Association of health literacy with anxiety about COVID-19 under an infectious disease pandemic in Japan
Association of health literacy with anxiety about COVID-19 under an infectious disease pandemic in Japan
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DOI：
10.1093/heapro/daac200
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发表时间：
2023-04-01
影响因子：
2.7
通讯作者：
Suzuki, Kohta
中科院分区：
文献类型：
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作者：
Kuroda, Yujiro;Goto, Aya;Suzuki, Kohta
我们定量分析了健康素养与对COVID-19爆发的焦虑和自由文本定性数据的关系。调查问卷于2020年4月下旬至5月期间邮寄给4个县的5450名16 - 89岁的公民。它衡量了对COVID-19的焦虑程度，评估了健康素养（HL）的关键和沟通HL分量表，并邀请自由文本回答。我们比较了三组HL分量表的焦虑水平。还在三个HL组中进行了文本挖掘分析。三分之二的受访者表示对COVID-19感到焦虑，其中42%的人还表示恐惧。沟通性HL水平与无焦虑或低焦虑呈负相关（p <0.01），与危重性HL也呈负相关（p <0.01）。自由文本分析确定了与COVID-19相关的11个类别：国家政府的反应，卫生保健从业者的赞赏，早期融合，疫苗开发，对感染的恐惧，无形，儿童学校，日常生活，信息相关问题，新型冠状病毒和自我隔离。高HL组的特征词是“信息”、“外出”、“疫苗”和“政府”。这项调查揭示了COVID-19下公众的高度焦虑，虽然焦虑与HL水平相关，但HL水平较高的人可能会做出更谨慎和更健康的决定。在不确定的情况下，不同的方法来缓解焦虑取决于HL是必要的，提供新的见解，并有助于在疫情期间的公共卫生措施。
We quantitatively analysed the relationship of health literacy with both anxiety about the COVID-19 outbreak and free-text qualitative data. A questionnaire was mailed to 5450 citizens aged 16-89 years in four prefectures between late April and May 2020. It gauged the level of anxiety about COVID-19, assessed health literacy (HL) on both critical and communicative HL subscales, and invited free-text responses. We compared anxiety levels in three groups of both HL subscales. Text-mining analyses were also conducted among the three HL groups. Two-thirds of respondents reported anxiety about COVID-19, and 42% of them also reported fear. The level of communicative HL was negatively associated with no or low anxiety (p < 0.01), and the same association was observed for critical HL (p < 0.01). Free-text analysis identified 11 categories related to concerns about COVID-19: response of the national government, appreciation of health care practitioners, early convergence, vaccine development, fear of infection, invisible, a school for children, everyday life, information-related issue, novel coronavirus and self-quarantine. Words that were characteristic of the high-HL group were 'information', 'going out', 'vaccines' and 'government'. This survey reveals high public anxiety under COVID-19, and while anxiety is associated with HL levels, people with higher HL may make more prudent and healthier decisions. In situations of uncertainty, different approaches to alleviate anxiety depending on HL are warranted, providing new insights and contributing to public health measures during the outbreaks.