01765nas a2200301   4500000000100000000000100001008004100002260001900043653003200062653001700094653001200111653001000123100001600133700001900149700001700168700002600185700002200211700002000233700002000253700002100273700001800294700002000312700001900332700001600351245010900367300001400476520097300490       2019                            d  bSpringeraCham10aHealth information literacy10aOlder adults10aelderly10ayoung1 aIsto Huvila1 aNoora Hirvonen1 aHeidi Enwald1 aRose-Mharie Åhlfeldt1 aSerap Kurbanoğlu1 aSonja Špiranec1 aYurdagül Ünal1 aJoumana Boustany1 aMaija Huotari1 aEsther Grassian1 aDiane Mizrachi1 aLoriene Roy00aDifferences in Health Information Literacy Competencies Among Older Adults, Elderly and Younger Citizens  a136–1433 aTo address the research gap on age-based differences in health information literacy (HIL), we investigated how younger (born 1960-) and older adults (1946-1960), and elderly citizens (-1945) differed from each other by their HIL competencies. Data were collected with an online survey of patients using the Swedish national electronic health record system. Altogether, 2,587 users responded. One-way ANOVA with post hoc tests revealed several differences between the groups: younger adults were less likely to value health information than older adults; older adults and elderly were least likely to compare information from multiple sources and had trouble in determining health information needs; older adults were most likely to have trouble understanding health terminology and the elderly to have difficulties in understanding medicinal package labels. The study shows that HIL is not necessarily improving or declining but adapting to challenges of advanced age.