杉森 裕樹 スポーツ・健康科学部 看護学科 教授
Relationship between health literacy, health information access, health behavior,
and health status in Japanese people.
OBJECTIVE: To examine the relationship between health literacy (HL), health
information access, health behavior, and health status in Japanese people.
METHODS: A questionnaire survey was conducted at six healthcare facilities in
Japan. Eligible respondents aged 20-64 years (n=1218) were included. Path
analysis with structural equation modeling was performed to test the hypothesis
model linking HL to health information access, health behavior, and health
RESULTS: The acceptable fitting model indicated that the pathways linking HL to
health status consisted of two indirect paths; one intermediated by health
information access and another intermediated by health behavior. Those with
higher HL as measured by the 14-item Health Literacy Scale (HLS-14) were
significantly more likely to get sufficient health information from multiple
sources, less likely to have risky habits of smoking, regular drinking, and lack
of exercise, and in turn, more likely to report good self-rated health.
CONCLUSION: HL was significantly associated with health information access and
health behavior in Japanese people. HL may play a key role in health promotion,
even in highly educated countries like Japan.
PRACTICE IMPLICATIONS: In order to enhance the effects of health promotion
interventions, health professionals should aim at raising HL levels of their
target population groups.
共著 Patient Educ Couns. 98(5),pp.660-668 2015/05
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