Association of Financial Literacy With Hospitalization in Community-dwelling Older Adults

Datos Bibliográficos

ID9101764
AutoresBryan D James (0000-0003-1932-151X, Rush Alzheimer’s Disease Center, autor de correspondencia), R Scott Wilson (0000-0001-9592-0333, Institute of Neurological Sciences, autor de correspondencia), Robert S Wilson (0000-0001-6334-0684, Rush Alzheimer’s Disease Center), Raj C Shah (0000-0001-9706-9730, Rush Alzheimer’s Disease Center, autor de correspondencia), Lei Yu (0000-0001-7883-197X, Rush Alzheimer’s Disease Center, autor de correspondencia), Zoe Arvanitakis (0000-0001-7477-8884, Rush Alzheimer’s Disease Center, autor de correspondencia), David A Bennett (0000-0003-3689-554X, Rush Alzheimer’s Disease Center, autor de correspondencia), Patricia A Boyle (0000-0002-3245-3456, Rush Alzheimer’s Disease Center, autor de correspondencia)
Año2018
Volumen56
Número7
Páginas596-602
Fecha de publicación2018-07-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000000932
PMID29901572
OpenAlexW2807739051
IdiomaEN
Citas recibidas2
Referencias citadas28

BACKGROUND: Lowering the likelihood of hospitalization in older adults is a major public health goal for modern health care systems. Emerging data suggest that financial literacy is an important determinant of health outcomes in old age, but the relationship with hospitalization has not been explored. OBJECTIVE: To test the hypothesis that better financial literacy is related to lower risk of hospitalization in older persons. DESIGN: Prospective cohort study. PARTICIPANTS: Data came from community-dwelling older adults (n=388) without dementia enrolled in the Rush Memory and Aging Project. MAIN MEASURES: Participants underwent detailed assessment of financial literacy and cognition. Data on hospitalizations were obtained from linked Medicare claims records (MedPAR file). RESULTS: Over an average of 1.8 years, 117 participants (30%) were hospitalized, and a third of those hospitalized experienced multiple hospitalizations. In a modified Poisson regression model adjusted for age, sex, education, and cognition, better financial literacy was associated with lower risk of hospitalization. In a model further adjusted for income, physical activity, body mass index, smoking, social network size, chronic conditions, basic and instrumental activities of daily living disability, and depressive symptoms, the association was unchanged. Secondary analyses showed the association was primarily driven by conceptual knowledge rather than numeracy. CONCLUSIONS: Higher financial literacy is related to a lower risk of hospitalization in older persons without dementia, after adjusting for cognitive, health, functional, and socioeconomic factors. The ability to understand and utilize financial concepts may represent a potentially modifiable risk factor for hospitalization in later life

Activities of daily living · Dementia · Disease · Environmental health · Financial literacy · Health and Retirement Study · Health care · Health literacy · Literacy · Numeracy · Physical therapy · Poisson regression · Population · Socioeconomic status · Aging and Gerontology Research · Finance · Financial Literacy, Pension, Retirement Analysis · Health Literacy and Information Accessibility · Medicine · Psychology · Gerontology