001). Older patients screening positive for cognitive dysfunction had significantly lower health literacy than older patients screening negative and patients less than 60 years; health literacy scores did not generally differ significantly between the latter groups. Conclusion: Much of the relationship between age and health literacy was driven by cognitive dysfunction among a subset of older adults. Practice implications: Our findings suggest that older patients with cognitive dysfunction have the greatest need for health literacy interventions.

Original languageEnglish (US)
Pages (from-to)218-225
Number of pages8
JournalPatient Education and Counseling
Volume95
Issue number2
DOIs
StatePublished - 2014

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Health Literacy
Trauma Centers
Cognitive Dysfunction
Cross-Sectional Studies

Keywords

  • Age
  • Cognitive dysfunction
  • Cognitive status
  • Health literacy
  • Patient intervention

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Effect of cognitive dysfunction on the relationship between age and health literacy. / Kaphingst, Kimberly A.; Goodman, Melody; MacMillan, William D.; Carpenter, Christopher R.; Griffey, Richard T.

In: Patient Education and Counseling, Vol. 95, No. 2, 2014, p. 218-225.

Research output: Contribution to journalArticle

Kaphingst, Kimberly A. ; Goodman, Melody ; MacMillan, William D. ; Carpenter, Christopher R. ; Griffey, Richard T. / Effect of cognitive dysfunction on the relationship between age and health literacy. In: Patient Education and Counseling. 2014 ; Vol. 95, No. 2. pp. 218-225.
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