Effect of high health literacy and the frequency of social activities on preventing disability

IF 2.4 3区医学 Q3 GERIATRICS & GERONTOLOGY Geriatric Nursing Pub Date : 2025-01-01 DOI:10.1016/j.gerinurse.2024.12.014

Ayuka Kawakami PhD, Kouki Tomida PhD, Takahiro Shimoda PhD, Chika Nakajima MSc, Hiroyuki Shimada PhD

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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.

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高健康素养和社会活动频率对预防残疾的影响。

目的：本纵向研究旨在确定高健康素养（HL）和参与更多社会活动（SA）对预防社区居住老年人残疾风险的影响。方法：参与者是3,486名社区居住的老年人，他们接受了功能健康检查。参与者根据高（低）HL和高（低）SA分为四组。采用Cox比例风险模型评估四组患者5年以上的残疾风险。结果：随访339例残障患者。在Cox比例风险分析中，只有高HL和高SA组与较低的致残风险比（HR）显著相关（HR = 0.71, 95%可信区间= 0.51-0.99）。结论：在社区居住的老年人中，与低HL和低SA相比，高HL和高SA有效地降低了残疾风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

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.