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1.
Takashi Yamashita Jennifer R. Keene Sheniz A. Moonie Jay J. Shen Jennifer R. Pharr Ji Won Yoo 《Educational gerontology》2013,39(10):627-638
ABSTRACTHealth literacy skills are known to be a key mediator of the relationship between education and health in the general population. However, one aspect of health literacy skills—individuals’ actual literacy activities—remains understudied, especially among older adults. Health disparities that are driven by inequalities in education and level of health literacy skills are particularly problematic for older adults since they are exacerbated in old age by disadvantages that accumulate over the life course. This study examined a nationally representative sample of US adults age 50 years and older (n = 2,573) using data from the 2014 Program for International Assessment of Adult Competencies (PIAAC). Parallel mediation analysis was conducted to examine the partial mediation effects of health literacy skills and literacy activity (i.e., reading at home) on the relationship between education and health. Results showed that both health literacy skills and literacy activity mediated the education–health relationship. On average, literacy skills mediated 31.89% and literacy activities mediated 9.59% of the effect of education of self-rated health. Literacy activity, such as reading, is an easily accessible, autonomous, and sustainable option for promoting health in later life. Policies that support the intersection of public health and education may promote lifelong learning and well-being among US adults. 相似文献
2.
健康是人首要和珍贵的财富,实现健康及其可持续发展的重要途径是提高健康素养。健康素养是保障人全面发展的必备素养,是反映经济社会发展水平的综合性指标,是体现教育质量和教育公平的重要素养。健康素养具有综合性、层次性、互动性、终身性和目的性等特点。基于健康素养的不同界定,国际上开发了大量的以成年人为对象的健康素养评价工具。国际上的健康素养研究为我国学生健康生活素养研究的开展提供了借鉴:应准确理解和把握学生健康生活素养的内涵,开发完善我国学生健康生活素养的评价体系,高度重视沟通性和批判性健康素养的培养。 相似文献
3.
Health literacy has firmly established the links between literacy skills and health outcomes and is subsequently considered a key strategy for improving the health of disadvantaged populations and addressing social inequality. However, current research findings for improving health literacy have primarily focused on adults and actions within health and health care settings. Implementation studies outside the health sector are scarce. This study, a subset of the INCLUD-ED community- based project on social inclusion, reports on successful community-based approaches to health literacy. This article focuses on two schools that take advantage of the cultural intelligence of their students' family members, allowing them to make health literacy programmes more effective and useful for the participants. In addition, family involvement in educational activities addressed to children, including health programmes, has been found to improve the health literacy of the participating adults and their use of healthcare services. Findings indicate that schools in Europe can play a key role in breaking the cycle of health inequalities by promoting health literacy through education. 相似文献
4.
Lili Shang 《Educational gerontology》2020,46(6):350-363
ABSTRACTAbundant health knowledge resources are available on social media to facilitate technology-enhanced knowledge learning among older adults. The objective of this study is to investigate the predictors and the underlying formation mechanism of older adults’ intention to learn health knowledge on social media. We propose a novel model to examine how older adults’ emotional state (i.e., health anxiety) and cognitive state (i.e., e-health literacy) during knowledge acquisition influence threat appraisal (i.e. perceived severity and perceived susceptibility) and coping appraisal (i.e. self-efficacy and perceived benefits), thereby shaping older adults’ intention to learn health knowledge. Survey data from 337 Chinese older adult users of social media was collected to test the research model. Results reveal that perceived susceptibility, self-efficacy and perceived benefits exert positive effects on older adults’ health knowledge learning intention, while the impact of perceived severity on health knowledge learning intention is not statistically significant; health anxiety is positively correlated with perceived severity and perceived susceptibility, and e-health literacy is a powerful predictor of self-efficacy and perceived benefits. This paper enriches the literature related to technology-enhanced knowledge learning and online health behavior among older adults. Effective strategies are proposed based on the findings for practitioners dedicated to promoting health knowledge via social media and older adults who apply health knowledge to address health-related needs. 相似文献
5.
The objective of this study was to examine the extent to which the association between different types of social activities and multiple dimensions of health outcomes varies by age groups among Korean elderly. This study employed regression models with data from the Korean Longitudinal Study of Ageing. Social activities were associated with various dimensions of health status of adult women after adjusting for background variables. The association between social activities and health status does not show a great difference between adults of ages 45–64 and of those aged over 65 years. Compared to informal family relationships, involvement in social activities was positively associated with various health outcomes. While previous studies emphasized the importance of informal family relationships among the elderly, which increase with age, this study showed that social activities have a significant influence on the health of elderly females. This influence is equally significant for adults older than 65 years of age as well as 45- to 64-year-old adults. This finding suggests that social policy to get older females more involved in a wide array of social activities helps keep them in good health status. 相似文献
6.
大学生心理健康受到党和国家的高度重视,各高校在开展大学生心理健康教育方面进行了有益的探索。为进一步了解大学生的心理健康素养现状,基于文献研究、深度访谈、专家咨询编制《大学生心理健康素养自评量表》,并对福建省7所高校的5377名学生进行调查。调查发现:大学生的总体心理健康素养处于较低水平,不同家庭环境及不同社会角色的大学生心理健康素养存在显著差异。高校应把全体大学生的心理健康素养提升作为心理健康教育的根本出发点,加强心理健康知识的普及教育,建立有效的心理育人新机制,进一步推动高校心理健康教育工作。 相似文献
7.
Health is related to individual educational attainment and literacy status; yet education and literacy do not guarantee health knowledge. Prior research studies health knowledge, formal schooling, and literacy as one entity, neglecting crucial differences. Using Demographic and Health Surveys from 27 sub-Saharan African countries, we examine these three pathways to gaining information, acknowledging each is distinct in target population, content, and delivery method, and uniquely contributes to health outcomes for women and children. Overall, all three pathways increase health outcomes, though health-specific knowledge could address the cultural and financial barriers that often come between women and formal schooling. 相似文献
8.
ABSTRACT This study examined ways in which Information and Communication Technology (ICT) plays a role in contexts between two countries: the US and South Korea, comparing individual situations and structural factors that support the use of ICT among older adults. Surveys were administered to 113 US and 104 Korean community-dwelling respondents, inquiring about their ICT use, eHealth Literacy, and Social Capital. Significant differences between the two countries were found in respondents’ educational levels, marital status, and types of social activities. A vast majority of Korean elders (77.9%) reported being current users of the Internet, compared to 63.7% of their US peers. A greater level of eHealth literacy was found among Koreans. In both groups, factors affecting eHealth literacy included educational levels and confidence in using ICT. In both countries, ICT can provide a diverse array of online resources for low-income elders to manage their health problems and maintain social connections. Hence, further services are needed to help older adults become more involved in technology in order to maximize the utilization of ICT. 相似文献
9.
独生子女大学生心理健康与社会支持相关研究 总被引：11，自引：0，他引：11
采用“中国人心理健康量表”对269名独生子女大学生进行调查,通过分析认为:独生子女大学生的总体心理健康状况良好,总体社会支持水平、主观支持和客观支持分别与心理健康及其各因子之间存在极其显著的负相关;提高社会支持,改善独生子女大学生心理健康状况不可忽视。 相似文献
10.
Health literacy has emerged as an important factor related to health in older persons. The reason for the link between health literacy and health outcomes is not clear. Possible explanations include common relations among income, education, access to health care, health-promotion behaviors, frequency of reading, and perceptual impairments. In this study we investigate the relation of health literacy to self-reported health status and explore the impact of these explanatory variables on this relation in persons aged 40 years and older who participated in the 2003 U.S. National Assessment of Adult Literacy (NAAL). Using regression models, we evaluated the impact of potential explanatory variables on the relation of health literacy to self-reported health status. Regression models confirmed previously-observed relations of health literacy, age, income, and education to health. The inclusion of income and education significantly decreased the relation of health literacy to health. While other variables, such as health maintenance and preventive health behaviors, were significantly related to health, they did not change the relation of health literacy to health. Even after taking multiple explanatory variables into account, the relation between health literacy and health status remained significant, suggesting that they alone do not completely account for the observed relation. Some other factor or combination of factors may account for the relation of health literacy to health. 相似文献
11.
12.
《International Journal of Educational Research》2003,39(3):253-263
As a supplement to the International Adult Literacy Survey, the Netherlands devoted special attention to the literacy proficiency of older adults. A close look at the literacy skills of older adults and their use in daily life is relevant because demographic developments, individualisation, the position of older employees in the labour market and technological innovations require an increasing level of literacy skills. Accordingly, this chapter compares the literacy skills of older adults with other age groups, and presents an analysis of the determinants of literacy proficiency of older adults. In addition, results from follow-up interviews conducted with 40 older adults who had low proficiency scores in the Netherlands are presented. This includes (a) the kind of problems they experience in daily life, (b) the kind of coping strategies they develop, and (c) their attitude towards educational interventions. The results show that the literacy proficiency of older adults gives reasons for concern. They score significantly lower than other age groups. However, many older adults develop practical coping strategies, such as using social networks, assertiveness in asking for help, etc. Yet, some of the coping strategies are vulnerable because of societal changes such as rationalisation in industry and public services. 相似文献
13.
大学生心理健康素质现状分析 总被引：22，自引：0，他引：22
复旦大学心理健康教育中心于2004年对本校大学生的心理状况进行了调查。结果显示：(1)我校学生心理健康状况总体良好,但仍有近20％的学生感到苦恼;(2)学生心理困扰主要集中于个人发展因素和现实生活因素两大方面;(3)学生对心理咨询的接受度仍有待提高;(4)学生应对生活中挑战与挫折时以积极应对方式为主;(5)多数学生能从周围的朋友、亲人或老师那里获得足够的心理支持;(6)学生人格因素与他们的心理健康有密切关系;(7)从心理支持、应对方式、人格因素三大方面可以很好地预测学生的心理健康状况。建议：(1)加强心理健康知识和心理保健的宣传与教育;(2)积极开设心理健康教育课程;(3)加强对学生辅导员的心理学知识培训;(4)加强对学生人格的教育;(5)营造良好校园人际心理氛围;(6)在校园文化建设中纳入心理教育主题;(7)将“心理咨询中心”更名为“心理健康教育中心”。 相似文献
14.
Rose E. Constantino Andrew Thomas Reyes Claudia M. Kregg-Byers Betty Braxter Paul Wesley Scott Jordan Cobb 《Educational gerontology》2020,46(7):367-381
ABSTRACT The purpose of this study was to assess the HEARTS (Health, Experience of Abuse, Resilience, Technology use, and Safety) of older adults (OAs). More particularly, we aimed to assess three components of the HEARTS (health, experience of abuse, and resilience) of OAs and explore the relationships among health, resilience, the experience of abuse, and other demographic variables. Forty-two male and female OAs in Pittsburgh, Pennsylvania, USA participated in the study. A correlational design was used in this study. The variables correlated were health, the experience of abuse, and the resilience of OAs. We used a community-engaged research approach in that participants were more than research volunteers but stakeholders in the research project. Findings showed that the means for more positive health features (physical function, and social roles) increased with increases in education, while more negative health features (anxiety, depression, fatigue, sleep disturbance, pain interference, and pain intensity) decreased with higher levels of education. Regression models indicated that above and beyond demographic features, resilience had a significant prediction of anxiety and depression. None of the other health outcomes were significantly predicted by either resilience or older adults’ abuse suspicion. Adding health to years in older adults is a collaborative effort with healthcare providers, healthcare systems, families, and communities. This study has identified three components of HEARTS (Health, Experience of Abuse, and Resilience) that blend with successful aging and provide data and possible prevention and intervention strategies, and family and community education programs that could add health to years in older adults. 相似文献
15.
Prasert Assantachai Chaweewan Bunnag Manee Piya-anant Visanu Thamlikitkul 《Educational gerontology》2013,39(4):283-296
ABSTRACT Effective strategies that bring health promotion messages to older adults in a developing country are needed. To evaluate the impact of various education media upon changes in knowledge and health behavior, a double-blind, randomized controlled trial was conducted involving 1,268 older adults in a southwest Bangkok suburb. Group teaching supplemented by a video program was provided in the communities. A simplified booklet and an audiotape containing the same health education information as in the videotape were given to the older adults for self-study. Health knowledge was assessed before the health education program. Identical assessment was performed again 3 months after the intervention. The quadriceps exercise and Cawthorne-Cooksey head-and-neck-balance exercise—representing changes in health promotion behavior—were also evaluated. Those who attended the group-teaching program had higher test scores than the control group. Only those who both read the booklet and listened to the audiotape in the intervention group gained more knowledge than the control group. The combination of group teaching supplemented by the video program and self-study using the booklet and audiotape was effective in improving health knowledge and behavior. 相似文献
16.
Sarah Poff Roman 《Educational gerontology》2013,39(2):79-93
Literacy has become an important predictor of well being in old age. Being literate in today's society demands a myriad of functional abilities, which, when absent, can have dramatic health, economic, and social consequences. The purpose of this study was to develop a framework for defining literacy within an increasingly technological society, and to explore the experience of illiteracy among older adults. To examine these issues, qualitative data were gathered from an adult literacy program in Hamilton, Ohio. Data collected through these interactions suggest that the devastating effects of illiteracy are exacerbated throughout the lifecourse, resulting in significant disadvantage for older adults. 相似文献
17.
ABSTRACTDepression is a major problem among African American older women; however, they also tend to be understudied as members of a multiple minority and oppressed group. As matriarchs and grandmothers in their families and communities, depression often emerges and becomes a detrimental problem for these older African American women. This study, a secondary data analysis, utilized the Health and Retirement Study (HRS) 2010 database to examine depression among older African American women. This article discusses the joint impact of age, social support, religion, caregiving, and physical health on depression among older community dwelling African American women. Findings indicate that age, physical health, and marital status as an aspect of social support were significant predictors of whether or not an older African American woman had ever had depression and whether or not she felt depressed in the past year. Receiving help from relatives as an aspect of social support also remained significant for participants who were feeling depressed in the past year. Implications for research, theory, and policy are offered. 相似文献
18.
Francisco Soto Mas Holly E. Jacobson Arturo Olivárez 《Journal of Latinos & Education》2017,16(4):314-322
Discussion on the advantages of integrating health literacy into adult education has primarily been theoretical and conceptual. There is a need for studies that assess the impact of adult education on health literacy. This study implemented a quasi-experimental design to explore whether basic adult instruction may constitute a venue for improving health literacy among Spanish-speaking immigrants. Participants included adults in a High School Equivalency program in a US-Mexico border community who received either a standard GED curriculum or a GED curriculum enhanced with health literacy content. The Short Spanish TOFHLA was used to measure health literacy. While S-TOFHLA scores and health literacy levels improved in all participants, no statistically significant differences were observed across groups. Results are consistent with recommendations supporting adult education as a strategy for improving health literacy. 相似文献
19.
M. Kay Cresci 《Educational gerontology》2013,39(3-4):281-295
One type of social support is social activity. Most older adults engage in some form of social activity with network members, either in person or by telephone, especially during an episode of an acute illness. Informational support (one type of functional social support) provides an individual with the necessary knowledge and skills to resolve various problems and stressful situations. This support is provided by members and for members within a social network. The purpose of this study was to examine the influence of social activity, a component of informational support, on postinjury functional status following a hip fracture in women 65 years of age and older. A cross-sectional exploratory study was conducted to examine the relationship between informational support and postinjury functional status in older women recovering from hip fracture. A correlational design was used to examine the relationships among an older woman's individual characteristics, social activity-informational support, and postinjury functional status. The sample was obtained from two community hospitals containing subacute units and a geriatric center with a short stay rehabilitation unit. Over half of the respondents were interviewed in their homes (55%); the remaining were interviewed either at a hospital subacute unit (33%), geriatric rehabilitation center (11%), or while living with a family member (1%). Instruments used in this study included: (a) Pfeiffer's Short Portable Mental Status Questionnaire, (b) the instrumental activities of daily living and a modified version of physical activities of daily living subscales from the OARS Multidimensional Functional Assessment Questionnaire, (c) the modified Informational Support subscale in the Inventory of Socially Supportive Behaviors version, and (d) individual characteristics (age, marital status, education, income, living arrangement, preinjury functional status, time since injury, number of postoperative complications, length of hospital stay, and discharge destination). A convenience sample of 73 respondents were interviewed. Results indicated that: (a) time since injury predicted informational support, and (b) preinjury functional status (FS), time since injury, and informational support predicted postinjury FS. This is the first study to examine the influence of informational support on postinjury functional status in older women recovering from a hip fracture. The results support an important relationship between informational support and postinjury functional status. Future studies are needed to explore how informational support from health care providers, family, friends, and community can improve the recovery process and to assist the interdisciplinary team in designing therapeutic interventions that promote informational support in hip fracture patients. 相似文献
20.
Elizabeth M. Tait James N. Laditka Sarah B. Laditka Mary A. Nies Elizabeth F. Racine M. Maka Tsulukidze 《Educational gerontology》2013,39(9):684-700
We studied four reasons why older adults use complementary and alternative medicine (CAM). Data were from the 2007 U.S. National Health Interview Survey and its Complementary and Alternative Medicine supplement (n = 10,096, ages 50+, representing 89.5 million adults). Logistic analyses adjusted for the sampling design and were weighted for national representation. A sample representing 25 million older adults said they used CAM because a health care provider recommended it. Other reasons were recommendations by family, friends, or coworkers (20.2 million), ineffective conventional medicine (5.2 million), and costs of conventional medicine (4.0 million). In adjusted results, women were more likely than men to use CAM for all four reasons. African Americans and Hispanics were less likely than Whites to use CAM for most of these reasons. The uninsured were much more likely to use CAM because conventional medicine was too expensive. Those with higher incomes were less likely to do so. Older adults with chronic conditions, especially musculoskeletal conditions or depression, were more likely to use CAM for most of these reasons. Health providers may be particularly likely to recommend CAM for chronic conditions. These recommendations may be reinforced by limited efficacy of conventional medicine for these conditions and its cost. CAM and conventional medicines can interact, causing risks to health. It is, therefore, useful to help health care providers identify patients most likely to use CAM and their reasons for doing so. These are the patients most likely to benefit from conversations about CAM interactions with conventional medicine. 相似文献