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KMID : 1138720200460010087
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Korean Public Health Research
2020 Volume.46 No. 1 p.87 ~ p.96
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Social Disparity in Health Literacy among Older Adul
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Chun Hee-Ran
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Abstract
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Objective: This study aims to assess the associated factors in health literacy, focusing on the socioeconomic inequalities among older adults.
Methods: Data were drawn from a cross-sectional design, which includes 725 non-institutionalized older Koreans aged 60-79 residing in Seoul, from a multistage probability sample. The health literacy measure of 8 questions was modified and validated from Chew’s 16 Questionnaire. The lower health literacy group was divided by the median score of health literacy 32(range 11-40). Education was classified by three groups; elementary school or lower, middle school, high school or over. Other independent variables included age, gender, marital status, social support, working status, subjective economic status, and pocket money. Logistic regression models were used to examine the relative inequality in low health literacy.
Results: The mean age of the sample was 68.5(±5.6) of which 55% were women. Bivariate analysis demonstrated significant associations between all considered socioeconomic positions and health literacy. Educational disparity in health literacy was prominent, with the odds of getting lower health literacy increasing by the lower level of education (aOR 2.15 95%CI 1.45-3.19, and aOR 3.85 95%CI 2.38-6.23; RII 10.37 95%CI 5.57-19.32). Multivariate results showed that older age, women, and lower education were associated with lower health literacy.
Conclusion: The finding calls for more attention to educational disparity in health literacy among older adults in Seoul.
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KEYWORD
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Health literacy, Education, Socioeconomic Inequality, Older adults
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