Tsubakita Takashi, Kawazoe Nobuo, Ichikawa Mahoko, Matsumoto Satoko, Sugawara Masumi
Nagoya University of Commerce and Business, Nisshin, Aichi, Japan.
Ochanomizu University, Bunkyo-ku, Tokyo, Japan.
Glob Pediatr Health. 2020 Aug 25;7:2333794X20944311. doi: 10.1177/2333794X20944311. eCollection 2020.
Health literacy assessment is a major aspect of planning health education for adolescents. We evaluated the health literacy of Japanese adolescents using both perceived and knowledge-based health literacy scales. Study questionnaires were administered to 773 junior and senior high school students aged 12 to 18 years. We tested a model describing the hierarchical relations between functional, communicative, critical, and knowledge-based health literacy using path analysis. Critical health literacy was found to be influenced by functional, communicative, and knowledge-based health literacy, while functional and knowledge-based health literacy were correlated. The model, with slight modification, was supported. The result indicates that perceived functional health literacy scores did not directly correlate with higher perceived critical health literacy; rather, they only informed critical health literacy when participants had high knowledge-based health literacy.
健康素养评估是青少年健康教育规划的一个主要方面。我们使用感知和基于知识的健康素养量表评估了日本青少年的健康素养。研究问卷被发放给773名年龄在12至18岁的初中生和高中生。我们使用路径分析测试了一个描述功能性、沟通性、批判性和基于知识的健康素养之间层次关系的模型。结果发现，批判性健康素养受到功能性、沟通性和基于知识的健康素养的影响，而功能性和基于知识的健康素养相互关联。该模型经轻微修改后得到支持。结果表明，感知到的功能性健康素养得分与更高的感知到的批判性健康素养没有直接关联；相反，只有当参与者具有较高的基于知识的健康素养时，它们才会影响批判性健康素养。
