This career development award proposes a program of training, data collection and research to advance knowledge in the area of health literacy and health disparities among the elderly. Specifically, the aims of this project are (1) to understand the relationship between measures health literacy and more general measures of cognition, such as memory and numeracy;(2) to estimate the relationship between health literacy, general cognition and health outcomes in a large and nationally-representative sample of older Americans;(3) to analyze the mechanisms through which health literacy and cognition affect health outcomes;(4) to analyze the role that health literacy plays in determining health disparities across racial, ethnic or socio-economic groups;(5) to explore similarities and differences between the concepts of health literacy and financial literacy, and compare the relationship between literacy and outcomes in both domains. The research activities will be carried out through a program of primary data collection and secondary data analysis based on the Health and Retirement Study (HRS). The primary data collection consists of a module of questions on health literacy and health knowledge to be collected from a subset of respondents to the 2010 wave of the HRS. Analysis of the data will also be carried out with guidance from an interdisciplinary team of mentors.

Public Health Relevance

This study examines how an individual's health literacy - that is, the ability to understand and process information related to health - affects his or her health. The study focuses on how health literacy in the elderly and near-elderly population is related to more general cognitive skills such as memory and the ability to do simple math problems. The study will provide information to help improve the health of older Americans.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Scientist Development Award - Research & Training (K01)
Project #
5K01AG034232-03
Application #
8513860
Study Section
National Institute on Aging Initial Review Group (NIA)
Program Officer
Baker, Colin S
Project Start
2010-08-01
Project End
2016-07-31
Budget Start
2013-08-01
Budget End
2014-07-31
Support Year
3
Fiscal Year
2013
Total Cost
$106,650
Indirect Cost
$7,900
Name
University of Michigan Ann Arbor
Department
Biostatistics & Other Math Sci
Type
Organized Research Units
DUNS #
073133571
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
Levy, Helen G; Norton, Edward C; Smith, Jeffrey A (2018) Tobacco Regulation and Cost-Benefit Analysis: How Should We Value Foregone Consumer Surplus? Am J Health Econ 4:1-25
Davis, Matthew A; Zheng, Kai; Liu, Yang et al. (2017) Public Response to Obamacare on Twitter. J Med Internet Res 19:e167
Sonnega, Amanda; Robinson, Kristen; Levy, Helen (2017) Home and community-based service and other senior service use: Prevalence and characteristics in a national sample. Home Health Care Serv Q 36:16-28
Nikpay, Sayeh; Buchmueller, Thomas; Levy, Helen G (2016) Affordable Care Act Medicaid Expansion Reduced Uninsured Hospital Stays In 2014. Health Aff (Millwood) 35:106-10
Mahmoudi, Elham; Levy, Helen G (2016) How Did Medicare Part D Affect Racial and Ethnic Disparities in Drug Coverage? J Gerontol B Psychol Sci Soc Sci 71:581-9
Levy, Helen; Janke, Alex (2016) Health Literacy and Access to Care. J Health Commun 21 Suppl 1:43-50
Buchmueller, Thomas C; Levinson, Zachary M; Levy, Helen G et al. (2016) Effect of the Affordable Care Act on Racial and Ethnic Disparities in Health Insurance Coverage. Am J Public Health 106:1416-21
Leininger, Lindsey; Levy, Helen (2015) Child Health and Access to Medical Care. Future Child 25:65-90
Levy, Helen (2015) Assessing the Need for a New Household Panel Study: Health Insurance and Health Care. J Econ Soc Meas 40:341-356
Baicker, Katherine; Levy, Helen (2015) Cost sharing as a tool to drive higher-value care. JAMA Intern Med 175:399-400

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