Association between health literacy and current smoking among middle-aged Japanese ever smokers

Li, Meng; Sonoda, Nao; Koh, Chie; Yasumoto, Risa; Morimoto, Akira

doi:10.18332/pht/148140

Cited by 5 publications

(5 citation statements)

References 27 publications

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“…In terms of gender and study level, the differences were not significant (Table 1). Previous studies have categorized the sample participants into having low and high health literacy depending on the median of their average CCHL scores [27]. The median score in our sample was 3.2; accordingly, 99 (48.29%) respondents had low health literacy and 106 (51.71%) respondents had high health literacy.…”

Section: Resultsmentioning

confidence: 85%

Examining Communicative, Critical Health Literacy and eHealth Literacy among International University Students Residing in Japan

Ahmad,

Taimur,

Shabbir

et al. 2024

Healthcare

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(1) Background: International students with sufficient health literacy are better equipped to respond to public health emergencies and reduce any unintentional harm that may occur during such events. This study aims to assess the current status of health literacy among international students and investigate the factors that influence health literacy. (2) Methods: A cross-sectional study was conducted in Tokyo on international university students using a questionnaire consisting of the Communicative and Critical Health Literacy and eHealth Literacy Scales. The study analyzed 205 valid responses. Descriptive statistics were utilized to assess the level of health literacy, and linear regression was used to identify the association of socio-demographic characteristics and disease status with health and e-health literacy. (3) Results: Health literacy and e-health literacy were low in 48.29% and 47.29% of international students, respectively. The mean scores of CCHL items ranged from 3.13 to 3.26, while the mean scores of eHEALS items ranged from 3.33 to 3.49. Both health literacy and e-health literacy were better with unmarried status (p = 0.015), and e-health literacy was worse with higher age (p = 0.007). (4) Conclusions: Overall, international students’ health literacy and e-health literacy were at intermediate levels, with considerable room for improvement, and affected by certain student attributes.

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Section: Resultsmentioning

confidence: 85%

Examining Communicative, Critical Health Literacy and eHealth Literacy among International University Students Residing in Japan

Ahmad,

Taimur,

Shabbir

et al. 2024

Healthcare

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show abstract

“…Second, previous study reported that inadequate health literacy was significantly positively associated with a high possibility of current smoking compared with former smoking among those that had ever smoked among ever smokers aged ≥50 years in England 17 . Similarly, a recent study in Japan reported that inadequate health literacy was positively associated with current smoking compared with former smoking among middle-aged Japanese ever smokers 99 . Regarding reasons why smokers with inadequate health literacy were less likely to quit smoking, Stewart et al 20 reported that in America, inadequate health literacy was significantly associated with having high nicotine dependence, more positive smoking outcome expectancy (e.g.…”

Section: Discussionmentioning

confidence: 88%

Meta-analysis of the association between health literacy and smoking

Li¹,

Sonoda²,

Koh³

et al. 2022

Popul. Med.

Self Cite

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INTRODUCTION Numerous studies have reported associations between health literacy and smoking-related behaviors or issues. However, no literature review has been conducted to synthesize these associations. Therefore, this review aimed to assess the associations between health literacy and smoking-related behaviors or issues. METHODS We searched published literature in four electronic databases (PubMed, CINAHL Plus, Scopus, and Web of Science) from inception to 22 February 2021. The search was limited to articles written in English and published in scientific journals. The reference lists of identified articles and Google Scholar were also manually searched. The extracted data regarding the association between health literacy and smoking was subjected to meta-analysis using Review Manager software (Review Manager, version 5.4.1). The results of the meta-analysis are reported as a weighted odds ratios (ORs) with 95% confidence interval (CI). Heterogeneity and publication bias were assessed using the Cochrane chi-squared test and I 2 value, and the funnel plot, respectively. RESULTS The initial database search yielded 1266 articles. Fourteen additional articles were obtained through a manual search. Finally, 66 articles were included in the analysis. The meta-analysis showed that 22 studies had a pooled OR (95% CI) for smoker of 1.49 (95% CI: 1.25-1.79) in the inadequate health literacy group, compared with the adequate health literacy group. There was a high heterogeneity (p<0.001, I 2 =80%). The visual inspection of the funnel plot showed evidence of publication bias. Moreover, previous studies reported that inadequate health literacy was significantly positively associated with a high possibility of current smoking compared with former smoking in those that had ever smoked and smoking relapse, and a low possibility of smoking cessation. CONCLUSIONS Improving health literacy may be useful to prevent smoking, promote smoking cessation, and avoid smoking relapse.

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“…Vink et al 46 and Aryal et al 47 did not find any association between age and nicotine dependence and another study showed that middle age groups (45-64 years old) were more likely nicotine dependent compared to older groups (above 65 years old) and younger groups (below 45 years old). 48 In addition, previous papers demonstrated that low educational level is related to nicotine dependence. 49 , 50 Our data confirmed this finding as well.…”

Section: Discussionmentioning

confidence: 99%

Smoking Habits and Nicotine Dependence Among the General Lebanese Population Before and During Both the Economic Crisis and COVID-19 Pandemic

Haddad,

Aoun,

Mghames

et al. 2024

Tob Use Insights

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Objective Smoking habits have widely changed over time; however, they remain a well-known fashion that risks people’s health. In addition, nicotine addiction depends on the interplay between several factors. Our study aimed to understand the smoking habits and nicotine dependence in the Lebanese population before (September 2019) and during (June 2020) the economic crisis and COVID-19 pandemic. Methods This observational cross-sectional survey-based study included 1560 Lebanese individuals aged between 13 and 75 years old from June till October 2020. Data collection was performed through an electronic survey including patients’ demographics and validated instruments to assess addiction to nicotine (CAGE, Four C’s, Fagerström test, and Smoker’s profile scores). Results Out of 1560 participants, 794 (50.9%) were males. The mean age was 26.5 ± 11.69 years, and 67.8% were aged between 18 and 25 years old. We found that 865 (55.4%) participants were smokers. In addition, smoking cigarettes or vaping, significantly increased between September 2019 and June 2020. Our smoker group showed a high CAGE positivity ( P < .001), marked compulsion ( P < .001), and a considerable lack of self-control to surcease smoking ( P < .001). Furthermore, the nicotine dependence score (NDS) increased with age (B = .166) and decreased with higher educational levels (B = −.219). Conclusion During the economic crisis and the COVID-19 pandemic, the Lebanese population showed an increased prevalence of smoking, a high level of CAGE positivity, strong compulsion, and a significant lack of self-control when it came to quitting smoking. This strongly entails public health measures for smoking cessation through national awareness campaigns.

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Association between health literacy and current smoking among middle-aged Japanese ever smokers

Cited by 5 publications

References 27 publications

Examining Communicative, Critical Health Literacy and eHealth Literacy among International University Students Residing in Japan

Examining Communicative, Critical Health Literacy and eHealth Literacy among International University Students Residing in Japan

Meta-analysis of the association between health literacy and smoking

Smoking Habits and Nicotine Dependence Among the General Lebanese Population Before and During Both the Economic Crisis and COVID-19 Pandemic

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