Association between health literacy and metabolic syndrome or healthy lifestyle characteristics among community-dwelling Japanese people.
Association between health literacy and metabolic syndrome or healthy lifestyle characteristics among community-dwelling Japanese people.
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DOI：
10.1186/s13098-016-0142-8
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发表时间：
2016
影响因子：
4.8
通讯作者：
Naito T
中科院分区：
文献类型：
--
作者：
Yokokawa H;Fukuda H;Yuasa M;Sanada H;Hisaoka T;Naito T
很少有研究评估日本人健康素养（HL）与健康生活方式特征之间的关系，关于HL与代谢综合征患病率之间关系的报道也很少。本横断面研究包括1817名日本人（781名男性和1036名女性），这些人于2013年4月至2014年4月在日本福岛的Bange Kosei总医院和Takada Kosei医院参加了医疗健康检查。采用自填问卷收集HL与Breslow七种健康习惯所列健康生活方式特征的相关信息。在多因素logistic分析中，高HL（≥14）与男性健康生活方式特征呈正相关[比值比(OR) = 2.08, 95%可信区间(CI) = 1.33-3.23]，与代谢综合征患病率呈负相关（OR = 0.67, 95% CI = 0.48-0.95）。在HL项目中，基于健康相关信息做出决策的能力与健康生活方式特征显著相关（男性OR = 2.04, 95% CI = 1.34-3.10，女性OR = 1.38, 95% CI = 1.30-1.85），与代谢综合征患病率呈负相关（男性OR = 0.62, 95% CI = 0.44-0.88，女性OR = 0.68, 95% CI = 0.49-0.95）。我们发现HL与健康生活方式特征呈正相关，与男性代谢综合征患病率呈负相关。我们的研究结果还表明，男性和女性都有可能从事促进健康的行为，并根据与健康相关的信息做出决定。这些发现强调了包括HL在内的综合评估对促进社区健康的重要性。
Few studies have assessed the association between health literacy (HL) and healthy lifestyle characteristics among Japanese people, and reports on the association between HL and prevalence of metabolic syndrome are also scarce. The present cross-sectional study included 1817 (781 men and 1036 women) Japanese individuals who participated in a medical health checkup at Bange Kosei General Hospital and Takada Kosei Hospital in Fukushima, Japan, from April 2013–2014. Information regarding HL and healthy lifestyle characteristics listed in Breslow’s seven health practices was collected by self-administered questionnaire. In multivariate logistic analysis, higher HL (≥14) was positively associated with healthy lifestyle characteristics [odds ratio (OR) = 2.08, 95 % confidence interval (CI) = 1.33–3.23] and inversely associated with prevalence of metabolic syndrome (OR = 0.67, 95 % CI = 0.48–0.95) among men. Among HL items, the ability to make decisions based on health-related information was significantly associated with healthy lifestyle characteristics (OR = 2.04, 95 % CI = 1.34–3.10 for men, OR = 1.38, 95 % CI = 1.30–1.85 for women) and inversely associated with prevalence of metabolic syndrome (OR = 0.62, 95 % CI = 0.44–0.88 for men, OR = 0.68, 95 % CI = 0.49–0.95 for women) in both sexes. We found positive associations between HL and healthy lifestyle characteristics and an inverse association with prevalence of metabolic syndrome among men. Our findings also suggest that men and women are likely to engage in health-promoting behaviors and make decisions based on health-related information. These findings highlight the importance of comprehensive assessments, including HL, for health promotion in the community.