Program in Physical and Occupational Therapy, Nagoya University Graduate School of Medicine, 1-1-20 Daiko-minami, Higashi-ku, Nagoya 461-8673, Japan.
Department of Physical Therapy, School of Health Sciences, Nagoya University, 1-1-20 Daiko-minami, Higashi-ku, Nagoya 461-8673, Japan.
Public Health. 2019 Sep;174:18-21. doi: 10.1016/j.puhe.2019.05.036. Epub 2019 Jul 10.
To describe the health information preferences in middle-aged Japanese workers based on health literacy (HL) levels and presence of medications.
A cross-sectional study.
We performed a web-based questionnaire survey with Japanese workers aged below 60 years. HL was assessed using the total score of communicative skills (five items) and critical skills (four items) from the 14-item Health Literacy Scale. Regarding their health information preferences, participants were asked about the health information they wanted (four items), could easily understand (six items), or easily use (two items) and answered on a 4-point scale (strongly agree/agree/disagree/strongly disagree). The percentages of the affirmative responses (strongly agree or agree) were compared among tertiles based on the HL score.
We obtained data from a total of 3387 volunteers, of whom 510 participants were on either antihypertensive, lipid-lowering, or antidiabetic drugs. Compared with the high HL and middle HL groups, low HL had fewer affirmative responses to most health information items. Health information items received 70% of affirmative responses even in the low HL level. They were visually shown by figures or pictures, highlighted by colors for important points, could be read in 1-2 min, and were accessed on the Internet, regardless of the presence of medications. Additionally, the explanation for mechanisms of medications or lifestyle to prevent or improve diseases showed high affinity in all HL levels, only for those on medications.
This result generates a hypothesis that low HL individuals have a low interest in health information. Our data showed several possible forms of health information with high affinity based on HL levels that would help plan future population approaches.
根据健康素养（HL）水平和用药情况，描述中年日本工人的健康信息偏好。
横断面研究。
我们对年龄在 60 岁以下的日本工人进行了一项基于网络的问卷调查。使用 14 项健康素养量表中的沟通技能（5 项）和批判技能（4 项）的总分来评估 HL。关于他们的健康信息偏好，参与者被问到他们想要（4 项）、容易理解（6 项）或容易使用（2 项）的健康信息，并在 4 点量表上回答（非常同意/同意/不同意/非常不同意）。根据 HL 得分，将各 tertile 组的肯定回答率（非常同意或同意）进行比较。
我们共获得了 3387 名志愿者的数据，其中 510 名参与者正在服用抗高血压、降脂或抗糖尿病药物。与高 HL 和中 HL 组相比，低 HL 对大多数健康信息项目的肯定回答较少。即使在低 HL 水平下，健康信息项目也获得了 70%的肯定回答。无论是否服用药物，它们都以图表或图片的形式展示，用颜色突出重点，阅读时间为 1-2 分钟，并且可以在互联网上获取。此外，药物或生活方式预防或改善疾病的机制的解释在所有 HL 水平上都显示出很高的亲和力，仅针对那些正在服用药物的人。
这一结果提出了一个假设，即低 HL 个体对健康信息的兴趣较低。我们的数据显示了几种基于 HL 水平的具有高亲和力的可能形式的健康信息，这将有助于规划未来的人群方法。
