Risk for physical inactivity due to inadequate health literacy among middle-aged Japanese adults:a cross-sectional study
Nao Sonoda
Akiko Morimoto
Graduate School of Nursing,Osaka Metropolitan University,Osaka 583-8555,Japan
摘要：Objective:We assessed the risk for physical inactivity due to inadequate health literacy using multivariable analysis in a large middle-aged population.
Methods:This cross-sectional mail survey using a self-administered questionnaire was conducted in 2020 and included 33,902 community residents aged 40-64 years from 5 cities in Osaka Prefecture,Japan.Of these,12,446(36.7％)agreed to participate in the survey.After exclusion of those with regular visits to medical institutions and those with missing data,the analysis included 3742 participants.Health literacy was measured by the communicative and critical health literacy(CCHL)scale,and participants were classified into 3 groups(low,medium,and high health literacy groups)by the tertiles of the CCHL scale score.Physical inactivity was defined as not completing at least 150 min of moderate-intensity physical activity throughout the week.
Results:After adjustment for age,gender,education level,occupation,economic status,living alone,and stages of health behavior change,the multivariable-adjusted odds ratios(ORs)for physical inactivity were 1.36(95％confidence interval[CI]:1.16-1.59,P＜0.001)in the medium health literacy group and 1.70(95％CI:1.36-2.11,P＜0.001)in the low health literacy group compared with the high health literacy group.
Conclusions:This large-scale study provides compelling evidence that those with inadequate health literacy are at higher risk for physical inactivity among middle-aged adults.
机标关键词：literacyphysicalstudyriskadultsamongcross-sectionalhealth
论文发表日期：2026-03-30
在线出版日期：2026-04-03（本平台首次上网日期，不代表文献的发表时间）
页数：7( 43-49 )
英文信息