COVID-19 Preventive Behaviors and Health Literacy, Information Evaluation, and Decision-making Skills in Japanese Adults: Cross-sectional Survey Study

BackgroundHealth literacy is important for the prevention of COVID-19 transmission. Research in Japan shows that health literacy is related to skills in evaluating information and decision-making (skills that are not necessarily limited to information about health). Such basi...

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Main Authors: Kazuhiro Nakayama, Yuki Yonekura, Hitomi Danya, Kanako Hagiwara
Format: Article
Language:English
Published: JMIR Publications 2022-01-01
Series:JMIR Formative Research
Online Access:https://formative.jmir.org/2022/1/e34966
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author Kazuhiro Nakayama
Yuki Yonekura
Hitomi Danya
Kanako Hagiwara
author_facet Kazuhiro Nakayama
Yuki Yonekura
Hitomi Danya
Kanako Hagiwara
author_sort Kazuhiro Nakayama
collection DOAJ
description BackgroundHealth literacy is important for the prevention of COVID-19 transmission. Research in Japan shows that health literacy is related to skills in evaluating information and decision-making (skills that are not necessarily limited to information about health). Such basic skills are important, particularly when individuals encounter new health issues for which there is insufficient evidence. ObjectiveWe aimed to determine the extent to which COVID-19 preventive behaviors were associated with health literacy and skills in evaluating information and making decisions. MethodsA web-based questionnaire survey was conducted using a Japanese internet research company. The measures comprised 8 items on COVID-19 preventive behaviors, health literacy items (European Health Literacy Survey Questionnaire), 5 items on information evaluation, and 4 items on decision-making process. Pearson correlations between these variables were calculated. Multivariable analyses were also conducted using the COVID-19 preventive behavior score as a dependent variable. ResultsA total of 3914 valid responses were received.COVID-19 preventive behaviors were significantly correlated with health literacy (r=0.23), information evaluation (r=0.24), and decision-making process (r=0.30). Standardized regression coefficients (health literacy: β=.11; information evaluation: β=.13; decision-making: β=.18) showed that decision-making process contributed the most. ConclusionsAlthough comprehensive health literacy is necessary for COVID-19 preventive behaviors, the skills to evaluate a wide range of information and to make appropriate decisions are no less important. Opportunities for people to acquire these skills should be available at all times.
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spelling doaj.art-752a6e414cf54c8e906227507fd4a9a32023-08-28T20:24:52ZengJMIR PublicationsJMIR Formative Research2561-326X2022-01-0161e3496610.2196/34966COVID-19 Preventive Behaviors and Health Literacy, Information Evaluation, and Decision-making Skills in Japanese Adults: Cross-sectional Survey StudyKazuhiro Nakayamahttps://orcid.org/0000-0002-2655-5472Yuki Yonekurahttps://orcid.org/0000-0002-2590-2022Hitomi Danyahttps://orcid.org/0000-0002-4922-0958Kanako Hagiwarahttps://orcid.org/0000-0003-0615-1478 BackgroundHealth literacy is important for the prevention of COVID-19 transmission. Research in Japan shows that health literacy is related to skills in evaluating information and decision-making (skills that are not necessarily limited to information about health). Such basic skills are important, particularly when individuals encounter new health issues for which there is insufficient evidence. ObjectiveWe aimed to determine the extent to which COVID-19 preventive behaviors were associated with health literacy and skills in evaluating information and making decisions. MethodsA web-based questionnaire survey was conducted using a Japanese internet research company. The measures comprised 8 items on COVID-19 preventive behaviors, health literacy items (European Health Literacy Survey Questionnaire), 5 items on information evaluation, and 4 items on decision-making process. Pearson correlations between these variables were calculated. Multivariable analyses were also conducted using the COVID-19 preventive behavior score as a dependent variable. ResultsA total of 3914 valid responses were received.COVID-19 preventive behaviors were significantly correlated with health literacy (r=0.23), information evaluation (r=0.24), and decision-making process (r=0.30). Standardized regression coefficients (health literacy: β=.11; information evaluation: β=.13; decision-making: β=.18) showed that decision-making process contributed the most. ConclusionsAlthough comprehensive health literacy is necessary for COVID-19 preventive behaviors, the skills to evaluate a wide range of information and to make appropriate decisions are no less important. Opportunities for people to acquire these skills should be available at all times.https://formative.jmir.org/2022/1/e34966
spellingShingle Kazuhiro Nakayama
Yuki Yonekura
Hitomi Danya
Kanako Hagiwara
COVID-19 Preventive Behaviors and Health Literacy, Information Evaluation, and Decision-making Skills in Japanese Adults: Cross-sectional Survey Study
JMIR Formative Research
title COVID-19 Preventive Behaviors and Health Literacy, Information Evaluation, and Decision-making Skills in Japanese Adults: Cross-sectional Survey Study
title_full COVID-19 Preventive Behaviors and Health Literacy, Information Evaluation, and Decision-making Skills in Japanese Adults: Cross-sectional Survey Study
title_fullStr COVID-19 Preventive Behaviors and Health Literacy, Information Evaluation, and Decision-making Skills in Japanese Adults: Cross-sectional Survey Study
title_full_unstemmed COVID-19 Preventive Behaviors and Health Literacy, Information Evaluation, and Decision-making Skills in Japanese Adults: Cross-sectional Survey Study
title_short COVID-19 Preventive Behaviors and Health Literacy, Information Evaluation, and Decision-making Skills in Japanese Adults: Cross-sectional Survey Study
title_sort covid 19 preventive behaviors and health literacy information evaluation and decision making skills in japanese adults cross sectional survey study
url https://formative.jmir.org/2022/1/e34966
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