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Health literacy among older adults in Portugal and associated sociodemographic, health and healthcare-related factors

dc.contributor.authorCosta, Andreia
dc.contributor.authorFeteira-Santos, Rodrigo
dc.contributor.authorAlarcão, Violeta
dc.contributor.authorHenriques, Adriana
dc.contributor.authorMadeira, Teresa
dc.contributor.authorVirgolino, Ana
dc.contributor.authorArriaga, Miguel
dc.contributor.authorNogueira, Paulo Jorge
dc.date.accessioned2023-03-09T17:01:54Z
dc.date.available2023-03-09T17:01:54Z
dc.date.issued2023
dc.description© 2023 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 (https://creativecommons.org/licenses/by/4.0/).pt_PT
dc.description.abstractAlthough the health literacy level of the general population was described recently, little is known about its specific levels among older adults in Portugal. Therefore, this cross-sectional study aimed to investigate the levels of health literacy demonstrated by older adults in Portugal and explore associated factors. Using a randomly generated list of telephone numbers, adults aged 65 years or more living in mainland Portugal were contacted in September and October 2022. Sociodemographic, health and healthcare-related variables were collected, and the 12-item version of the European Health Literacy Survey Project 2019–2021 was used to measure health literacy. Then, binary logistic regression models were used to investigate factors associated with limited general health literacy. In total, 613 participants were surveyed. The mean level of general health literacy was (59.15 ± 13.05; n = 563), whereas health promotion (65.82 ± 13.19; n = 568) and appraising health information (65.16 ± 13.26; n = 517) were the highest scores in the health literacy domain and the dimension of health information processing, respectively. Overall, 80.6% of respondents revealed limited general health literacy, which was positively associated with living in a difficult household financial situation (4.17; 95% Confidence Interval (CI): 1.64–10.57), perceiving one’s own health status as poorer (7.12; 95% CI: 2.02–25.09), and having a fair opinion about a recent interaction with primary healthcare services (2.75; 95% CI: 1.46–5.19). The proportion of older adults with limited general health literacy in Portugal is significant. This result should be considered to inform health planning according to the health literacy gap of older adults in Portugal.pt_PT
dc.description.sponsorshipThis study is part of the research programme of the General Foundation of University of Salamanca through the International Centre on Aging (CENIE) within the framework of the Programme for a Longevity Society (0551_PSL_6_E), a project co-financed by the European Regional Development Fund (ERDF) through the Interreg VA Spain-Portugal Programme (POCTEP) 2014–2020.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationInt. J. Environ. Res. Public Health 2023, 20, 4172pt_PT
dc.identifier.doi10.3390/ijerph20054172pt_PT
dc.identifier.eissn1660-4601
dc.identifier.issn1661-7827
dc.identifier.urihttp://hdl.handle.net/10451/56621
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relation.publisherversionhttps://www.mdpi.com/journal/ijerphpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectHealth literacypt_PT
dc.subjectAgingpt_PT
dc.subjectHealthcarept_PT
dc.subjectHealth promotionpt_PT
dc.titleHealth literacy among older adults in Portugal and associated sociodemographic, health and healthcare-related factorspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue5pt_PT
oaire.citation.titleInternational Journal of Environmental Research and Public Healthpt_PT
oaire.citation.volume20pt_PT
person.familyNameJorge Silva da Costa
person.familyNameFeteira-Santos
person.familyNameAlarcão
person.familyNamePereira Henriques
person.familyNamePinto Santos Nunes Madeira Sarmento
person.familyNameVirgolino
person.familyNameArriaga
person.familyNameNogueira
person.givenNameAndreia
person.givenNameRodrigo
person.givenNameVioleta
person.givenNameMaria Adriana
person.givenNameAna Teresa
person.givenNameAna
person.givenNameMiguel
person.givenNamePaulo Jorge
person.identifier1058633
person.identifier1013768
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person.identifier.ciencia-id1A10-C261-AC8E
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person.identifier.ciencia-id2410-2DCC-F213
person.identifier.orcid0000-0002-2727-4402
person.identifier.orcid0000-0002-5780-2288
person.identifier.orcid0000-0002-4807-5904
person.identifier.orcid0000-0003-0288-6653
person.identifier.orcid0000-0002-1775-7195
person.identifier.orcid0000-0003-0428-6643
person.identifier.orcid0000-0002-9183-9121
person.identifier.orcid0000-0001-8316-5035
person.identifier.ridL-3256-2015
person.identifier.ridAAR-5605-2020
person.identifier.scopus-author-id57221614154
person.identifier.scopus-author-id57215793508
person.identifier.scopus-author-id24342657400
person.identifier.scopus-author-id56538593800
person.identifier.scopus-author-id7005428250
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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