Factors Influencing Health Information Literacy on Dementia among Middle-Aged Adults in Urban Hanoi and Hue
Factors Influencing Health Information Literacy on Dementia among Middle-Aged Adults in Urban Hanoi and Hue
DOI:
https://doi.org/10.1243/zsk4wq74Keywords:
năng lực thông tin sức khỏe, sa sút trí tuệ, người trung niênAbstract
This study aims to clarify the current state of health information literacy on dementia among middle-aged adults in urban communities in Hanoi and Hue. A total of 258 individuals aged 40 to 59 participated in structured questionnaire interviews. The findings indicate that middle-aged adults possess a moderate level of health information literacy regarding dementia (M = 1.71, SD = 1.25, on a scale from 0 to 3). Higher literacy levels were observed among those with higher educational attainment, those who personally knew someone with dementia, and those living farther from healthcare facilities, whereas lower levels were found among individuals with greater anxiety about aging. Moreover, statistically significant differences were identified between residents of Hanoi and Hue. These preliminary results contribute to expanding future research and provide evidence for the development of community-based educational programs aimed at enhancing dementia- related health information literacy, thereby promoting dementia prevention, early screening, and treatment within the community.
References
Alyafei, A., & Easton-Carr, R. (2025). The Health Belief Model of Behavior Change. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK606120/
Alzheimer’s Disease International. (2024). World Alzheimer Report 2024: Global changes in attitudes to dementia. Alzheimer’s Disease International. https://www.alzint.org/resource/world-alzheimer-report-2024/
Artinian, N., Lange, M. P., Templin, T., Stallwood, L. G., & Hermann, C. (2003). Functional Health Literacy in an Urban Primary Care Clinic. Nursing Faculty Research Publications. https://digitalcommons.wayne.edu/nursingfrp/1
Boyle, P. A., Yu, L., Wilson, R. S., Segawa, E., Buchman, A. S., & Bennett, D. A. (2013). Cognitive decline impairs financial and health literacy among community-based older persons without dementia. Psychology and Aging, 28, 614–624. https://doi.org/10.1037/a0033103
Crawley, S., Moore, K., Vickerstaff, V., Fisher, E., Cooper, C., & Sampson, E. L. (2022). How do factors of sociodemographic, health literacy and dementia experience influence carers’ knowledge of dementia? Dementia, 21(4), 1270–1288. https://doi.org/10.1177/14713012221074219
Dang, T. H., Tran, K., Esterman, A., Roughead, E. E., Brodaty, H., Hinton, L., Kim, G. B., Kurrle, S., Crotty, M., Pham, T., Le Pham, T., Hoang, P., & Nguyen, T. A. (2021). Healthcare services for people with dementia in Vietnam: A situational analysis. Alzheimer’s & Dementia, 17(S10), e057659. https://doi.org/10.1002/alz.057659
Eriksson-Backa, K., Ek, S., Niemelä, R., & Huotari, M.-L. (2012). Health information literacy in everyday life: A study of Finns aged 65–79 years. Health Informatics Journal, 18(2), 83–94. https://doi.org/10.1177/1460458212445797
General Statistics Office & United Nations Population Fund. (2016). Vietnam population projection 2014—2049. Vietnam News Agency Publishing House.
Grace, S., & Horstmanshof, L. (2019). A realist evaluation of a regional Dementia Health Literacy Project. Health Expectations, 22(3), 426–434. https://doi.org/10.1111/hex.12862
Häikiö, K., Cloutier, D., & Rugkåsa, J. (2020). Is health literacy of family carers associated with carer burden, quality of life, and time spent on informal care for older persons living with dementia? PLOS ONE, 15(11), e0241982. https://doi.org/10.1371/journal.pone.0241982
Haines, M., & Horrocks, G. (2006). Health information literacy and higher education: The King’s College London approach. Library Review, 55(1), 8–19. https://doi.org/10.1108/00242530610641754
Haralambous, B., Mackell, P., Lin, X., Fearn, M., & Dow, B. (2017). Improving health literacy about dementia among older Chinese and Vietnamese Australians. Australian Health Review, 42(1), 5–9. https://doi.org/10.1071/AH17056
Herrero, J., & Gracia, E. (2007). Measuring perceived community support: Factorial structure, longitudinal invariance, and predictive validity of the PCSQ (perceived community support questionnaire). Journal of Community Psychology, 35(2), 197–217. https://doi.org/10.1002/jcop.20143
Hossain, M., Crossland, J., Stores, R., Dewey, A., & Hakak, Y. (2020). Awareness and understanding of dementia in South Asians: A synthesis of qualitative evidence. Dementia, 19(5), 1441–1473. https://doi.org/10.1177/1471301218800641
Huang, C.-H., Talley, P. C., Lin, C.-W., Huang, R.-Y., Liu, I.-T., Chiang, I.-H., Lu, I.-C., Lai, Y.-C., & Kuo, K.-M. (2020). Factors associated with low health literacy among community-dwelling women in Taiwan. Women & Health, 60(5), 487–501. https://doi.org/10.1080/03630242.2019.1662872
Ivanitskaya, L., O’Boyle, I., & Casey, A. (2006). Health Information Literacy and Competencies of Information Age Students: Results From the Interactive Online Research Readiness Self-Assessment (RRSA). Journal of Medical Internet Research, 8, e6. https://doi.org/10.2196/jmir.8.2.e6
Jang, Y., Yoon, H., Park, N. S., Rhee, M.-K., & Chiriboga, D. A. (2018). Asian Americans’ concerns and plans about Alzheimer’s disease: The role of exposure, literacy and cultural beliefs. Health & Social Care in the Community, 26(2), 199–206. https://doi.org/10.1111/hsc.12509
Kua, E. H., Ho, E., Tan, H. H., Tsoi, C., Thng, C., & Mahendran, R. (2014). The natural history of dementia. Psychogeriatrics, 14(3), 196–201. https://doi.org/10.1111/psyg.12053
Lasher, K. P., & Faulkender, P. J. (1993). Measurement of aging anxiety: Development of the Anxiety about Aging Scale. International Journal of Aging & Human Development, 37(4), 247–259. https://doi.org/10.2190/1U69-9AU2-V6LH-9Y1L
Li, Y., Hu, L., Mao, X., Shen, Y., Xue, H., Hou, P., & Liu, Y. (2020). Health literacy, social support, and care ability for caregivers of dementia patients: Structural equation modeling. Geriatric Nursing, 41(5), 600–607. https://doi.org/10.1016/j.gerinurse.2020.03.014
Lo, R. Y. (2019). Uncertainty and health literacy in dementia care. Tzu-Chi Medical Journal, 32(1), 14–18. https://doi.org/10.4103/tcmj.tcmj_116_19
Nguyen, B. N., Nguyen, N. H., Nguyen, T. H., Nguyen, T. B., Nguyen, T., Nguyen, T. P. A., Nguyen, Q. P., Nguyen, T. B., Nguyen, T. T. B., Hinton, L., & Pham, T. (2018). Challanges of existing Vietnamese healthcare systems in providing care and sustaining community-based interventions for family caregivers of elderly with dementia in Vietnam. Vietnam Medical Journal, 470(1), 158–162.
Nguyen, T. B., Nguyen, N. H., Nguyen, T. H., Nguyen, T. T., Nguyen, P. A., Nguyen, Q. P., Nguyen, B. N., Hinton, L., & Pham, T. (2018). Introducing the American REACH-VA intervention for family caregivers of people with dementia and implications for family caregiver interventions in Vietnam. Vietnam Medical Journal, 468(1), 98–101.
Nguyen, T., & Levkoff, S. (2020). “What Will Come Will Come”: The Journey of Adjustment and Acceptance on the Path of Dementia Care Among Vietnamese Family Caregivers: Qualitative Health Research, 30(10), 1529–1545. (Sage CA: Los Angeles, CA). https://doi.org/10.1177/1049732320919390
Nguyen, T., Levkoff, S., & Nguyen, H. (2021). ‘He is just getting old, you know’: The role of cultural and health beliefs in shaping the help-seeking process of family members caring for persons with dementia in Vietnam. Ethnicity & Health, 0(0), 1–22. https://doi.org/10.1080/13557858.2021.1922612
Nguyen, T. T. (2023). ‘Here, we describe them as forgetful, confused, and absent-minded’: Dementia knowledge, stigma, and care plan among Vietnamese adults in rural area. Aging & Mental Health, 0(0), 1–9. https://doi.org/10.1080/13607863.2023.2293053
Nguyen, T. T., & Bui, M. T. (2025). Dementia Knowledge and Public Stigma Among Vietnamese Adults in Metropolitan Areas and Their Associated Individual and Contextual Factors. Dementia, 14713012251409249. https://doi.org/10.1177/14713012251409249
Nguyen, Tuan Anh, Dang, T. H., Tran, K., Kim, G. B., Brodaty, H., Pham, T., Pham, T. L., Crotty, M., Kurrle, S., Hinton, L., Esterman, A., Nguyen, Trung Anh, & Roughead, E. E. (2020). Dementia in Vietnam: A situational analysis. Alzheimer’s & Dementia, 16(S10), e039252. https://doi.org/10.1002/alz.039252
Pleasant, A., Cabe, J., Patel, K., Cosenza, J., & Carmona, R. (2015). Health Literacy Research and Practice: A Needed Paradigm Shift. Health Communication, 30(12), 1176–1180. https://doi.org/10.1080/10410236.2015.1037426
Protheroe, J., Whittle, R., Bartlam, B., Estacio, E. V., Clark, L., & Kurth, J. (2017). Health literacy, associated lifestyle and demographic factors in adult population of an English city: A cross-sectional survey. Health Expectations, 20(1), 112–119. https://doi.org/10.1111/hex.12440
Rostamzadeh, A., Stapels, J., Genske, A., Haidl, T., Jünger, S., Seves, M., Woopen, C., & Jessen, F. (2020). Health Literacy in Individuals at Risk for Alzheimer’s Dementia: A Systematic Review. The Journal of Prevention of Alzheimer’s Disease, 7(1), 47–55. https://doi.org/10.14283/jpad.2019.34
Shiferaw, K. B., Tilahun, B. C., Endehabtu, B. F., Gullslett, M. K., & Mengiste, S. A. (2020). E-health literacy and associated factors among chronic patients in a low-income country: A cross-sectional survey. BMC Medical Informatics and Decision Making, 20(1), 181. https://doi.org/10.1186/s12911-020-01202-1
Smith, G. D., Ho, K., Lee, A., Lam, L., & Chan, S. (2023). Dementia literacy in an ageing world. Journal of Advanced Nursing, 79(6), 2167–2174. https://doi.org/10.1111/jan.15556
Tatarski, M. (2016, April 13). Rapid Aging Threatens Vietnam’s Growth. AEC News Today. https://aecnewstoday.com/2016/rapid-aging-threatens-vietnams-growth/
Vietnam Ministry of Health. (2019, June 19). Dementia has been increasing in older adult population. Ministry of Health Portal. https://moh.gov.vn/chuong-trinh-muc-tieu-quoc-gia/-/asset_publisher/7ng11fEWgASC/content/benh-sa-sut-tri-tue-o-nguoi-gia-ngay-cang-tang?inheritRedirect=false
Volandes, A. E., Paasche-Orlow, M., Gillick, M. R., Cook, E. f., Shaykevich, S., Abbo, E. D., & Lehmann, L. (2008). Health Literacy not Race Predicts End-of-Life Care Preferences. Journal of Palliative Medicine, 11(5), 754–762. https://doi.org/10.1089/jpm.2007.0224
Xu, X. Y., Leung, A. Y. M., & Chau, P. H. (2018). Health Literacy, Self-Efficacy, and Associated Factors Among Patients with Diabetes. HLRP: Health Literacy Research and Practice, 2(2), e67–e77. https://doi.org/10.3928/24748307-20180313-01
