Duong Tuyen-Van, Sørensen Kristine, Pelikan Jürgen M, Van den Broucke Stephan, Lin I-Feng, Lin Ying-Chin, Huang Hsiao-Ling, Chang Peter Wushou
a College of Public Health and Nutrition , Taipei Medical University , Taipei , Taiwan.
b Department of Environmental Health Sciences , National Health Research Institute , Miaoli , Taiwan.
Women Health. 2018 Jul;58(6):632-646. doi: 10.1080/03630242.2017.1333074. Epub 2017 Jul 6.
The role of health-related behaviors in the association between age and health literacy has not been well-elucidated. The present cross-sectional study evaluated the interactions between age and health-related behaviors in 942 women in Taiwan between February and October 2013. Women aged 18-78 years were randomly sampled and recruited from the national administrative system. Self-reported health literacy was measured by the European Health Literacy Survey Questionnaire (HLS-EU-Q47) in Mandarin, asking about sociodemographics and essential health-related behaviors (watching health-related television, community involvement). The interviews were conducted confidentially by well-trained interviewers after having participants' consent. In multiple linear regression models adjusted for education attainment, self-perceived social status, ability to pay for medication, and health-related behaviors, health literacy was significantly negatively related to age (unstandardized regression coefficient, B = -0.04; 95% confidence interval [CI] = (-0.07; 0.00); p = .03). The lower health literacy among older women was significantly modified by watching health-related television programs (from "rarely/not-at-all", B = -0.08 (-0.12, -0.04), p < .001 to "often"; B = 0.10 (0.07, 0.12); p < .001) and community involvement (from "rarely/not-at-all", B = -0.06 (-0.10, -0.03); p = .001 to "often", B = 0.06 (0.03, 0.08); p < .001). Specific health behaviors were protective of older women's health literacy and likely their health.
健康相关行为在年龄与健康素养之间的关联中所起的作用尚未得到充分阐明。本横断面研究评估了2013年2月至10月间台湾942名女性的年龄与健康相关行为之间的相互作用。年龄在18至78岁之间的女性从国家行政系统中随机抽样招募。采用欧洲健康素养调查问卷（HLS-EU-Q47）中文版自我报告健康素养，询问社会人口统计学和基本健康相关行为（观看健康相关电视节目、社区参与）。在获得参与者同意后，由训练有素的访谈员进行保密访谈。在对教育程度、自我感知社会地位、支付药物费用能力和健康相关行为进行调整的多元线性回归模型中，健康素养与年龄显著负相关（非标准化回归系数，B = -0.04；95%置信区间[CI] =（-0.07；0.00）；p = 0.03）。观看健康相关电视节目（从“很少/从不”，B = -0.08（-0.12，-0.04），p < 0.001到“经常”；B = 0.10（0.07，0.12）；p < 0.001）和社区参与（从“很少/从不”，B = -0.06（-0.10，-0.03）；p = 0.001到“经常”，B = 0.06（0.03，0.08）；p < 0.001）显著改变了老年女性较低的健康素养。特定的健康行为对老年女性的健康素养有保护作用，可能对她们的健康也有保护作用。
