杉森 裕樹 スポーツ・健康科学部 看護学科 教授
Reading comprehension of health checkup reports and health literacy in Japanese
OBJECTIVES: To determine the reading comprehension of health checkup reports in
the context of health literacy (HL) in Japanese people.
METHODS: A web-based survey was conducted among 424 Japanese adults aged 35-59
years. Participants were asked to read specifically designed health checkup
reports and then answer a series of questions to examine whether they
accomplished the fundamental purposes of health checkup reports (recognition of
the problems, recognition of the risk of illness, recognition of the need for
preventive action, and motivation for preventive action). HL was simultaneously
measured using the 14-item health literacy scale (HLS-14), the 11-item Lipkus
scale (Lipkus-J), and the Newest Vital Sign (NVS-J).
RESULTS: About 70 % of the study subjects misread the normal/abnormal
classification for at least one items. Those with lower HLS-14 scores were
significantly less likely to recognize the problems, the risk of illness, and the
need for preventive action for the examinee, and also less likely to express
their willingness to take preventive action in compliance with the doctor's
advice after having received the health checkup report. Compared with the HLS-14
scores, the Lipkus-J and NVS-J scores showed hardly any association with the
reading comprehension of health checkup reports.
CONCLUSION: All examinees do not always have an adequate level of HL. HL may be
the major determinant of reading comprehension of health checkup reports. For
more effective health checkups, health promotion service providers should become
aware of the existence of examinees with inadequate HL and address the problem of
misreading health checkup results.
Suka M, Odajima T, Okamoto M, Sumitani M, Nakayama T, Sugimori H.
共著 19(4),pp.295-306 2014/05
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