Associations between Health Literacy and Underweight and Overweight among Japanese Adults Aged 20 to 39 Years: A Cross-Sectional Study

Autor/inn/en	Enomoto, Ayaka; Saito, Aki; Takahashi, Osamu; Kimura, Takeshi; Tajima, Ryoko; Rahman, Mahbubur; Iida, Kaoruko
Titel	Associations between Health Literacy and Underweight and Overweight among Japanese Adults Aged 20 to 39 Years: A Cross-Sectional Study
Quelle	In: Health Education & Behavior, 47 (2020) 4, S.631-639 (9 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Iida, Kaoruko)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198120919675
Schlagwörter	Foreign Countries; Body Weight; Public Health; Knowledge Level; Obesity; Correlation; Young Adults; Body Composition; Body Height; Incidence; Gender Differences; Japan + Suchen Sie Ihr Suchwort? Ausland; Körpergewicht; Gesundheitswesen; Wissensbasis; Adipositas; Korrelation; Young adult; Junger Erwachsener; Körpergröße; Vorkommen; Geschlechterkonflikt
Abstract	Background: Both underweight and overweight are public health concerns in Japan. Several studies examined the association between health literacy (HL) and obesity status in the general population; however, there is limited information on young adults. In addition, the association between HL and underweight status has not been extensively investigated. Aim: To examine the association between HL and underweight/overweight status among young Japanese adults aged 20 to 39 years. Method: This study was based on a cross-sectional survey of population-representative adults. HL was assessed using a questionnaire validated in Japanese adults. Body mass index (BMI) was calculated using self-reported weight and height. Participants were divided into two groups by HL score using the median score (lower vs. higher HL). The association between HL and underweight (BMI <18.5) or overweight (BMI [greater than or equal to] 25.0) was examined using multinomial logistic regression analyses after adjusting for potential confounders. Results: In total, 476 women and 454 men were included in the analyses. Prevalence of underweight and overweight was 20.8% and 10.3% in women and 8.8% and 20.3% in men, respectively. In women, 45.1% of normal weight, 47.5% of underweight, and 30.6% of overweight had higher HL. Among men, 50.3% of normal weight, 35.0% of underweight, and 44.6% of overweight had higher HL. Bivariate analyses showed no statistically significant association between HL level and underweight/overweight status. Even after adjusting for potential confounders, these associations did not change. Discussion and Conclusion: This study suggests that HL scores may not be associated with underweight or overweight status in Japanese adults. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01