{"created":"2023-06-19T07:04:14.607743+00:00","id":6828,"links":{},"metadata":{"_buckets":{"deposit":"a1bb4983-22f8-4599-9a35-daf887daa3f4"},"_deposit":{"created_by":3,"id":"6828","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"6828"},"status":"published"},"_oai":{"id":"oai:rakuno.repo.nii.ac.jp:00006828","sets":["9:10:18:19"]},"author_link":["20503","15534"],"item_2_alternative_title_22":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Association of health literacy with hypertension, diabetes, and dyslipidemia : A cross-sectional survey of a regional Japanese community"}]},"item_2_biblio_info_9":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"12","bibliographicPageEnd":"880","bibliographicPageStart":"871","bibliographicVolumeNumber":"67","bibliographic_titles":[{"bibliographic_title":"日本公衆衛生雑誌"}]}]},"item_2_description_43":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Article","subitem_description_type":"Other"}]},"item_2_description_6":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"【目的】地域から層化無作為抽出した集団において，相互作用的・批判的ヘルスリテラシー（CCHL，Communicative and Critical Health Literacy）と高血圧・糖尿病・脂質異常症の関連を横断的に明らかにすることを目的とした。【方法】2018年7～8月，北海道江別市の3,000人（20～75歳未満）を対象に自記式質問紙調査を実施した。江別市は大きく3地区に分かれており，参加者は各地区から1,000人を層化無作為抽出した。調査票は，市の職員によって配付・回収が行われた。調査終了後，市から匿名化されたデータを受け取り，分析を実施した。解析に当たって，結果が返送された1,630人から調査票のCCHLの項目が未記入の8人，疾患の有無の項目が未記入の43人を除外し，男性692人と女性887人でそれぞれ解析を行った。CCHLは，疾患および生活習慣等の要因の傾向性を観察するために四分位で群分けした。高血圧，糖尿病，脂質異常症の有無を目的変数とし，CCHLを説明変数とした。年代，世帯構成，配偶者，最終学歴，仕事の有無，肥満区分，定期的な運動，喫煙，朝食欠食を調整変数として，男女別に多重ロジスティック回帰分析を行った。【結果】全体のCCHLスコアは3.58±0.67（平均値±標準偏差）だった。単変量回帰の結果では，CCHLスコアの第一分位群を参照群とした場合に第四分位群で，男性の高血圧の割合が有意に低下した（OR=0.49; 95%CI: 0.28-0.84）。一方で，調整変数を含めた多重ロジスティック回帰の結果では，男性の高血圧の調整済みオッズ比は0.62（95%CI: 0.32-1.22）となった。CCHLと疾患の関連について，男女ともすべての項目で有意差は認められなかった。【結論】男性では，CCHLが高いほど高血圧の有病率が有意に低い傾向が認められたが，多変量解析による調整後では関連性が弱まり，その他の疾患についても関連は認められなかった。HLと生活習慣病の関連をより明確にするためには，縦断研究による検討を実施する必要がある。","subitem_description_type":"Abstract"},{"subitem_description":"【Objectives】This study aimed to identify how communicative and critical health literacy (CCHL) was associated with hypertension, diabetes, and dyslipidemia in a regional Japanese community.【Methods】A cross-sectional survey was conducted through stratified random sampling to achieve the study objectives. The sample comprised adults aged 20-75 years, residing in Ebetsu in Hokkaido, Japan. Stratification was accomplished by classifying the population into 3 districts of Ebetsu city, with 1,000 people being randomly selected from each district. A self-reporting questionnaire was then administered over July and August 2018 to these 3,000 participants. Ebetsu city officials distributed and collected the questionnaires, delivering anonymized data to the researchers. Of the 1,630 respondents, 8 did not complete the CCHL questionnaire and 43 did not fill the disease status questionnaire, so these were excluded. The final analysis was performed on the responses received from 692 men and 887 women. The CCHL scores were grouped into quartiles to identify trends related to the diseases and lifestyles. A multiple logistic regression analysis was performed to estimate the associations between CCHL and instances of hypertension, diabetes, and dyslipidemia in both sexes. The analysis was adjusted for age, living arrangement, marital status, educational attainment, current employment status, body mass index, frequency of regular exercise, habit of skipping breakfast, and smoking status.【Results】The overall CCHL score was computed as 3.58±0.67 (mean±SD). Among men, the prevalence of hypertension in the highest CCHL score group was significantly lower than that in the lowest CCHL group (OR 0.49; 95%CI: 0.28-0.84). The analysis indicated that the prevalence of hypertension among men was low for the highest CCHL score group (AOR 0.62; 95%CI: 0.32-1.22). Associations between CCHL scores and other diseases were found to be non-significant in both men and women.【Conclusion】Male participants with the highest CCHL scores had a significantly lower prevalence of hypertension than those with the lowest CCHL scores. However, these associations were found to be non-significant after adjusting for confounding factors. Future studies on the association of CCHL with lifestyle disorders should apply a longitudinal design.","subitem_description_type":"Abstract"}]},"item_2_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"affiliations":[{"affiliationNames":[{"affiliationName":"","lang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"","nameIdentifierScheme":"ISNI","nameIdentifierURI":"http://www.isni.org/isni/"}]}],"familyNames":[{"familyName":"木村","familyNameLang":""}],"givenNames":[{"givenName":"宣哉","givenNameLang":""}],"nameIdentifiers":[{"nameIdentifier":"20503","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"9371","nameIdentifierScheme":"教員総覧","nameIdentifierURI":"https://www.rakuno.ac.jp/archives/teacher/9371.html"}],"names":[{"name":"木村, 宣哉","nameLang":""}]},{"affiliations":[{"affiliationNames":[{"affiliationName":"","lang":"ja"}],"nameIdentifiers":[{"nameIdentifier":"","nameIdentifierScheme":"ISNI","nameIdentifierURI":"http://www.isni.org/isni/"}]}],"familyNames":[{"familyName":"小林","familyNameLang":""}],"givenNames":[{"givenName":"道","givenNameLang":""}],"nameIdentifiers":[{"nameIdentifier":"15534","nameIdentifierScheme":"WEKO"},{"nameIdentifier":"9364","nameIdentifierScheme":"教員総覧","nameIdentifierURI":"https://www.rakuno.ac.jp/archives/teacher/9364.html"}],"names":[{"name":"小林, 道","nameLang":""}]}]},"item_2_publisher_36":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本公衆衛生学会"}]},"item_2_relation_14":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.11236/jph.67.12_871","subitem_relation_type_select":"DOI"}}]},"item_2_version_type_19":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":""}],"affiliationNames":[{"affiliationName":""}]}],"creatorNames":[{"creatorName":"木村, 宣哉","creatorNameLang":""}],"familyNames":[{"familyNameLang":""}],"givenNames":[{"givenNameLang":""}],"nameIdentifiers":[{},{}]},{"creatorAffiliations":[{"affiliationNameIdentifiers":[{"affiliationNameIdentifier":""}],"affiliationNames":[{"affiliationName":""}]}],"creatorNames":[{"creatorName":"小林, 道","creatorNameLang":""}],"familyNames":[{"familyNameLang":""}],"givenNames":[{"givenNameLang":""}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-02-21"}],"displaytype":"detail","filename":"R-2021-251_kimura.pdf","filesize":[{"value":"275.9 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"R-2021-251_kimura.pdf","url":"https://rakuno.repo.nii.ac.jp/record/6828/files/R-2021-251_kimura.pdf"},"version_id":"427cbbf4-8f73-4da5-9382-5b05cebd4c4d"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"ヘルスリテラシー","subitem_subject_scheme":"Other"},{"subitem_subject":"高血圧","subitem_subject_scheme":"Other"},{"subitem_subject":"糖尿病","subitem_subject_scheme":"Other"},{"subitem_subject":"脂質異常症","subitem_subject_scheme":"Other"},{"subitem_subject":"横断研究","subitem_subject_scheme":"Other"},{"subitem_subject":"health literacy","subitem_subject_scheme":"Other"},{"subitem_subject":"hypertension","subitem_subject_scheme":"Other"},{"subitem_subject":"diabetes","subitem_subject_scheme":"Other"},{"subitem_subject":"dyslipidemia","subitem_subject_scheme":"Other"},{"subitem_subject":"cross-sectional survey","subitem_subject_scheme":"Other"},{"subitem_subject":"ヘルスリテラシー","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"高血圧","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"糖尿病","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"脂質異常症","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"横断研究","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"health literacy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"hypertension","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"diabetes","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"dyslipidemia","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"cross-sectional survey","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"地域住民におけるヘルスリテラシーと高血圧・糖尿病・脂質異常症の関連 : 横断研究","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"地域住民におけるヘルスリテラシーと高血圧・糖尿病・脂質異常症の関連 : 横断研究"}]},"item_type_id":"2","owner":"3","path":["19"],"pubdate":{"attribute_name":"公開日","attribute_value":"2022-02-21"},"publish_date":"2022-02-21","publish_status":"0","recid":"6828","relation_version_is_last":true,"title":["地域住民におけるヘルスリテラシーと高血圧・糖尿病・脂質異常症の関連 : 横断研究"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-08-31T01:00:20.672421+00:00"}