Levels of the preventive medicine and the competence measured by health literacy scale in Japan

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  • 日本のヘルスリテラシー尺度で測定される予防医学的段階と能力
  • 日本のヘルスリテラシー尺度で測定される予防医学的段階と能力 : 文献レビューによる検討
  • ニホン ノ ヘルスリテラシー シャクド デ ソクテイ サレル ヨボウ イガクテキ ダンカイ ト ノウリョク : ブンケン レビュー ニ ヨル ケントウ
  • -the literature review-
  • ―文献レビューによる検討―

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<p>Objectives: In the present study, literature review was performed on the health literacy scales in Japan and related issues were identified through recent trends.</p><p>Methods: Studies were identified by screening the literature in multiple international and domestic web-based databases. Terms used for the search were “health literacy” and “scale,” separately or as a combination. The question items of the health literacy scale were classified into health domain and competence. The items in health domain were classified into “primary prevention”, “secondary prevention”, and “tertiary prevention” with reference to the classification by Leavell and Clark (1965). Moreover, the items in competence were classified into “calculating”, “reading/writing”, “searching”, “understanding”, “appraising”, “deciding/action”, and “communicating” with reference to the classification by Sørensen et al. (2012).</p><p>Results: The review identified 12 health literacy scales in Japan. Regarding health domain, “primary prevention” had 109 items, “secondary prevention” had 9, and “secondary and/or tertiary prevention” had 46. The most frequent item of the health domain was “primary prevention.” No items were identified only as “tertiary prevention.” Regarding competence, “calculating” had 14 items, “reading/writing” had 9, “searching” had 37, “understanding” had 48, “appraising” had 35, “deciding/action” had 24, and “communicating” had 15. The most frequent item of competence was “understanding,” followed by “searching” and “appraising.”</p><p>Conclusion: Our results suggest that there is a necessity to develop health literacy scales in Japan according to purpose and target based on the circumstances of the disease component and health policy.</p>

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