{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:05:20Z","timestamp":1787018720046,"version":"build-2736575974"},"reference-count":78,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T00:00:00Z","timestamp":1779753600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T00:00:00Z","timestamp":1779753600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["West J Nurs Res"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Aging can increase stress, making effective stress management strategies essential for promoting healthy aging. However, many older adults face difficulties because of low health literacy, which negatively impacts their well-being. Few studies have explored the relationship between health literacy, well-being, and stress management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>We aimed to examine relationships between health literacy (including digital health literacy), well-being, and stress management among older adults. Specifically, we sought to: (1) assess levels of health and digital health literacy; (2) examine differences according to age, gender, education, and senior university attendance; and (3) analyze the associations between health literacy, stress management, and well-being, including the potential role of stress management in this relationship.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A quantitative cross-sectional study was conducted with 579 participants aged 65 to 98\u2009years, of whom 64.1% were women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Older adults with lower education levels and those who do not attend a senior university had lower levels of health literacy. Internet use for health-related purposes was also limited. Stress management skills fully mediated the relationship between both traditional and digital health literacy and well-being, indicating that higher health literacy is associated with better well-being through improved stress management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Strengthening health literacy can promote well-being by improving stress management. Interventions should include informational sessions, tailored educational materials, and skill-building workshops. Senior universities can play a key role by offering technology and health-related classes that empower older adults to access reliable online health information and improve their overall health knowledge.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01939459261442785","type":"journal-article","created":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T11:32:56Z","timestamp":1779795176000},"page":"834-846","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Beyond Age: Exploring Health Literacy, Well-Being, and Stress Management Among the Elderly"],"prefix":"10.1177","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0786-5466","authenticated-orcid":false,"given":"Joana","family":"Ferreira","sequence":"first","affiliation":[{"name":"Lusofona University, SPIC, HEI-LAB, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9616-0441","authenticated-orcid":false,"given":"T\u00e2nia","family":"Gaspar","sequence":"additional","affiliation":[{"name":"Lusofona University, SPIC, HEI-LAB, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,26]]},"reference":[{"key":"e_1_3_2_2_2","volume-title":"Lifespan Development: A Psychological Perspective","author":"Lally M","year":"2019","unstructured":"Lally M, Valentine-French S. 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