{"title":"Effect of high health literacy and the frequency of social activities on preventing disability.","authors":"Ayuka Kawakami, Kouki Tomida, Takahiro Shimoda, Chika Nakajima, Hiroyuki Shimada","doi":"10.1016/j.gerinurse.2024.12.014","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This longitudinal study aimed to identify the impact of high health literacy (HL) and participation in more social activities (SA) on preventing the risk of disability among community-dwelling older adults.</p><p><strong>Methods: </strong>Participants were 3,486 community-dwelling older adults who underwent functional health examinations. Participants were classified into four groups based on High (Low) HL and High (Low) SA. A Cox proportional hazards model was used to assess the risk of disability over five years among the four groups.</p><p><strong>Results: </strong>During follow-up, 339 patients with disabilities were observed. In the Cox proportional hazards analysis, only High HL and High SA groups were significantly associated with a lower hazard ratio (HR) for disability onset (HR = 0.71, 95% confidence interval = 0.51-0.99).</p><p><strong>Conclusions: </strong>In community-dwelling older adults, high HL and increased SA effectively reduced the risk of disability compared to low HL and low SA.</p>","PeriodicalId":56258,"journal":{"name":"Geriatric Nursing","volume":"61 ","pages":"526-531"},"PeriodicalIF":2.5000,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Geriatric Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.gerinurse.2024.12.014","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: This longitudinal study aimed to identify the impact of high health literacy (HL) and participation in more social activities (SA) on preventing the risk of disability among community-dwelling older adults.
Methods: Participants were 3,486 community-dwelling older adults who underwent functional health examinations. Participants were classified into four groups based on High (Low) HL and High (Low) SA. A Cox proportional hazards model was used to assess the risk of disability over five years among the four groups.
Results: During follow-up, 339 patients with disabilities were observed. In the Cox proportional hazards analysis, only High HL and High SA groups were significantly associated with a lower hazard ratio (HR) for disability onset (HR = 0.71, 95% confidence interval = 0.51-0.99).
Conclusions: In community-dwelling older adults, high HL and increased SA effectively reduced the risk of disability compared to low HL and low SA.
期刊介绍:
Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.