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

Nakayama, Kazuhiro; Yonekura, Yuki; Danya, Hitomi; Hagiwara, Kanako

doi:10.2196/34966

Cited by 16 publications

(17 citation statements)

References 32 publications

(43 reference statements)

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“…Workers who have received COVID-19 infection prevention education will have a higher level of knowledge about COVID-19. It is consistent with the results of previous studies [ 35 , 38 , 39 ], which state that the higher the level of knowledge, the higher the performance of infection prevention actions. Therefore, it is necessary to provide consistent health information education in order to increase access to health information at work.…”

Section: Discussionsupporting

confidence: 92%

“…A study conducted in Sydney on adults reported that people with low health literacy had a higher risk of infection and mortality because they were less capable of understanding the symptoms of COVID-19 and identifying infection prevention behaviors [ 34 ]. Moreover, another study on Japanese adults also reported that health literacy influenced COVID-19 infection prevention behaviors [ 35 ]. Consequently, differences in health literacy between individuals can lead to the transmission of COVID-19 to others, and thus, enhancing health literacy in individuals for the prevention of COVID-19 is an important part of healthcare for the worker groups.…”

Section: Discussionmentioning

confidence: 99%

“…Consequently, differences in health literacy between individuals can lead to the transmission of COVID-19 to others, and thus, enhancing health literacy in individuals for the prevention of COVID-19 is an important part of healthcare for the worker groups. Furthermore, health literacy must be based on skills that assess a broad range of information and allow making appropriate decisions [ 35 ], and thus, reliable information that can be easily understood must be provided to workers, such as contents that give access to information assessment and decision-making for enhancing health literacy when conducting safety and conducting health education mandated by the Industrial Safety and Health Act.…”

Section: Discussionmentioning

confidence: 99%

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A Study on the COVID-19 Preventive Behaviors of Automobile Manufacturing Workers in South Korea

et al. 2022

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The present study used a cross-sectional, descriptive survey design to investigate the influencing factors of COVID-19-related infection prevention behaviors of workers in the automobile manufacturing sector. An online survey was conducted on 157 workers in the automobile manufacturing sector of a company in Korea. We analyzed the collected data using SPSS to test whether there were significant differences in COVID-19 risk perception, crisis communication, health literacy, and infection prevention behaviors according to the general characteristics of the participants. An independent sample t-test and a one-way analysis of variance (ANOVA) were performed. A Pearson’s correlation analysis was performed to identify the correlations among COVID-19 risk perception, crisis communication, health literacy, and infection prevention behaviors. Multiple regression analysis was performed to identify the influencing factors of COVID-19 infection prevention behaviors. The regression model was found to be significant, and the employment period at current job, COVID-19 prevention education, source of information, COVID-19 risk perception, crisis communication, and health literacy were also found to be significant. Among the demographic variables, employment period at current job of 5–10 years showed a higher level of infection prevention behaviors than that of <5 years. Moreover, the level of infection prevention behaviors was also significantly higher when COVID-19-related information was acquired through the KDCA/health center. Higher COVID-19 risk perception, crisis communication, and health literacy were associated with significantly higher levels of infection prevention behaviors. Therefore, based on the results, health managers need to develop programs and educate and improve information comprehension and crisis communication skills in order to promote workers’ infection prevention behaviors of emerging infectious diseases in an era of global change.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A Study on the COVID-19 Preventive Behaviors of Automobile Manufacturing Workers in South Korea

et al. 2022

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“…In a study conducted in the region of Tuscany, in Central Italy, general HL was found to be a predictor of both better self-reported knowledge and an attentive attitude toward the importance of COVID-19 preventive measures, whereas it had no role in predicting a higher risk perception [ 15 ]. Similar results have also been observed in a Japanese survey [ 27 ]. In the present study, high levels of HL-COVID are associated with excellent HL-VAC, especially in the subdimensions ‘find’, ‘understand’, and ‘prevent’.…”

Section: Discussionsupporting

confidence: 91%

Coronavirus-Related Health Literacy: A Cross-Sectional Study during the COVID-19 Pandemic in Italy

Rosano¹,

Lorini

Unim³

et al. 2022

IJERPH

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The COVID-19 pandemic has caused an overabundance of valid and invalid information to spread rapidly via traditional media as well as by internet and digital communication. Health literacy (HL) is the ability to access, understand, appraise, and apply health information, making it fundamental for finding, interpreting, and correctly using COVID-19 information. A cross-sectional study of a sample of 3500 participants representative of the Italian adult population aged 18+ years was conducted in Italy in 2021. A validated HL questionnaire was employed, including sections on coronavirus-related HL, general HL, sociodemographic characteristics, risk factors, and respondents’ lifestyle. Of our sample, 49.3% had “excellent” levels of coronavirus-related HL and 50.7% had “sufficient” (20.7%) or “limited” (30.0%) levels. Although the overall HL-COVID level was high, many participants reported difficulties dealing with COVID-19 information; in particular, participants older than 65 years, with a low education level, living in southern regions of Italy, and with high financial deprivation. Targeted public information campaigns and the promotion of HL are required for better navigation of health information environments. The COVID-19 pandemic has highlighted the need to improve HL and to prepare the general population for future emergency and non-emergency situations, confirming that HL can be considered a social vaccine.

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“…People with higher level of HL were more likely to form healthy lifestyles and adopt preventive measures. Many studies on the relationship between HL and health behaviors have supported the protective effects of HL (20,(43)(44)(45)(46), prompting us to consider improving HL as a critical measure to curb the pandemic (47). Better understanding, appreciation, and application of health information can support actions at multilevel to address major public health challenges (48).…”

Section: Discussionmentioning

confidence: 99%

Revisit the Effects of Health Literacy on Health Behaviors in the Context of COVID-19: The Mediation Pathways Based on the Health Belief Model

Zhang

Chen

Zhang

2022

Front. Public Health

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BackgroundEmerging research has identified health literacy as an important resource for individual health care and disease prevention. In the context of COVID-19, People with limited HL are less likely to follow preventive measures such as wearing masks, social isolation, or taking the vaccination. However, the pathways of how health literacy affects decision-making have remained unclear.MethodsWith a cross-sectional study, a total of 613 responses (mean age is 25.64 ± 6.46 years) were collected. The relationship between health literacy and health behaviors under COVID-19 was examined, and the potential mediation pathways were assessed based on the health belief model.ResultsWith linear regression, it was found that health literacy has a direct effect on health behaviors and three constructs in the health belief model, i.e., perceived susceptibility, perceived severity, perceived barriers, as well as an indirect effect on health behaviors via increasing perceived barriers related with COVID-19 preventive measures. The results showed that health literacy only goes through the pathway of perceived barriers to influence health behaviors, and the indirect effects via other pathways were not significant.ConclusionsThe research addressed the mediation model underlying the effects of health literacy on health behaviors and identified a partial mediation role of perceived barriers. Health literacy could promote individual health behavior by reducing the perceived barriers to forming a healthy lifestyle and making health decisions. Future health promotion interventions increasing people's health literacy should be advocated to promote health initiatives in the whole population.

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

Cited by 16 publications

References 32 publications

A Study on the COVID-19 Preventive Behaviors of Automobile Manufacturing Workers in South Korea

A Study on the COVID-19 Preventive Behaviors of Automobile Manufacturing Workers in South Korea

Coronavirus-Related Health Literacy: A Cross-Sectional Study during the COVID-19 Pandemic in Italy

Revisit the Effects of Health Literacy on Health Behaviors in the Context of COVID-19: The Mediation Pathways Based on the Health Belief Model

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