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Level of Health Literacy with Multiborbidity; Cross-Sectional Study in the Elderly

Journal of Public Health and Pharmacy · Vol. 6 No. 3 (2026) · hlm. 476–482

DOI
10.56338/jphp.v6i3.9456
ISSN
2775-4952
Terbit
2026-10-01
Penerbit
Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu
Bahasa
eng
Lisensi
creativecommons.org/licenses/by-sa/4.0

Abstrak

Introduction: Older adults are particularly vulnerable to multimorbidity, underscoring the importance of adequate health literacy for maintaining health and managing chronic diseases. Health-related competencies range from functional literacy, which involves basic skills for handling health information, to communicative and critical literacy, which enable individuals to interact with, interpret, critically assess, and apply information in more complex health contexts. Inadequate health literacy may reduce the capacity to manage chronic conditions and potentially contribute to the development or progression of multimorbidity. This study assessed the relationships between functional, communicative, and critical health literacy and multimorbidity among older adults. Methods: A quantitative cross-sectional study was conducted among 44 older adults using total (exhaustive) sampling. Data were collected in June 2023 through structured questionnaire-based interviews. Fisher’s exact tests were used to assess associations. Results: Functional health literacy (p = 0.018), communicative health literacy (p = 0.010), and critical health literacy (p = 0.007) were significantly associated with multimorbidity. Health information access (p = 0.001) and family support (p = 0.023) were also significantly associated with multimorbidity, whereas education, sex, and income were not. Conclusion: Multimorbidity among older adults participating in the Prolanis program in Besu Village was significantly associated with functional, communicative, and critical health literacy. The findings suggest that chronic disease management may benefit from efforts to strengthen health literacy and access to reliable health information. However, causality cannot be established from this cross-sectional study and requires confirmation in longitudinal and intervention research.

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  • Hasanuddin University
  • Universitas Mandala Waluya
  • State University of Makassar
  • Universitas Jambi
  • Diponegoro University
  • National University of Malaysia
  • Institut Agama Islam Negeri Kendari
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Rekan penulisOrganisasiArtikel bersama
Nurhayani NurhayaniUniversitas Jambi1
Rizky Chaeraty SyamHasanuddin University1
Andi Isnaniah Ramadani AgungHasanuddin University1
Syamsiar S. RussengAfiliasi tidak diketahui1
Wahiduddin WahiduddinHasanuddin University1
Suriah SuriahHasanuddin University1
Agus Bintara BirawidaHasanuddin University1
Healthy HidayantyHasanuddin University1
Sukri PalutturiHasanuddin University1
Tri JokoDiponegoro University1
Jalaluddin Abdul MalekNational University of Malaysia1
Rahmawati RahmawatiInstitut Agama Islam Negeri Kendari1
Maryam KandariUniversitas Mandala Waluya1
Erwin Azizi JayadiprajaUniversitas Mandala Waluya1
Munawir AmasyahUniversitas Islam Negeri Alauddin Makassar1

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Sumber metadata: OAI-PMH (metadata jurnal) https://jurnal.unismuhpalu.ac.id/index.php/jphp/oai, pertama di-harvest 9 Nov 2026, terakhir terlihat 9 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en-US">Level of Health Literacy with Multiborbidity; Cross-Sectional Study in the Elderly</dc:title>
	<dc:creator>Rahmawati</dc:creator>
	<dc:creator>Sri Mulyani</dc:creator>
	<dc:creator>Fitri Yanti</dc:creator>
	<dc:creator>Niken Kuswary</dc:creator>
	<dc:creator>Nurul Syahriani Salahuddin</dc:creator>
	<dc:creator>Andi Ulfiana Fitri</dc:creator>
	<dc:subject xml:lang="en-US">Health Literacy</dc:subject>
	<dc:subject xml:lang="en-US">Multimorbidity</dc:subject>
	<dc:subject xml:lang="en-US">Older Adults</dc:subject>
	<dc:subject xml:lang="en-US">Functional Literacy</dc:subject>
	<dc:subject xml:lang="en-US">Communicative Literacy</dc:subject>
	<dc:subject xml:lang="en-US">Critical Literacy</dc:subject>
	<dc:description xml:lang="en-US">Introduction: Older adults are particularly vulnerable to multimorbidity, underscoring the importance of adequate health literacy for maintaining health and managing chronic diseases. Health-related competencies range from functional literacy, which involves basic skills for handling health information, to communicative and critical literacy, which enable individuals to interact with, interpret, critically assess, and apply information in more complex health contexts. Inadequate health literacy may reduce the capacity to manage chronic conditions and potentially contribute to the development or progression of multimorbidity. This study assessed the relationships between functional, communicative, and critical health literacy and multimorbidity among older adults.
Methods: A quantitative cross-sectional study was conducted among 44 older adults using total (exhaustive) sampling. Data were collected in June 2023 through structured questionnaire-based interviews. Fisher’s exact tests were used to assess associations.
Results: Functional health literacy (p = 0.018), communicative health literacy (p = 0.010), and critical health literacy (p = 0.007) were significantly associated with multimorbidity. Health information access (p = 0.001) and family support (p = 0.023) were also significantly associated with multimorbidity, whereas education, sex, and income were not.
Conclusion: Multimorbidity among older adults participating in the Prolanis program in Besu Village was significantly associated with functional, communicative, and critical health literacy. The findings suggest that chronic disease management may benefit from efforts to strengthen health literacy and access to reliable health information. However, causality cannot be established from this cross-sectional study and requires confirmation in longitudinal and intervention research.</dc:description>
	<dc:publisher xml:lang="en-US">Pusat Pengembangan Teknologi Informasi dan Jurnal Universitas Muhammadiyah Palu</dc:publisher>
	<dc:date>2026-10-01</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://jurnal.unismuhpalu.ac.id/index.php/jphp/article/view/9456</dc:identifier>
	<dc:identifier>10.56338/jphp.v6i3.9456</dc:identifier>
	<dc:source xml:lang="en-US">Journal of Public Health and Pharmacy; Vol. 6 No. 3 (2026); 476-482</dc:source>
	<dc:source>2775-4952</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://jurnal.unismuhpalu.ac.id/index.php/jphp/article/view/9456/8023</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2026 Journal of Public Health and Pharmacy</dc:rights>
	<dc:rights xml:lang="en-US">https://creativecommons.org/licenses/by-sa/4.0</dc:rights>
</oai_dc:dc>