Yokokawa Hirohide, Fukuda Hiroshi, Yuasa Motoyuki, Sanada Hironobu, Hisaoka Teruhiko, Naito Toshio
Department of General Medicine, Juntendo University School of Medicine, Hongo 2-1-1, Bunkyo-ku, Tokyo, 113-8421 Japan.
Department of Public Health, Juntendo University School of Medicine, Hongo 2-1-1, Bunkyo-ku, Tokyo, 113-8421 Japan.
Diabetol Metab Syndr. 2016 Mar 24;8:30. doi: 10.1186/s13098-016-0142-8. eCollection 2016.
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.
很少有研究评估日本人的健康素养（HL）与健康生活方式特征之间的关联，关于HL与代谢综合征患病率之间关联的报告也很少。
本横断面研究纳入了2013年4月至2014年在日本福岛的阪河综合医院和高田综合医院参加医学健康检查的1817名日本人（781名男性和1036名女性）。通过自填问卷收集了与HL以及布雷斯洛七种健康行为中列出的健康生活方式特征相关的信息。
在多因素逻辑分析中，较高的HL（≥14）与男性的健康生活方式特征呈正相关[比值比（OR）=2.08，95%置信区间（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），并且在两性中均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）。
我们发现男性中HL与健康生活方式特征呈正相关，与代谢综合征患病率呈负相关。我们的研究结果还表明，男性和女性可能会采取促进健康的行为并基于健康相关信息做出决策。这些发现凸显了包括HL在内的综合评估对社区健康促进的重要性。
