Beyond High-Income Countries: Low Numeracy Is Associated with Older Adult Age around the World

Background Numeracy, or the ability to understand and use numbers, has been associated with obtaining better health and financial outcomes. Studies in high-income countries suggest that low numeracy is associated with older age—perhaps especially among individuals with lower education. Here, we exam...

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Main Authors: Wändi Bruine de Bruin, Aulona Ulqinaku, Jimena Llopis, Matteo Santangelo Ravà
Format: Article
Language:English
Published: SAGE Publishing 2023-05-01
Series:MDM Policy & Practice
Online Access:https://doi.org/10.1177/23814683231174241
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author Wändi Bruine de Bruin
Aulona Ulqinaku
Jimena Llopis
Matteo Santangelo Ravà
author_facet Wändi Bruine de Bruin
Aulona Ulqinaku
Jimena Llopis
Matteo Santangelo Ravà
author_sort Wändi Bruine de Bruin
collection DOAJ
description Background Numeracy, or the ability to understand and use numbers, has been associated with obtaining better health and financial outcomes. Studies in high-income countries suggest that low numeracy is associated with older age—perhaps especially among individuals with lower education. Here, we examined whether findings generalize to the rest of the world. Methods Gallup surveyed >150,000 participants for the 2019 Lloyd’s Register Foundation World Risk Poll, from 21 low-income, 34 lower-middle income, 42 upper-middle income, and 43 high-income countries. Low numeracy was operationalized as failing to correctly answer, “Is 10% bigger than 1 out of 10, smaller than 1 out of 10, or the same as 1 out of 10?” Results Regressions controlling for participants’ education, income, and other characteristics found that, worldwide, low numeracy was associated with older age, lower education, and their interaction. Findings held in each country-income category, although low numeracy was more common in low-income countries than in high-income countries. Limitations Age differences may reflect cohort effects and life span–developmental changes. Discussion Low numeracy is more common among people who are older and less educated. We discuss the need for education and interventions outside of the classroom. Highlights We analyzed a global survey conducted in 21 low-income, 34 lower-middle income, 42 upper-middle income, and 43 high-income countries. Low numeracy was associated with older adult age, even after accounting for age differences in education. Low numeracy was more common in older people with lower education.
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spelling doaj.art-3d1636e3598340459c1dbc1ff24e6f692023-07-26T12:33:20ZengSAGE PublishingMDM Policy & Practice2381-46832023-05-01810.1177/23814683231174241Beyond High-Income Countries: Low Numeracy Is Associated with Older Adult Age around the WorldWändi Bruine de BruinAulona UlqinakuJimena LlopisMatteo Santangelo RavàBackground Numeracy, or the ability to understand and use numbers, has been associated with obtaining better health and financial outcomes. Studies in high-income countries suggest that low numeracy is associated with older age—perhaps especially among individuals with lower education. Here, we examined whether findings generalize to the rest of the world. Methods Gallup surveyed >150,000 participants for the 2019 Lloyd’s Register Foundation World Risk Poll, from 21 low-income, 34 lower-middle income, 42 upper-middle income, and 43 high-income countries. Low numeracy was operationalized as failing to correctly answer, “Is 10% bigger than 1 out of 10, smaller than 1 out of 10, or the same as 1 out of 10?” Results Regressions controlling for participants’ education, income, and other characteristics found that, worldwide, low numeracy was associated with older age, lower education, and their interaction. Findings held in each country-income category, although low numeracy was more common in low-income countries than in high-income countries. Limitations Age differences may reflect cohort effects and life span–developmental changes. Discussion Low numeracy is more common among people who are older and less educated. We discuss the need for education and interventions outside of the classroom. Highlights We analyzed a global survey conducted in 21 low-income, 34 lower-middle income, 42 upper-middle income, and 43 high-income countries. Low numeracy was associated with older adult age, even after accounting for age differences in education. Low numeracy was more common in older people with lower education.https://doi.org/10.1177/23814683231174241
spellingShingle Wändi Bruine de Bruin
Aulona Ulqinaku
Jimena Llopis
Matteo Santangelo Ravà
Beyond High-Income Countries: Low Numeracy Is Associated with Older Adult Age around the World
MDM Policy & Practice
title Beyond High-Income Countries: Low Numeracy Is Associated with Older Adult Age around the World
title_full Beyond High-Income Countries: Low Numeracy Is Associated with Older Adult Age around the World
title_fullStr Beyond High-Income Countries: Low Numeracy Is Associated with Older Adult Age around the World
title_full_unstemmed Beyond High-Income Countries: Low Numeracy Is Associated with Older Adult Age around the World
title_short Beyond High-Income Countries: Low Numeracy Is Associated with Older Adult Age around the World
title_sort beyond high income countries low numeracy is associated with older adult age around the world
url https://doi.org/10.1177/23814683231174241
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