Comprehensive health literacy in Japan is lower than in Europe: a validated Japanese-language assessment of health literacy.
Comprehensive health literacy in Japan is lower than in Europe: a validated Japanese-language assessment of health literacy.
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DOI：
10.1186/s12889-015-1835-x
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发表时间：
2015-05-23
影响因子：
4.5
通讯作者：
Matsumoto M
中科院分区：
文献类型：
--
作者：
Nakayama K;Osaka W;Togari T;Ishikawa H;Yonekura Y;Sekido A;Matsumoto M
健康素养，即获取、理解、评价和应用健康信息的能力，对个人的健康和福祉至关重要。欧洲为一般人口制定了一项全面的、基于概念的卫生知识普及大多数方面的衡量标准，以便在国家内部和国家之间进行比较。本研究旨在验证该工具在日本的使用，并使用日文翻译来比较日本和欧洲的健康素养水平。通过互联网研究服务公司招募的1054名日本成年人完成了一份日语版的欧洲健康素养调查问卷（HLS-EU-Q47）。该调查通过在线问卷进行，参与者的人口统计数据与最近日本全国人口普查的数据密切相关。调查结果与先前欧洲八国健康素养研究报告的结果进行了比较。翻译问卷的内部一致性在多个度量标准中是有效的。运用验证性因子分析检验构念效度。该问卷与现有的健康素养和心理健康状况量表具有良好的相关性。总体而言，日本人口的健康素养低于欧洲，日本受访者认为所有测试项目都比欧洲受访者更难。最大的差异（51.5%）是，有多少受访者认为，当他们生病时，很难知道从哪里获得专业帮助。本研究将一份综合健康素养问卷翻译成日文，并验证其信度和效度。比较结果表明，日本人的健康素养低于欧洲人。这种差异可能部分是由于日本初级卫生保健系统效率低下造成的。在日本，由于没有全面的全国性在线平台，也很难获得可靠和易懂的卫生信息。日本受访者认为判断和应用卫生信息更加困难，这表明日本在卫生决策方面存在困难。许多问题可能与日本卫生知识普及水平较低有关，需要进一步研究，通过发展个人能力和建立支持性环境来改善这一状况。本文的在线版本（doi:10.1186/s12889-015-1835-x）包含补充材料，授权用户可以使用。
Health literacy, or the ability to access, understand, appraise and apply health information, is central to individuals’ health and well-being. A comprehensive, concept-based measure of most dimensions of health literacy has been developed for the general population in Europe, which enables comparisons within and between countries. This study seeks to validate this tool for use in Japan, and to use a Japanese translation to compare health literacy levels in Japan and Europe. A total of 1054 Japanese adults recruited through an Internet research service company, completed a Japanese-language version of the 47-item European Health Literacy Survey Questionnaire (HLS-EU-Q47). The survey was administered via an online questionnaire, and participant demographics were closely matched to those of the most recent Japanese national census. Survey results were compared with those previously reported in an eight-country European study of health literacy. Internal consistency for the translated questionnaire was valid across multiple metrics. Construct validity was checked using confirmatory factor analyses. The questionnaire correlated well with existing scales measuring health literacy and mental health status. In general, health literacy in the Japanese population was lower than in Europe, with Japanese respondents rating all test items as more difficult than European respondents. The largest difference (51.5 %) was in the number of respondents finding it difficult to know where to get professional help when they are ill. This study translated a comprehensive health literacy questionnaire into Japanese and confirmed its reliability and validity. Comparative results suggest that Japanese health literacy is lower than that of Europeans. This discrepancy may be partly caused by inefficiency in the Japanese primary health care system. It is also difficult to access reliable and understandable health information in Japan, as there is no comprehensive national online platform. Japanese respondents found it more difficult to judge and apply health information, which suggests that there are difficulties in health decision-making in Japan. Numerous issues may be linked to lower levels health literacy in Japan, and further studies are needed to improve this by developing individual competencies and building supportive environments. The online version of this article (doi:10.1186/s12889-015-1835-x) contains supplementary material, which is available to authorized users.
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DOI：
10.2471/blt.10.079947
发表时间：
2011-02-01
期刊：
Bulletin of the World Health Organization: International Journal of Public Health
影响因子：
--
作者：
Roth, Gregory A;Fihn, Stephan D;Lim, Stephen S
通讯作者：
Lim, Stephen S
影响因子：
4.5
作者：
Sørensen K;Van den Broucke S;Fullam J;Doyle G;Pelikan J;Slonska Z;Brand H;(HLS-EU) Consortium Health Literacy Project European
通讯作者：
(HLS-EU) Consortium Health Literacy Project European
影响因子：
16.2
作者：
Ishikawa, Hirono;Takeuchi, Takeaki;Yano, Eiji
通讯作者：
Yano, Eiji
影响因子：
4.5
作者：
Osborne RH;Batterham RW;Elsworth GR;Hawkins M;Buchbinder R
通讯作者：
Buchbinder R
影响因子：
4.5
作者：
Sorensen, Kristine;van den Broucke, Stephan;Brand, Helmut
通讯作者：
Brand, Helmut