PMID- 38050461
OWN - NLM
STAT- MEDLINE
DCOM- 20240327
LR  - 20240327
IS  - 1447-0594 (Electronic)
IS  - 1447-0594 (Linking)
VI  - 24 Suppl 1
DP  - 2024 Mar
TI  - Health literacy, worry about unmet needs for medical care, and psychological 
      well-being among older Chinese adults.
PG  - 202-207
LID - 10.1111/ggi.14754 [doi]
AB  - AIM: This study aims to examine the relationship between older adults' health 
      literacy and their psychological well-being and the role of worry about future 
      unmet needs for medical care in mediating this relationship. METHODS: We adopted 
      a sample of 965 older Chinese people aged 60+ (49.74% female) from the 2021 
      Chinese General Social Survey. A series of structural equation models (SEMs) were 
      performed. Health literacy was measured by three items regarding older people's 
      ability to understand medical professionals, ask them questions, and read medical 
      instructions. A single-item question was adopted to measure participants' worry 
      about unmet needs for future medical care. Psychological well-being was measured 
      by three items regarding emotional problems and depressed or anxious mood in the 
      past 4 weeks. RESULTS: Worry about future unmet needs for medical care mediates 
      the relationship between lack of health literacy and Chinese older people's 
      psychological well-being. The indirect effect accounts for 22.3% of the total 
      effect. The SEM model has a satisfactory model fit (goodness of fit 
      index = 1.000, comparative fit index = 0.999, Tucker-Lewis index = 0.997, root 
      mean square error of approximation = 0.009, standardized root mean square 
      residual = 0.023, chi-square test = 50.96,  P = 0.321). CONCLUSIONS: The findings 
      of this study underscore the importance of improving communication quality 
      between healthcare providers and older adults. Clinical interventions that 
      promote health literacy and address worries about unmet needs for medical 
      services may benefit older adults. Geriatr Gerontol Int 2024; 24: 202-207.
CI  - (c) 2023 The Authors. Geriatrics & Gerontology International published by John 
      Wiley & Sons Australia, Ltd on behalf of Japan Geriatrics Society.
FAU - Li, Jia
AU  - Li J
AD  - Department of Social Work, Faculty of Social Science, The Chinese University of 
      Hong Kong, Hong Kong, HKSAR, China.
FAU - Wang, Qi
AU  - Wang Q
AUID- ORCID: 0000-0001-8688-6647
AD  - School of Graduate Studies and Institute of Policy Studies, Lingnan University, 
      Hong Kong, HKSAR, China.
FAU - Zhou, Xiaochen
AU  - Zhou X
AD  - Department of Social Work and Social Administration, The University of Hong Kong, 
      Hong Kong, HKSAR, China.
LA  - eng
PT  - Journal Article
DEP - 20231205
PL  - Japan
TA  - Geriatr Gerontol Int
JT  - Geriatrics & gerontology international
JID - 101135738
RN  - Chinese people
SB  - IM
MH  - Humans
MH  - Female
MH  - Middle Aged
MH  - Aged
MH  - Male
MH  - *Health Literacy
MH  - Psychological Well-Being
MH  - Health Promotion
MH  - China
MH  - Surveys and Questionnaires
MH  - *East Asian People
OTO - NOTNLM
OT  - health literacy
OT  - health services
OT  - older adults
OT  - psychological well-being
OT  - worry
EDAT- 2023/12/05 12:42
MHDA- 2024/03/27 06:44
CRDT- 2023/12/05 03:45
PHST- 2023/10/24 00:00 [revised]
PHST- 2023/09/03 00:00 [received]
PHST- 2023/11/08 00:00 [accepted]
PHST- 2024/03/27 06:44 [medline]
PHST- 2023/12/05 12:42 [pubmed]
PHST- 2023/12/05 03:45 [entrez]
AID - 10.1111/ggi.14754 [doi]
PST - ppublish
SO  - Geriatr Gerontol Int. 2024 Mar;24 Suppl 1:202-207. doi: 10.1111/ggi.14754. Epub 
      2023 Dec 5.