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            "creatorSummary": "Sternäng et al.",
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            "title": "Different Context but Similar Cognitive Structures: Older Adults in Rural Bangladesh",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "O.",
                    "lastName": "Sternäng"
                },
                {
                    "creatorType": "author",
                    "firstName": "M.",
                    "lastName": "Lövdén"
                },
                {
                    "creatorType": "author",
                    "firstName": "Z.N.",
                    "lastName": "Kabir"
                },
                {
                    "creatorType": "author",
                    "firstName": "J.D.",
                    "lastName": "Hamadani"
                },
                {
                    "creatorType": "author",
                    "firstName": "Å.",
                    "lastName": "Wahlin"
                }
            ],
            "abstractNote": "Most research in cognitive aging is based on literate participants from high-income and Western populations. The extent to which findings generalize to low-income and illiterate populations is unknown. The main aim was to examine the structure of between-person differences in cognitive functions among elderly from rural Bangladesh. We used data from the Poverty and Health in Aging (PHA) project in Bangladesh. The participants (n = 452) were in the age range 60–92 years. Structural equation modeling was used to estimate the fit of a five-factor model (episodic recall, episodic recognition, verbal fluency, semantic knowledge, processing speed) and to examine whether the model generalized across age, sex, and literacy. This study demonstrates that an established model of cognition is valid also among older persons from rural Bangladesh. The model demonstrated strong (or scalar) invariance for age, and partial strong invariance for sex and literacy. Semantic knowledge and processing speed showed weak (or metric) sex invariance, and semantic knowledge demonstrated also sensitivity to illiteracy. In general, women performed poorer on all abilities. The structure of individual cognitive differences established in Western populations also fits a population in rural Bangladesh well. This is an important prerequisite for comparisons of cognitive functioning (e.g., declarative memory) across cultures. It is also worth noting that absolute sex differences in cognitive performance among rural elderly in Bangladesh differ from those usually found in Western samples. © 2016 Springer Science+Business Media New York",
            "manuscriptType": "Article in Press",
            "institution": "",
            "place": "",
            "date": "2016",
            "numPages": "1",
            "number": "",
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            "citationKey": "",
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            "accessDate": "",
            "archive": "Scopus",
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            "shortTitle": "Different Context but Similar Cognitive Structures",
            "language": "English",
            "libraryCatalog": "Scopus",
            "callNumber": "",
            "rights": "",
            "extra": "DOI: 10.1007/s10823-016-9284-2",
            "tags": [
                {
                    "tag": "Cognitive sex differences",
                    "type": 1
                },
                {
                    "tag": "Cognitive structure",
                    "type": 1
                },
                {
                    "tag": "Individual differences",
                    "type": 1
                },
                {
                    "tag": "Literacy",
                    "type": 1
                },
                {
                    "tag": "Low-income countries",
                    "type": 1
                }
            ],
            "collections": [],
            "relations": {},
            "dateAdded": "2016-05-18T16:33:52Z",
            "dateModified": "2016-05-18T16:33:52Z"
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    {
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        "version": 3,
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            "name": "The Martha's",
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            "creatorSummary": "Tai et al.",
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            "key": "XUWMAHAV",
            "version": 3,
            "itemType": "journalArticle",
            "title": "Putting words into action: A simple focused education improves prescription label comprehension and functional health literacy",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "B.-W.B.",
                    "lastName": "Tai"
                },
                {
                    "creatorType": "author",
                    "firstName": "Y.H.",
                    "lastName": "Bae"
                },
                {
                    "creatorType": "author",
                    "firstName": "Rue",
                    "lastName": "La"
                },
                {
                    "creatorType": "author",
                    "firstName": "A.V.",
                    "lastName": "Law"
                }
            ],
            "abstractNote": "Objectives: To assess the effectiveness of an educational intervention on prescription (Rx) label comprehension and functional health literacy (FHL) in older adults. Outcomes were compared between current and redesigned Rx labels. Additional objectives were to examine the correlation between 2 outcome measures and to determine the characterizing variables that are predictors for the outcome measures. Setting: Southern California, January 2013 to March 2015. Practice description: Older adults (>55 y) taking 2 or more Rx medications daily were recruited at senior and community centers by a trained data collection team. Practice innovation: The validated Modified LaRue Tool (MLT) tested Rx label comprehension before and after a short, focused educational intervention and correlated it with FHL. Interventions: A simple one-on-one education provided by student pharmacists that was focused on critical elements of an Rx label. Evaluation: Short Test of Functional Health Literacy in Adults (STOFHLA) and MLT scores of all current and redesigned label participants at baseline and follow-up. Results: Participants using redesigned Rx labels (n = 90) showed significantly higher MLT scores than with current Rx labels (n = 28) both before (23.0 ± 2.3 vs. 21.0 ± 2.4; P <0.001) and after educational intervention (23.8 ± 1.7 vs. 22.1 ± 3.1; P <0.001). With the use of analysis of covariance, intervention participants using redesigned label (n = 48) showed significant improvement in both MLT (23.1 ± 2.0 to 24.3 ± 1.0; P <0.001) and STOFHLA (29.8 ± 7.5 to 31.5 ± 5.7; P = 0.011) scores, whereas intervention participants using current Rx label (n = 16) did not show significant improvement in either MLT (P = 0.530) or STOFHLA (P = 0.215) scores. Effect size of intervention (redesigned label) was 0.77, indicating practical significance. MLT and STOFHLA scores were significantly correlated with each other, and age and education level were common significant predictors for both outcomes. Conclusion: Older adults using redesigned Rx labels showed improved Rx label comprehension and FHL after educational intervention, as well as higher comprehension compared with those using current Rx labels. Use of a redesigned Rx label and a simple educational intervention should be encouraged to improve Rx label comprehension and FHL. © 2016 American Pharmacists Association®.",
            "publicationTitle": "Journal of the American Pharmacists Association",
            "publisher": "",
            "place": "",
            "date": "2016",
            "volume": "56",
            "issue": "2",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "145-152",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "",
            "DOI": "10.1016/j.japh.2015.12.010",
            "citationKey": "",
            "url": "",
            "accessDate": "",
            "PMID": "",
            "PMCID": "",
            "ISSN": "1544-3191",
            "archive": "Scopus",
            "archiveLocation": "",
            "shortTitle": "Putting words into action",
            "language": "English",
            "libraryCatalog": "Scopus",
            "callNumber": "",
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            "extra": "",
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            "dateAdded": "2016-05-18T16:33:52Z",
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    {
        "key": "MXJ4BXW9",
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            "creatorSummary": "Shih et al.",
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            "itemType": "journalArticle",
            "title": "Health literacy and the determinants of obesity: A population-based survey of sixth grade school children in Taiwan",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "S.-F.",
                    "lastName": "Shih"
                },
                {
                    "creatorType": "author",
                    "firstName": "C.-H.",
                    "lastName": "Liu"
                },
                {
                    "creatorType": "author",
                    "firstName": "L.-L.",
                    "lastName": "Liao"
                },
                {
                    "creatorType": "author",
                    "firstName": "R.H.",
                    "lastName": "Osborne"
                }
            ],
            "abstractNote": "Background: Health literacy has become an important health policy and health promotion agenda item in recent years. It had been seen as a means to reduce health disparities and a critical empowerment strategy to increase people's control over their health. So far, most of health literacy studies mainly focus on adults with few studies investigating associations between child health literacy and health status. This study aimed to investigate the association between health literacy and body weight in Taiwan's sixth grade school children. Methods: Using a population-based survey, 162,209 sixth grade (11-12 years old) school children were assessed. The response rate at school level was 83 %, with 70 % of all students completing the survey. The Taiwan child health literacy assessment tool was applied and information on sex, ethnicity, self-reported health, and health behaviors were also collected. BMI was used to classify the children as underweight, normal, overweight, or obese. A multinomial logit model with robust estimation was used to explore associations between health literacy and the body weight with an adjustment for covariates. Results: The sample consisted of 48.9 % girls, 3.8 % were indigenous and the mean BMI was 19.55 (SD = 3.93). About 6 % of children self-reported bad or very bad health. The mean child health literacy score was 24.03 (SD = 6.12, scale range from 0 to 32). The overall proportion of obese children was 15.2 %. Children in the highest health literacy quartile were less likely to be obese (12.4 %) compared with the lowest quartile (17.4 %). After controlling for gender, ethnicity, self-rated health, and health behaviors, children with higher health literacy were less likely to be obese (Relative Risk Ratio (RRR) = 0.94, p < 0.001) and underweight (RRR = 0.83, p < 0.001). Those who did not have regular physical activity, or had sugar-sweetened beverage intake (RRR > 1.10, p < 0.0001) were more likely to report being overweight or obese. Conclusions: This study demonstrates strong links between health literacy and obesity, even after adjusting for key potential confounders, and provides new insights into potential intervention points in school education for obesity prevention. Systematic approaches to integrating a health literacy curriculum into schools may mitigate the growing burden of disease due to obesity. © 2016 Shih et al.",
            "publicationTitle": "BMC Public Health",
            "publisher": "",
            "place": "",
            "date": "2016",
            "volume": "16",
            "issue": "1",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "",
            "series": "",
            "seriesTitle": "",
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            "journalAbbreviation": "",
            "DOI": "10.1186/s12889-016-2879-2",
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            "PMID": "",
            "PMCID": "",
            "ISSN": "1471-2458",
            "archive": "Scopus",
            "archiveLocation": "",
            "shortTitle": "Health literacy and the determinants of obesity",
            "language": "English",
            "libraryCatalog": "Scopus",
            "callNumber": "",
            "rights": "",
            "extra": "",
            "tags": [
                {
                    "tag": "Body mass index",
                    "type": 1
                },
                {
                    "tag": "Children",
                    "type": 1
                },
                {
                    "tag": "Health behavior",
                    "type": 1
                },
                {
                    "tag": "Heath literacy",
                    "type": 1
                },
                {
                    "tag": "Taiwan",
                    "type": 1
                }
            ],
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            "relations": {},
            "dateAdded": "2016-05-18T16:33:52Z",
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    {
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        "version": 3,
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            "creatorSummary": "Chen et al.",
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            "key": "WEU93QC3",
            "version": 3,
            "itemType": "journalArticle",
            "title": "Perceptions about eating experiences of low-literate older adults with heart disease: A qualitative study",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "S.-H.",
                    "lastName": "Chen"
                },
                {
                    "creatorType": "author",
                    "firstName": "Y.-I.L.",
                    "lastName": "Shyu"
                },
                {
                    "creatorType": "author",
                    "firstName": "Y.-S.",
                    "lastName": "Ko"
                },
                {
                    "creatorType": "author",
                    "firstName": "H.L.",
                    "lastName": "Kung"
                },
                {
                    "creatorType": "author",
                    "firstName": "J.-H.",
                    "lastName": "Shao"
                }
            ],
            "abstractNote": "Aims: To explore perceptions of low-literate older adults with heart disease about their eating experiences. Background: Heart disease has been closely linked with nutrition, and nutritional status is poor in patients with limited education, but no studies have explored the eating experiences of low-literate adults with heart disease. Design: Qualitative descriptive study. Methods: Data were collected in tape-recorded semi-structured interviews from March - June 2012. A convenience sample of 13 low-literate older adults with heart disease was recruited from a cardiovascular ward of a medical centre in northern Taiwan. Participants were recruited until findings reached saturation and data were analysed using qualitative content analysis. Findings: Analysis of participants' interview data on eating experiences identified three main categories: (1) eating-related hardships because of low literacy; (2) eating adjustments due to low literacy; and (3) misinformation about dietary modifications for heart disease. Conclusion: Because of their low literacy, these older adults had difficult life experiences, gained inappropriate or inadequate eating information and held a passive, fatalistic perspective about eating with heart disease. Healthcare practitioners caring for this population need to appreciate their unique eating challenges and respect their eating customs. Nurses could play a greater role in educating and supporting low-literate older adults in selecting appropriate foods and preparing meals. Strategies to help this population learn to select, prepare and cook their food should be easy and practical, using specific symbols, concrete signs and simple labels. © 2016 John Wiley & Sons Ltd.",
            "publicationTitle": "Journal of Advanced Nursing",
            "publisher": "",
            "place": "",
            "date": "2016",
            "volume": "72",
            "issue": "4",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "802-812",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "",
            "DOI": "10.1111/jan.12876",
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            "accessDate": "",
            "PMID": "",
            "PMCID": "",
            "ISSN": "0309-2402",
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            "shortTitle": "Perceptions about eating experiences of low-literate older adults with heart disease",
            "language": "English",
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            "tags": [
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                    "tag": "Eating experience",
                    "type": 1
                },
                {
                    "tag": "Heart disease",
                    "type": 1
                },
                {
                    "tag": "Interview",
                    "type": 1
                },
                {
                    "tag": "Low literacy",
                    "type": 1
                },
                {
                    "tag": "Nursing",
                    "type": 1
                },
                {
                    "tag": "Older adult",
                    "type": 1
                }
            ],
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            "relations": {},
            "dateAdded": "2016-05-18T16:33:52Z",
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    {
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        "version": 3,
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            "creatorSummary": "Laks et al.",
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            "version": 3,
            "itemType": "journalArticle",
            "title": "Service-Learning in Communities of Elders (SLICE): Development and Evaluation of an Introductory Geriatrics Course for Medical Students",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "J.",
                    "lastName": "Laks"
                },
                {
                    "creatorType": "author",
                    "firstName": "L.A.",
                    "lastName": "Wilson"
                },
                {
                    "creatorType": "author",
                    "firstName": "C.",
                    "lastName": "Khandelwal"
                },
                {
                    "creatorType": "author",
                    "firstName": "E.",
                    "lastName": "Footman"
                },
                {
                    "creatorType": "author",
                    "firstName": "M.",
                    "lastName": "Jamison"
                },
                {
                    "creatorType": "author",
                    "firstName": "E.",
                    "lastName": "Roberts"
                }
            ],
            "abstractNote": "ABSTRACT: Problem: Medical students have limited exposure to Geriatrics in their traditional training. Service-learning offers students the opportunity to engage with older adult communities and become more comfortable interacting with this population. Intervention: A preclinical elective course was developed to expand medical students' experiences in Geriatrics through service-learning. In this course, students conducted needs assessments in diverse older adult communities, created health education projects to address community-identified needs, and reflected on their experiences through written assignments and presentations. The course instructor presented lectures on special topics in Geriatrics, including ageism and health literacy. The curriculum aimed to familiarize students with older adults' needs in a variety of settings. Context: Over 3 years, 74 students participated in the service-learning course. Students were assigned to older adult community sites, where they conducted needs assessments and designed and implemented original educational projects targeting community concerns. Program evaluation methods included a validated survey assessing students' attitudes toward older adults, course evaluations, review of student assignments and projects, and feedback from older adult participants and site coordinators. Outcome: Students gained hands-on experience working with older adults and designing appropriate health education projects. Analysis of attitude surveys demonstrated students' increased interest in Geriatrics as a career. Both students and older adult participants described enjoyable, valuable experiences gained from service-learning activities. Lessons Learned: Students appreciated the combination of community and classroom learning about Geriatrics. Service-learning was most constructive at sites with responsive coordinators, engaged older adults, and a need for health education resources. The course challenged students to assess health needs in communities that included cognitively impaired elders and to design educational projects tailored to older adults. © 2016, © Taylor & Francis.",
            "publicationTitle": "Teaching and Learning in Medicine",
            "publisher": "",
            "place": "",
            "date": "2016",
            "volume": "28",
            "issue": "2",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "210-218",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
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            "DOI": "10.1080/10401334.2016.1146602",
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            "url": "",
            "accessDate": "",
            "PMID": "",
            "PMCID": "",
            "ISSN": "1040-1334",
            "archive": "Scopus",
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            "shortTitle": "Service-Learning in Communities of Elders (SLICE)",
            "language": "English",
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            "callNumber": "",
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            "tags": [
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                    "tag": "geriatrics education",
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                {
                    "tag": "medical students",
                    "type": 1
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                {
                    "tag": "service-learning",
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            "creatorSummary": "Han et al.",
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            "version": 3,
            "itemType": "journalArticle",
            "title": "Financial literacy is associated with white matter integrity in old age",
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                {
                    "creatorType": "author",
                    "firstName": "S.D.",
                    "lastName": "Han"
                },
                {
                    "creatorType": "author",
                    "firstName": "P.A.",
                    "lastName": "Boyle"
                },
                {
                    "creatorType": "author",
                    "firstName": "K.",
                    "lastName": "Arfanakis"
                },
                {
                    "creatorType": "author",
                    "firstName": "D.",
                    "lastName": "Fleischman"
                },
                {
                    "creatorType": "author",
                    "firstName": "L.",
                    "lastName": "Yu"
                },
                {
                    "creatorType": "author",
                    "firstName": "B.D.",
                    "lastName": "James"
                },
                {
                    "creatorType": "author",
                    "firstName": "D.A.",
                    "lastName": "Bennett"
                }
            ],
            "abstractNote": "Financial literacy, the ability to understand, access, and utilize information in ways that contribute to optimal financial outcomes, is important for independence and wellbeing in old age. We previously reported that financial literacy is associated with greater functional connectivity between brain regions in old age. Here, we tested the hypothesis that higher financial literacy would be associated with greater white matter integrity in old age. Participants included 346 persons without dementia (mean age = 81.36, mean education = 15.39, male/female = 79/267, mean MMSE = 28.52) from the Rush Memory and Aging Project. Financial literacy was assessed using a series of questions imbedded as part of an ongoing decision making study. White matter integrity was assessed with diffusion anisotropy measured with diffusion tensor magnetic resonance imaging (DTI). We tested the hypothesis that higher financial literacy is associated with higher diffusion anisotropy in white matter, adjusting for the effects of age, education, sex, and white matter hyperintense lesions. We then repeated the analysis also adjusting for cognitive function. Analyses revealed regions with significant positive associations between financial literacy and diffusion anisotropy, and many remained significant after accounting for cognitive function. White matter tracts connecting right hemisphere temporal-parietal brain regions were particularly implicated. Greater financial literacy is associated with higher diffusion anisotropy in white matter of nondemented older adults after adjusting for important covariates. These results suggest that financial literacy is positively associated with white matter integrity in old age. © 2016 The Authors.",
            "publicationTitle": "NeuroImage",
            "publisher": "",
            "place": "",
            "date": "2016",
            "volume": "130",
            "issue": "",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "223-229",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "",
            "DOI": "10.1016/j.neuroimage.2016.02.030",
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            "ISSN": "1053-8119",
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            "shortTitle": "",
            "language": "English",
            "libraryCatalog": "Scopus",
            "callNumber": "",
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                    "tag": "DTI",
                    "type": 1
                },
                {
                    "tag": "Diffusion anisotropy",
                    "type": 1
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                {
                    "tag": "Diffusion tensor imaging",
                    "type": 1
                },
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                    "tag": "Financial literacy",
                    "type": 1
                },
                {
                    "tag": "Fractional anisotropy",
                    "type": 1
                },
                {
                    "tag": "White matter",
                    "type": 1
                }
            ],
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            "dateAdded": "2016-05-18T16:33:52Z",
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            "title": "Preference of food saltiness and willingness to consume low-sodium content food in a Chinese population",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "P.H.",
                    "lastName": "Chau"
                },
                {
                    "creatorType": "author",
                    "firstName": "H.H.Y.",
                    "lastName": "Ngai"
                },
                {
                    "creatorType": "author",
                    "firstName": "A.Y.M.",
                    "lastName": "Leung"
                },
                {
                    "creatorType": "author",
                    "firstName": "S.F.",
                    "lastName": "Li"
                },
                {
                    "creatorType": "author",
                    "firstName": "L.O.Y.",
                    "lastName": "Yeung"
                },
                {
                    "creatorType": "author",
                    "firstName": "K.C.",
                    "lastName": "Tan-Un"
                }
            ],
            "abstractNote": "Objective: To compare the preference of food saltiness and the willingness to consume low-sodium food among hypertensive older people, non-hypertensive older people and non-hypertensive young people in a Chinese population. Design: A cross-sectional study based on a quota sample. Three saltiness options (low-sodium, medium-sodium and high-sodium) of soup and bread were offered to each participant who rated the taste of each food on a 5-point Likert scale. Then, the participants rated their willingness to consume the low-sodium content foods on a 5-point Likert scale, given they were informed of the benefit of the low-sodium option. Generalised linear mixed model and multiple linear regression were used to analyse the data. Setting: Elderly centres and community centres in Hong Kong. Setting: Elderly centres and community centres in Hong Kong. Participants: Sixty hypertensive older people, 49 nonhypertensive older people and 60 non-hypertensive young people were recruited from June to August 2014. Measurements: The tastiness score and the willingness score were the primary outcome measures. The Chinese Health Literacy Scale for Low Salt Consumption–Hong Kong population (CHLSalt-HK) was also assessed. Results: The tastiness rating of the high-sodium option of soup was significantly lower than the mediumsodium option (p<0.001), but there was no significant difference between the low-sodium and the mediumsodium options (p=0.204). For bread, tastiness rating of the low-sodium option and the high-sodium option were significantly lower than the medium-sodium option (p<0.001 for both options). The tastiness score of soup did not have significant difference across the groups (p=0.181), but that of bread from the hypertensive older adults (p=0.012) and the non-hypertensive older adults (p=0.006) was significantly higher than the non-hypertensive young adults. Higher willingness rating to consume the low-sodium option was significantly (p<0.001) associated with higher tastiness rating of the low-sodium option of soup and bread, and weakly associated with higher health literacy of low salt intake (soup: p=0.041; bread: p=0.024). Hypertensive older adults tended to be more willing to consume the low-sodium option than non-hypertensive older adults for soup (p=0.009), there was insignificant difference between non-hypertensive older adults and non-hypertensive young adults (p=0.156). For bread, there was insignificant difference in willingness rating to consume low-sodium option (p=0.375). Conclusion: Older people are at a higher risk of hypertension, reduction of salt intake is important for them to reduce their risk of cardiovascular diseases. There is room for reducing the sodium content of soup, while the sodium in bread should be reduced progressively. Improving the taste of low-sodium food may help to promote reduction in dietary sodium intake. © 2016 Serdi and Springer-Verlag France",
            "manuscriptType": "Article in Press",
            "institution": "",
            "place": "",
            "date": "2016",
            "numPages": "1",
            "number": "",
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            "archiveLocation": "",
            "shortTitle": "",
            "language": "English",
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            "rights": "",
            "extra": "DOI: 10.1007/s12603-016-0732-z",
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            "title": "The association between health literacy and self-management abilities in adults aged 75 and older, and its moderators",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "B.",
                    "lastName": "Geboers"
                },
                {
                    "creatorType": "author",
                    "firstName": "Winter",
                    "lastName": "de"
                },
                {
                    "creatorType": "author",
                    "firstName": "S.L.W.",
                    "lastName": "Spoorenberg"
                },
                {
                    "creatorType": "author",
                    "firstName": "K.",
                    "lastName": "Wynia"
                },
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                    "creatorType": "author",
                    "firstName": "S.A.",
                    "lastName": "Reijneveld"
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            ],
            "abstractNote": "Purpose: Low health literacy is an important predictor of poor health outcomes and well-being among older adults. A reason may be that low health literacy decreases older adults’ self-management abilities. We therefore assessed the association between health literacy and self-management abilities among adults aged 75 and older, and the impact of demographic factors, socioeconomic factors, and health status on this association. Methods: We used data of 1052 older adults, gathered for a previously conducted randomized controlled trial on Embrace, an integrated elderly care model. These data pertained to health literacy, self-management abilities, demographic background, socioeconomic situation, and health status. Health literacy was measured by the validated three-item Brief Health Literacy Screening instrument. Self-management abilities were measured by the validated Self-Management Ability Scale (SMAS-30). Results: After adjustment for confounders, self-management abilities were poorer in older adults with low health literacy (β = .34, p < .001). This was more pronounced in medium- to high-educated older adults than in low-educated older adults. Sex, age, living situation, income, presence of chronic illness, and mental health status did not moderate the association between health literacy and self-management abilities. Conclusions: Low health literacy is associated with poor self-management abilities in a wide range of older adults. Early recognition of low health literacy among adults of 75 years and older and interventions to improve health literacy might be very beneficial for older adults. © 2016 The Author(s)",
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            "extra": "DOI: 10.1007/s11136-016-1298-2",
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