Center for Integrated Science and Humanities, Fukushima Medical University, Fukushima 960-1295, Japan.
Department of Public Health and Health Policy, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-0037, Japan.
Int J Environ Res Public Health. 2021 Nov 16;18(22):12007. doi: 10.3390/ijerph182212007.
Digital tools can be powerful and effective in connecting people with life-saving and health-promoting support when facing a health crisis. To develop a digital application for radiation protection and health promotion for evacuees returning home after the Fukushima nuclear accident, we conducted a needs assessment survey and explored the association of people's eHealth literacy (eHL) level with their digital tool knowledge, attitudes, and practice (KAP).
From 339 responses to an online survey, data from 264 lay persons were analyzed. The KAP items were those used in a prior EU project, and eHL levels were assessed with a Japanese version of the eHealth Literacy Scale.
Multivariable analyses showed significant associations between eHL and the digital tool KAP for radiation protection (knowledge: adjusted odds ratio (aOR) = 1.10; attitude: 1.06; practice: 1.10) and for health promotion (knowledge: aOR = 1.13; attitude: 1.06; practice: 1.16).
People with a higher eHL had a more positive KAP. For those with a lower eHL, we are formulating easy-to-understand explanations to promote the utilization of the digital tool and enthusiasm for future community-oriented digital tools.
在面临健康危机时，数字工具可以通过为人们提供救生和促进健康的支持来发挥强大而有效的作用。为了开发一款针对福岛核事故后返回家园的疏散人员的辐射防护和健康促进的数字应用程序，我们进行了需求评估调查，并探讨了人们的电子健康素养 (eHL) 水平与其数字工具知识、态度和实践 (KAP) 的关联。
从在线调查的 339 份回复中，分析了 264 名普通民众的数据。KAP 项目使用了先前欧盟项目中的项目，而 eHL 水平则使用日本版电子健康素养量表进行评估。
多变量分析表明，eHL 与辐射防护的数字工具 KAP（知识：调整后的优势比 (aOR) = 1.10；态度：1.06；实践：1.10）和健康促进的数字工具 KAP（知识：aOR = 1.13；态度：1.06；实践：1.16）之间存在显著关联。
具有较高 eHL 的人具有更积极的 KAP。对于那些 eHL 较低的人，我们正在制定易于理解的解释，以促进数字工具的利用，并激发对未来面向社区的数字工具的热情。
