Stronger cognitive decline is associated with greater likelihood of low health literacy, but only memory decline remains significant after adjusting for educational level¶

Claim · All claims
Evidence · 1 study (2 entries) · associational r3 · q3 · i1 small
Currency · newest study 2018 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q3 i1 Before adjustment, stronger cognitive decline was associated with a greater likelihood of having low health literacy (all ORs > 1.37, p-values < .05). → Geboers B 2018 q3 i1 After adjustment for educational level, only the association between memory decline and low health literacy remained statistically significant (OR = 1.40, p = .023, 95% CI: 1.05 to 1.88). → Geboers B 2018 (2)

Evidence¶

Geboers B 2018¶

Geboers B, Uiters E, Reijneveld SA, Jansen CJM, Almansa J, Nooyens ACJ, Verschuren WMM, de Winter AF, Picavet HSJ. (2018). Health literacy among older adults is associated with their 10-years' cognitive functioning and decline - the Doetinchem Cohort Study. BMC Geriatrics. https://doi.org/10.1186/s12877-018-0766-7

q3 · i1 · associational · r3

Logistic regression analyses among 988 participants of the Doetinchem Cohort Study, with cognitive decline calculated as the difference between current and past cognitive functioning. "Before adjustment, stronger cognitive decline was associated with a greater likelihood of having low health literacy (all ORs > 1.37, p-values<.05)." The printed odds ratios above 1.37 indicate a small-to-moderate association per SD of stronger decline.

"Before adjustment, stronger cognitive decline was associated with a greater likelihood of having low health literacy (all ORs > 1.37, p-values<.05)."

Geboers B 2018 (2)¶

Geboers B, Uiters E, Reijneveld SA, Jansen CJM, Almansa J, Nooyens ACJ, Verschuren WMM, de Winter AF, Picavet HSJ. (2018). Health literacy among older adults is associated with their 10-years' cognitive functioning and decline - the Doetinchem Cohort Study. BMC Geriatrics. https://doi.org/10.1186/s12877-018-0766-7

q3 · i1 · associational · r3

Logistic regression analyses among 988 participants of the Doetinchem Cohort Study, additionally adjusted for educational level. "These associations lost significance after adjustment for educational level, except for the association of memory decline (OR = 1.40, p = .023, 95% CI: 1.05 to 1.88)." The printed OR = 1.40 indicates a small association for memory decline.

"These associations lost significance after adjustment for educational level, except for the association of memory decline (OR = 1.40, p = .023, 95% CI: 1.05 to 1.88)."

Discussion¶

Related Claims¶

• Poorer current cognitive functioning in all domains is associated with low health literacy in older adults — related
• The association between health literacy and health task performance is substantially reduced after adjusting for cognitive abilities — related
• Participants with low health literacy had poorer cognitive functioning in all domains and were more often (very) low-educated — related
• Poorer past cognitive functioning (measured 10 years earlier) is associated with low health literacy in older adults — related
• Cognitive decline occurred in all domains between the two measurement waves among participants with cognitive data at both time points — related