Keywords

Cognitive impairment, dementia, health literacy, self-management skills, and functional health status

Abstract

Objectives: To determine the prevalence of cognitive impairment no dementia (CIND) among a diverse, community-based population, and establish associations between CIND and health literacy, chronic disease self-management and functional health status.

Methods: 863 primary care adults without dementia aged 55–74. Adjusted logistic and linear regressions were used to assess associations between CIND (None, Mild, Moderate/Severe) and outcomes.

Results: 36% participants exhibited CIND. It was strongly associated with limited health literacy (Newest Vital Signs: Mild [OR 3.25; 95% CI 1.93, 5.49], Moderate/Severe [OR 6.45; 95% CI 3.16, 13.2]; Test of Functional Health Literacy in Adults: Mild [OR 3.46; 95% CI 2.08, 5.75], Moderate/Severe [OR 8.82; 95% CI 4.87, 16.0]; all p’s < 0.001) and poor chronic disease selfmanagement (Mild [B = −11.2; 95% CI −13.5, −8.90], Moderate/Severe CI [B = −21.0; 95% CI −23.6, −18.4]; both p’s < 0.001). Associations between CIND and functional health status were nonsignificant.

Document Type

Peer-Reviewed Article

Publication Date

2020

Language

English

College

Family, Home, and Social Sciences

Department

Psychology

University Standing at Time of Publication

Assistant Professor

Included in

Psychology Commons

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