Health Literacy and Frailty in Community-Dwelling Older Adults: Evidence from a Nationwide Cohort Study in South Korea

dc.contributor.authorShin, Hye-Ri
dc.contributor.authorChoi, Eun-Young
dc.contributor.authorKim, Su-Kyung
dc.contributor.authorLee, Hee-Yun
dc.contributor.authorKim, Young-Sun
dc.contributor.otherKyung Hee University
dc.contributor.otherUniversity of Southern California
dc.contributor.otherUniversity of Alabama Tuscaloosa
dc.date.accessioned2021-08-09T16:50:16Z
dc.date.available2021-08-09T16:50:16Z
dc.date.issued2021
dc.description.abstractHealth literacy is closely associated with poor health outcomes and mortality. However, only a handful of studies have examined the association between health literacy and frailty status. The current study used data from a nationwide sample of Korean adults aged 70-84 collected from 10 cities, each of which represents a different region of South Korea (n = 1521). We used the propensity score matching (PSM) method to minimize the potential selection bias and confounding factors that are present in observational studies. After PSM, demographic and health-related characteristics between the limited health literacy (n = 486) and the nonlimited health literacy (n = 486) groups were not significantly different. Multinomial logistic regression analyses were conducted for the PSM-matched sample to examine the association between health literacy and frailty outcomes, where the robust group was set as a reference. Limited health literacy significantly increased the risk of pre-frailty (RRR = 1.45, p = 0.02) and frailty (RRR = 2.03, p = 0.01) after adjusting for demographic and health-related factors. Our findings underscore the need to foster health literacy programs and provide preliminary evidence to inform tailored intervention programs so that we might attenuate the risk of frailty in the older population.en_US
dc.format.mimetypeapplication/pdf
dc.identifier.citationShin, H., Choi, E., Kim, S., Lee, H., Kim, Y. (2021): Health Literacy and Frailty in Community-Dwelling Older Adults: Evidence from a Nationwide Cohort Study in South Korea. International Journal of Environmental Research and Public Health. 18(15).
dc.identifier.doi10.3390/ijerph18157918
dc.identifier.orcidhttps://orcid.org/0000-0002-7587-6272
dc.identifier.urihttp://ir.ua.edu/handle/123456789/8045
dc.languageEnglish
dc.language.isoen_US
dc.publisherMDPI
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjecthealth literacy
dc.subjectfrailty
dc.subjectcommunity-dwelling older adults
dc.subjectpropensity score matching
dc.subjectDISABILITY
dc.subjectCOMORBIDITY
dc.subjectASSOCIATION
dc.subjectMORTALITY
dc.subjectCOSTS
dc.subjectFALLS
dc.subjectEnvironmental Sciences
dc.subjectPublic, Environmental & Occupational Health
dc.subjectEnvironmental Sciences & Ecology
dc.titleHealth Literacy and Frailty in Community-Dwelling Older Adults: Evidence from a Nationwide Cohort Study in South Koreaen_US
dc.typetext
dc.typeArticle
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