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Title: Exploring the influencing factors of health literacy among older adults : a cross-sectional survey
Authors: Chiu, HT
Tsai, HW
Kuo, KN
Leung, AYM 
Chang, YM
Lee, PH
Hou, WH
Issue Date: Jul-2020
Source: Medicina, July 2020, v. 56, no. 7, 330, p. 1-12
Abstract: Background and objectives: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.
Materials and Methods: 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.
Results: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
Conclusions: 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.
Keywords: Health literacy
Older adults
Dominant spoken dialect
Influencing factors of health literacy
Publisher: MDPI
Journal: Medicina 
ISSN: 1010-660X
EISSN: 1648-9144
DOI: 10.3390/medicina56070330
Rights: © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (
The following publication Chiu, H.-T.; Tsai, H.-W.; Kuo, K.N.; Leung, A.Y.; Chang, Y.-M.; Lee, P.-H.; Hou, W.-H. Exploring the Influencing Factors of Health Literacy among Older Adults: A Cross-Sectional Survey. Medicina 2020, 56, 330 is available at
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