1Health Systems Improvement Unit,Centre for Population Health Research,School of Health and Social Development,Deakin University,Geelong,VIC 3220,Australia.
Public Health Nutr. 2017 Oct;20(15):2680-2684. doi: 10.1017/S1368980017001483. Epub 2017 Jul 24.
Adequate fruit and vegetable intake is important in the prevention of chronic disease. Health literacy is associated with health outcomes but its role in dietary behaviour has received little attention. The present study investigated the association between a multidimensional measure of health literacy, sociodemographic characteristics, and fruit and vegetable intake in rural Australia.
A cross-sectional survey on intake of fruits and vegetables (servings/d), demographic characteristics and health literacy profile using a nine-scale Health Literacy Questionnaire (HLQ). Associations between health literacy and fruit and vegetable intake were assessed using logistic regression.
A large rural area of Victoria.
Adults residing in the Grampians region (n 1154; 61 % female, mean age 52 (sd 17) years).
The HLQ scale 'Actively managing my health' predicted (OR; 95 % CI) fruit (2·31; 1·87, 2·84) and vegetable (1·81; 1·45, 2·26) intake. The scales 'Appraisal of health information' (fruits: 1·73; 1·41, 2·13; vegetables: 1·49; 1·20, 1·86), 'Social support for health' (fruits: 1·31; 1·06, 1·63; vegetables: 1·40; 1·10, 1·76) and 'Ability to find good health information' (fruits: 1·25; 1·05, 1·48; vegetables: 1·36; CI 1·13, 1·63) also predicted fruit and vegetable intake. These associations remained significant after adjusting for age, gender, educational attainment and having private health insurance.
Health literacy, particularly being proactive, appraising information and having social support for health, is associated with greater fruit and vegetable intake. Future interventions should consider the health literacy needs of the community to improve fruit and vegetable intake.
摄入足够的水果和蔬菜对预防慢性病很重要。健康素养与健康结果有关，但它在饮食行为中的作用却很少受到关注。本研究调查了多维健康素养衡量标准、社会人口特征与澳大利亚农村地区水果和蔬菜摄入量之间的关系。
使用九尺度健康素养问卷（HLQ）对水果和蔬菜摄入量、人口统计学特征和健康素养概况进行横断面调查。使用逻辑回归评估健康素养与水果和蔬菜摄入量之间的关联。
维多利亚州的一个大农村地区。
居住在格兰扁地区的成年人（n=1154；61%为女性，平均年龄 52（17）岁）。
HLQ 量表“积极管理我的健康”预测了水果（2.31；1.87，2.84）和蔬菜（1.81；1.45，2.26）的摄入量。“评估健康信息”（水果：1.73；1.41，2.13；蔬菜：1.49；1.20，1.86）、“健康社会支持”（水果：1.31；1.06，1.63；蔬菜：1.40；1.10，1.76）和“获取良好健康信息的能力”（水果：1.25；1.05，1.48；蔬菜：1.36；CI 1.13，1.63）这三个量表也预测了水果和蔬菜的摄入量。在调整年龄、性别、教育程度和私人医疗保险后，这些关联仍然显著。
健康素养，特别是积极主动、评估信息和获得健康社会支持，与增加水果和蔬菜摄入量有关。未来的干预措施应考虑社区的健康素养需求，以提高水果和蔬菜的摄入量。
