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Association between health literacy and multimorbidity: a nationwide, cross-sectional study of a Japanese population
OBJECTIVES: To examine the relationship between health literacy and multimorbidity. DESIGN: Nationwide cross-sectional study. SETTING: Community settings across Japan. PARTICIPANTS: Community-dwelling participants aged 20 years or older were selected based on a quota sampling method that adjusted fo...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8772427/ https://www.ncbi.nlm.nih.gov/pubmed/35046000 http://dx.doi.org/10.1136/bmjopen-2021-052731 |
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author | Tomita, Shiori Aoki, Takuya Ohde, Sachiko Takahashi, Osamu Kimura, Takeshi Matsushima, Masato |
author_facet | Tomita, Shiori Aoki, Takuya Ohde, Sachiko Takahashi, Osamu Kimura, Takeshi Matsushima, Masato |
author_sort | Tomita, Shiori |
collection | PubMed |
description | OBJECTIVES: To examine the relationship between health literacy and multimorbidity. DESIGN: Nationwide cross-sectional study. SETTING: Community settings across Japan. PARTICIPANTS: Community-dwelling participants aged 20 years or older were selected based on a quota sampling method that adjusted for age, sex and residential area. In total, 3678 participants from the Health Diary Study, with a mean age of 52.3 years (SD, 18.2 years; 1943 (52.8%) female participants), were included. PRIMARY OUTCOME MEASURE: Multimorbidity, the primary outcome measure, was defined as the presence of two or more chronic diseases. RESULTS: Of the 3678 participants, 824 (22.4%) had multimorbidity. The mean functional health literacy (FHL) and communicative and critical health literacy (CCHL) scores were 3.2 (SD, 0.7) and 3.6 (SD, 0.9), respectively. In the univariable analysis, both scores were associated with multimorbidity (p<0.001). However, in the multivariable modified Poisson regression analysis, only the FHL score was significantly associated with multimorbidity (per 1-point increase, 0.91; 95% CI 0.84 to 0.99). CONCLUSIONS: After adjusting for confounding variables, FHL, not CCHL, was significantly related to the presence of multimorbidity. Further longitudinal studies are required to examine the causal relationship between health literacy and multimorbidity. |
format | Online Article Text |
id | pubmed-8772427 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-87724272022-02-04 Association between health literacy and multimorbidity: a nationwide, cross-sectional study of a Japanese population Tomita, Shiori Aoki, Takuya Ohde, Sachiko Takahashi, Osamu Kimura, Takeshi Matsushima, Masato BMJ Open Public Health OBJECTIVES: To examine the relationship between health literacy and multimorbidity. DESIGN: Nationwide cross-sectional study. SETTING: Community settings across Japan. PARTICIPANTS: Community-dwelling participants aged 20 years or older were selected based on a quota sampling method that adjusted for age, sex and residential area. In total, 3678 participants from the Health Diary Study, with a mean age of 52.3 years (SD, 18.2 years; 1943 (52.8%) female participants), were included. PRIMARY OUTCOME MEASURE: Multimorbidity, the primary outcome measure, was defined as the presence of two or more chronic diseases. RESULTS: Of the 3678 participants, 824 (22.4%) had multimorbidity. The mean functional health literacy (FHL) and communicative and critical health literacy (CCHL) scores were 3.2 (SD, 0.7) and 3.6 (SD, 0.9), respectively. In the univariable analysis, both scores were associated with multimorbidity (p<0.001). However, in the multivariable modified Poisson regression analysis, only the FHL score was significantly associated with multimorbidity (per 1-point increase, 0.91; 95% CI 0.84 to 0.99). CONCLUSIONS: After adjusting for confounding variables, FHL, not CCHL, was significantly related to the presence of multimorbidity. Further longitudinal studies are required to examine the causal relationship between health literacy and multimorbidity. BMJ Publishing Group 2022-01-19 /pmc/articles/PMC8772427/ /pubmed/35046000 http://dx.doi.org/10.1136/bmjopen-2021-052731 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Public Health Tomita, Shiori Aoki, Takuya Ohde, Sachiko Takahashi, Osamu Kimura, Takeshi Matsushima, Masato Association between health literacy and multimorbidity: a nationwide, cross-sectional study of a Japanese population |
title | Association between health literacy and multimorbidity: a nationwide, cross-sectional study of a Japanese population |
title_full | Association between health literacy and multimorbidity: a nationwide, cross-sectional study of a Japanese population |
title_fullStr | Association between health literacy and multimorbidity: a nationwide, cross-sectional study of a Japanese population |
title_full_unstemmed | Association between health literacy and multimorbidity: a nationwide, cross-sectional study of a Japanese population |
title_short | Association between health literacy and multimorbidity: a nationwide, cross-sectional study of a Japanese population |
title_sort | association between health literacy and multimorbidity: a nationwide, cross-sectional study of a japanese population |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8772427/ https://www.ncbi.nlm.nih.gov/pubmed/35046000 http://dx.doi.org/10.1136/bmjopen-2021-052731 |
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