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Do Health Information Sources Influence Health Literacy among Older Adults: A Cross-Sectional Study in the Urban Areas of Western China

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  • Chengbo Li

    (School of Journalism and Communication, Chongqing University, Chongqing 400044, China)

  • Mengyao Liu

    (School of Journalism and Communication, Chongqing University, Chongqing 400044, China)

  • Jin Zhou

    (School of Journalism and Communication, Chongqing University, Chongqing 400044, China)

  • Mei Zhang

    (School of Journalism and Communication, Chongqing University, Chongqing 400044, China)

  • Huanchang Liu

    (School of Journalism and Communication, Chongqing University, Chongqing 400044, China)

  • Yuting Wu

    (School of Journalism and Communication, Chongqing University, Chongqing 400044, China)

  • Hui Li

    (School of Journalism and Communication, Chongqing University, Chongqing 400044, China)

  • George W. Leeson

    (Oxford Institute of Population Ageing, University of Oxford, Oxford OX2 6PR, UK)

  • Tingting Deng

    (School of Journalism and Communication, Chongqing University, Chongqing 400044, China)

Abstract

Background: Previous studies have found that the dissemination pattern and delivery mechanism of information can provide crucial resources and empowerment for individuals to the promotion of health literacy. The present study investigates how health information sources are associated with health literacy among older adults in west China, and tries to explain the mechanisms underlying the link between health information sources and health literacy in the Chinese context. Methods: The cross-sectional study employed a representative sample of 812 urban citizens aged 60 and older in 2017 in Western China. Results: We found that health information sources including healthcare practitioners (B = 4.577, p < 0.001), neighbors (B = 2.545, p < 0.05), newspapers (B = 4.280, p < 0.001), and television (B = 4.638, p < 0.001) were positively associated with health literacy. Additionally, age (B = −1.781, p < 0.001) was negatively associated with health literacy, and the socio-economic status factors including minority (B = −10.005, p < 0.001), financial strain status of perceived very difficult (B = −10.537, p < 0.001), primary school (B = 11.461, p < 0.001), junior high school (B = 18.016, p < 0.001), polytechnic school or senior high school (B = 21.905, p < 0.001), college and above (B = 23.433, p < 0.001) were significantly linked to health literacy, and suffering from chronic diseases (B = 3.430, p < 0.01) was also positively related to health literacy. Conclusions: Health information sources including healthcare practitioners, neighbors, newspapers, and television have a strong influence on health literacy, which implies that the four main types of sources are the important patterns of health information dissemination in the reinforcement of health literacy. In addition, the present findings also indicate age, minority and disease differences in health literacy and confirm the influence of enabling factors including educational attainment and financial strain on health literacy. Based on these findings and their implications, specific evidence is presented for the reinforcement of health literacy in interpersonal and mass communication, and in the educational and financial settings in the Chinese context. The present results also suggest that the age-specific, minority-specific and disease-specific measures should be taken to promote health literacy among older adults.

Suggested Citation

  • Chengbo Li & Mengyao Liu & Jin Zhou & Mei Zhang & Huanchang Liu & Yuting Wu & Hui Li & George W. Leeson & Tingting Deng, 2022. "Do Health Information Sources Influence Health Literacy among Older Adults: A Cross-Sectional Study in the Urban Areas of Western China," IJERPH, MDPI, vol. 19(20), pages 1-19, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13106-:d:939802
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    1. Roter, Debra L. & Erby, Lori H. & Larson, Susan & Ellington, Lee, 2007. "Assessing oral literacy demand in genetic counseling dialogue: Preliminary test of a conceptual framework," Social Science & Medicine, Elsevier, vol. 65(7), pages 1442-1457, October.
    2. Nida Buawangpong & Wachiranun Sirikul & Chanya Anukhro & Mathuramat Seesen & Aroon La-up & Penprapa Siviroj, 2022. "Health Information Sources Influencing Health Literacy in Different Social Contexts across Age Groups in Northern Thailand Citizens," IJERPH, MDPI, vol. 19(10), pages 1-19, May.
    3. Chengbo Li & Chun Long & Mei Zhang & Luyu Zhang & Mengyao Liu & Meiqi Song & Yunfei Cheng & Gong Chen, 2022. "The Influence of Alcohol Consumption on Tobacco Use among Urban Older Adults: Evidence from Western China in 2017," Sustainability, MDPI, vol. 14(13), pages 1-14, June.
    4. Elena Guggiari & Rebecca Jaks & Fabian Marc Pascal Berger & Dunja Nicca & Saskia Maria De Gani, 2021. "Health Literacy in the Canton of Zurich: First Results of a Representative Study," IJERPH, MDPI, vol. 18(23), pages 1-12, December.
    5. Ha T.T. Dinh & Nguyet T. Nguyen & Ann Bonner, 2020. "Health literacy profiles of adults with multiple chronic diseases: A cross‐sectional study using the Health Literacy Questionnaire," Nursing & Health Sciences, John Wiley & Sons, vol. 22(4), pages 1153-1160, December.
    6. Warner, K.E., 1987. "Television and health education: Stay tuned," American Journal of Public Health, American Public Health Association, vol. 77(2), pages 140-142.
    7. Chengbo Li & Yanqi Guo, 2021. "The Effect of Socio-Economic Status on Health Information Literacy among Urban Older Adults: Evidence from Western China," IJERPH, MDPI, vol. 18(7), pages 1-14, March.
    8. Robert Hornik, 2006. "Personal Influence and the Effects of the National Youth Anti-Drug Media Campaign," The ANNALS of the American Academy of Political and Social Science, , vol. 608(1), pages 282-300, November.
    9. Jyoti Choudrie & Sutee Pheeraphuttranghkoon & Soheil Davari, 2020. "The Digital Divide and Older Adult Population Adoption, Use and Diffusion of Mobile Phones: a Quantitative Study," Information Systems Frontiers, Springer, vol. 22(3), pages 673-695, June.
    10. Tetine Sentell & Joy Agner & Ruth Pitt & James Davis & Mary Guo & Elizabeth McFarlane, 2020. "Considering Health Literacy, Health Decision Making, and Health Communication in the Social Networks of Vulnerable New Mothers in Hawai‘i: A Pilot Feasibility Study," IJERPH, MDPI, vol. 17(7), pages 1-17, March.
    11. Yong-Bing Liu & Liu Liu & Yan-Fei Li & Yan-Li Chen, 2015. "Relationship between Health Literacy, Health-Related Behaviors and Health Status: A Survey of Elderly Chinese," IJERPH, MDPI, vol. 12(8), pages 1-12, August.
    12. Hessam Bavafa & Junhao Liu & Anita Mukherjee, 2019. "Building Financial and Health Literacy at Older Ages: The Role of Online Information," Journal of Consumer Affairs, Wiley Blackwell, vol. 53(3), pages 877-916, September.
    13. Lee, Shoou-Yih D. & Arozullah, Ahsan M. & Cho, Young Ik, 2004. "Health literacy, social support, and health: a research agenda," Social Science & Medicine, Elsevier, vol. 58(7), pages 1309-1321, April.
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