Association between Impulsivity and Critical Health Literacy among College Students
Objective: This study aimed to examine the association between impulsivity and critical health literacy among college students.Methods: We conducted a web-based survey in college students. The outcome was critical health literacy obtained from a test for measuring the ability to interpret medical in...
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| Published in | Journal of Physical Therapy for Prevention Vol. 4; no. 2; pp. 20 - 27 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japanese Society of physical therapy for prevention
31.03.2025
一般社団法人 日本予防理学療法学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 2436-9950 |
| DOI | 10.57304/jptp.JPTP-D-24-00010 |
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| Abstract | Objective: This study aimed to examine the association between impulsivity and critical health literacy among college students.Methods: We conducted a web-based survey in college students. The outcome was critical health literacy obtained from a test for measuring the ability to interpret medical information (TAIMI). Exposure was impulsivity measured using a validated questionnaire. Participants were categorized into tertiles; cautious (T1), average (T2), and impulsive (T3), based on their impulsivity scores. The logistic regression model estimated the odds ratios (ORs) and 95% confidence intervals (CIs) for low TAIMI scores (< 6) and incorrect answers to each question, comparing T2 and T3 with T1 (reference), with adjustment for confounders, including age, sex, faculty, alcohol intake status, exercise habit, sleep duration, and self-reported health status.Results: Overall, 415 individuals (mean age = 20.1 years [standard deviation = 2.1]; 188 [45.3%] men) responded to the survey. Multivariable logistic regression model revealed no significant association between impulsivity scores and critical health literacy. Secondary analyses showed that the impulsive group was more likely to select incorrect options in Q6 of the TAIMI (graph reading) than the cautious group (T2; OR [95%CI] = 1.57 [0.58–4.28], T3; 3.01 [1.21–7.53], P for trend = 0.017).Conclusion: Impulsivity was not associated with critical health literacy in college students. Further research is needed to examine the relationship between impulsivity and graph literacy. |
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| AbstractList | Objective: This study aimed to examine the association between impulsivity and critical health literacy among college students.Methods: We conducted a web-based survey in college students. The outcome was critical health literacy obtained from a test for measuring the ability to interpret medical information (TAIMI). Exposure was impulsivity measured using a validated questionnaire. Participants were categorized into tertiles; cautious (T1), average (T2), and impulsive (T3), based on their impulsivity scores. The logistic regression model estimated the odds ratios (ORs) and 95% confidence intervals (CIs) for low TAIMI scores (< 6) and incorrect answers to each question, comparing T2 and T3 with T1 (reference), with adjustment for confounders, including age, sex, faculty, alcohol intake status, exercise habit, sleep duration, and self-reported health status.Results: Overall, 415 individuals (mean age = 20.1 years [standard deviation = 2.1]; 188 [45.3%] men) responded to the survey. Multivariable logistic regression model revealed no significant association between impulsivity scores and critical health literacy. Secondary analyses showed that the impulsive group was more likely to select incorrect options in Q6 of the TAIMI (graph reading) than the cautious group (T2; OR [95%CI] = 1.57 [0.58–4.28], T3; 3.01 [1.21–7.53], P for trend = 0.017).Conclusion: Impulsivity was not associated with critical health literacy in college students. Further research is needed to examine the relationship between impulsivity and graph literacy.
【目的】大学生における衝動性と批判的ヘルスリテラシー（HL）の関連を検討した。【方法】大学生を対象にオンラインアンケート調査を実施した。批判的HL（高／低）をtest for measuring the ability to interpret medical information （TAIMI）により評価した。衝動性を認知的熟慮性―衝動性尺度を用いて評価し，得点の三分位で熟慮的 （T1） ／平均的 （T2） ／衝動的 （T3）に分類した。【結果】回答者は415名であった。ロジスティック回帰分析の結果，批判的HLと衝動性に有意な関連はみられなかった。TAIMIの質問6（グラフの読み取り）のみ有意な関連がみられ，衝動的な群で誤答しやすいことを示した （T3: オッズ比[95%信頼区間] = 3.01 [1.21–7.53]）。【考察】大学生の衝動性と批判的HLに関連はみられなかった。 Objective: This study aimed to examine the association between impulsivity and critical health literacy among college students.Methods: We conducted a web-based survey in college students. The outcome was critical health literacy obtained from a test for measuring the ability to interpret medical information (TAIMI). Exposure was impulsivity measured using a validated questionnaire. Participants were categorized into tertiles; cautious (T1), average (T2), and impulsive (T3), based on their impulsivity scores. The logistic regression model estimated the odds ratios (ORs) and 95% confidence intervals (CIs) for low TAIMI scores (< 6) and incorrect answers to each question, comparing T2 and T3 with T1 (reference), with adjustment for confounders, including age, sex, faculty, alcohol intake status, exercise habit, sleep duration, and self-reported health status.Results: Overall, 415 individuals (mean age = 20.1 years [standard deviation = 2.1]; 188 [45.3%] men) responded to the survey. Multivariable logistic regression model revealed no significant association between impulsivity scores and critical health literacy. Secondary analyses showed that the impulsive group was more likely to select incorrect options in Q6 of the TAIMI (graph reading) than the cautious group (T2; OR [95%CI] = 1.57 [0.58–4.28], T3; 3.01 [1.21–7.53], P for trend = 0.017).Conclusion: Impulsivity was not associated with critical health literacy in college students. Further research is needed to examine the relationship between impulsivity and graph literacy. |
| Author | OTA, Akane HIGUCHI, Yumi UEMURA, Kazuki WAKAMATSU, Norika |
| Author_FL | 太田 朱音 樋口 由美 上村 一貴 若松 紀夏 |
| Author_FL_xml | – sequence: 1 fullname: 太田 朱音 – sequence: 2 fullname: 若松 紀夏 – sequence: 3 fullname: 樋口 由美 – sequence: 4 fullname: 上村 一貴 |
| Author_xml | – sequence: 1 fullname: HIGUCHI, Yumi organization: Graduate School of Rehabilitation Science, Osaka Metropolitan University – sequence: 1 fullname: UEMURA, Kazuki organization: Graduate School of Rehabilitation Science, Osaka Metropolitan University – sequence: 1 fullname: OTA, Akane organization: School of Comprehensive Rehabilitation, College of Health and Human Sciences, Osaka Prefecture University – sequence: 1 fullname: WAKAMATSU, Norika organization: School of Comprehensive Rehabilitation, College of Health and Human Sciences, Osaka Prefecture University |
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| Publisher | Japanese Society of physical therapy for prevention 一般社団法人 日本予防理学療法学会 |
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| References | 19) Health Literacy Tool Shed. A database of health literacy measures. https://healthliteracy.bu.edu/（2024年3月1日引用） 2 ) Agency for Healthcare Research and Quality: Health Literacy Universal Precautions Toolkit, 3rd Edition. https://www.ahrq.gov/health-literacy/improve/precautions/tool4.html. （2024年3月1日引用） 16) Mann L, Radford M, et al. Cross-cultural differences in self-reported decision-making style and confidence. Int J Psychol. 1998; 33: 325-335. 23) 小口 翔平，山口 大輔，他：看護職の業務遂行における多重課題に関する研究―卓越性，熟慮性，および自己効力感との関連―．日本看護科学会誌．2020；40：74-81 3 ) Aaby A, Friis K, et al. Health literacy is associated with health behaviour and self-reported health: A large population-based study in individuals with cardiovascular disease. Eur J Prev Cardiol. 2017; 24: 1880-1888. 5 ) Vandenbosch J, Van den Broucke S, et al. Health literacy and the use of healthcare services in Belgium. J Epidemiol Community Health. 2016; 70: 1032-1038. 8 ) Nakayama K, Osaka W, et al. Comprehensive health literacy in Japan is lower than in Europe: a validated Japanese-language assessment of health literacy. BMC Public Health. 2015; 15: 505. 7) 大阪府Webサイト．第3次大阪府健康増進計画． https://www.pref.osaka.lg.jp/kenkozukuri/dai3ji_kenzokeikaku/index.html（2024年3月1日引用） 6) 厚生労働省Webサイト．保健医療2035提言． https://www.mhlw.go.jp/file/05-Shingikai-12601000-Seisakutoukatsukan-Sanjikanshitsu_Shakaihoshoutantou/0000088654.pdf （2024年3月1日引用） 9 ) Yokoyama H, Imai D, et al. Health Literacy among Japanese College Students: Association with Healthy Lifestyle and Subjective Health Status. Healthcare (Basel). 2023; 11: 704. 20) Galesic M, Garcia-Retamero R: Graph literacy: a cross-cultural comparison. Med Decis Making. 2011; 31: 444-457. 13) 堀洋道：認知的熟慮性―衝動性尺度，心理測定尺度集 人間の内面を探る <自己・個人内過程>. 山本眞理（編），サイエンス社，東京，2001，pp．195-198 15) Radford M, Mann L, et al. Differences between Australian and Japanese students in decisional self-esteem, decisional stress, and coping styles. J Cross Cult Psychol. 1993; 24: 284-297. 4 ) Marciano L, Camerini AL, et al. The role of health literacy in diabetes knowledge, self-care, and glycemic control: a meta-analysis. J Gen Intern Med. 2019; 34: 1007-1017. 17) 滝聞一嘉：認知的熟慮性-衝動性尺度の作成-信頼性と妥当性の検討．日本グループダイナミクス学会第39回大会発表論文集．1991；39-40 1) 日本ヘルスリテラシー学会Webサイト．学会の概要． https://plaza.umin.ac.jp/HealthLiteracy/（2024年3月1日引用） 11) 読売新聞オンライン．ネット販売「痩せる食品」に未承認薬、体重減ったが激しい動悸や冷や汗…健康被害今年10件．https://www.yomiuri.co.jp/national/20221214-OYT1T50047/（2024年3月1日引用） 14) 谷口圭佑，坂本晴美，他：医療系学生におけるヘルスリテラシーとその関連要因についての検討．理学療法科学. 2021；36：877-884 10) Nutbeam D: Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int. 2000; 15: 259-267. 22) 宮川 洋一，市原 靖士，他：情報活用の実践力に対する熟慮・衝動型認知スタイルの影響：中学生を対象とした検討．日本教育工学会論文誌．2010；34：33-36 21) 厚生労働省Webサイト．『「統合医療」に係る 情報発信等推進事業』情報の見極め方クイズ．https://www.ejim.ncgg.go.jp/public/hint/quiz.html（2024年3月1日引用） 12) 石川ひろの：ヘルスリテラシーの評価法，ヘルスリテラシー－健康教育の新しいキーワード－．福田洋（編），江口泰正（編），大修館書店，東京，2016，pp．43-55 18) Takahashi Y, Sakai M, et al. Measuring the ability to interpret medical information among the Japanese public and the relationship with inappropriate purchasing attitudes of health-related goods. Asia Pac J Public Health. 2009; 23: 386-398. |
| References_xml | – reference: 19) Health Literacy Tool Shed. A database of health literacy measures. https://healthliteracy.bu.edu/（2024年3月1日引用） – reference: 15) Radford M, Mann L, et al. Differences between Australian and Japanese students in decisional self-esteem, decisional stress, and coping styles. J Cross Cult Psychol. 1993; 24: 284-297. – reference: 10) Nutbeam D: Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int. 2000; 15: 259-267. – reference: 3 ) Aaby A, Friis K, et al. Health literacy is associated with health behaviour and self-reported health: A large population-based study in individuals with cardiovascular disease. Eur J Prev Cardiol. 2017; 24: 1880-1888. – reference: 18) Takahashi Y, Sakai M, et al. Measuring the ability to interpret medical information among the Japanese public and the relationship with inappropriate purchasing attitudes of health-related goods. Asia Pac J Public Health. 2009; 23: 386-398. – reference: 5 ) Vandenbosch J, Van den Broucke S, et al. Health literacy and the use of healthcare services in Belgium. J Epidemiol Community Health. 2016; 70: 1032-1038. – reference: 20) Galesic M, Garcia-Retamero R: Graph literacy: a cross-cultural comparison. Med Decis Making. 2011; 31: 444-457. – reference: 8 ) Nakayama K, Osaka W, et al. Comprehensive health literacy in Japan is lower than in Europe: a validated Japanese-language assessment of health literacy. BMC Public Health. 2015; 15: 505. – reference: 22) 宮川 洋一，市原 靖士，他：情報活用の実践力に対する熟慮・衝動型認知スタイルの影響：中学生を対象とした検討．日本教育工学会論文誌．2010；34：33-36． – reference: 2 ) Agency for Healthcare Research and Quality: Health Literacy Universal Precautions Toolkit, 3rd Edition. https://www.ahrq.gov/health-literacy/improve/precautions/tool4.html. （2024年3月1日引用） – reference: 23) 小口 翔平，山口 大輔，他：看護職の業務遂行における多重課題に関する研究―卓越性，熟慮性，および自己効力感との関連―．日本看護科学会誌．2020；40：74-81． – reference: 1) 日本ヘルスリテラシー学会Webサイト．学会の概要． https://plaza.umin.ac.jp/HealthLiteracy/（2024年3月1日引用） – reference: 11) 読売新聞オンライン．ネット販売「痩せる食品」に未承認薬、体重減ったが激しい動悸や冷や汗…健康被害今年10件．https://www.yomiuri.co.jp/national/20221214-OYT1T50047/（2024年3月1日引用） – reference: 14) 谷口圭佑，坂本晴美，他：医療系学生におけるヘルスリテラシーとその関連要因についての検討．理学療法科学. 2021；36：877-884． – reference: 16) Mann L, Radford M, et al. Cross-cultural differences in self-reported decision-making style and confidence. Int J Psychol. 1998; 33: 325-335. – reference: 17) 滝聞一嘉：認知的熟慮性-衝動性尺度の作成-信頼性と妥当性の検討．日本グループダイナミクス学会第39回大会発表論文集．1991；39-40 – reference: 4 ) Marciano L, Camerini AL, et al. The role of health literacy in diabetes knowledge, self-care, and glycemic control: a meta-analysis. J Gen Intern Med. 2019; 34: 1007-1017. – reference: 12) 石川ひろの：ヘルスリテラシーの評価法，ヘルスリテラシー－健康教育の新しいキーワード－．福田洋（編），江口泰正（編），大修館書店，東京，2016，pp．43-55． – reference: 21) 厚生労働省Webサイト．『「統合医療」に係る 情報発信等推進事業』情報の見極め方クイズ．https://www.ejim.ncgg.go.jp/public/hint/quiz.html（2024年3月1日引用） – reference: 6) 厚生労働省Webサイト．保健医療2035提言． https://www.mhlw.go.jp/file/05-Shingikai-12601000-Seisakutoukatsukan-Sanjikanshitsu_Shakaihoshoutantou/0000088654.pdf （2024年3月1日引用） – reference: 13) 堀洋道：認知的熟慮性―衝動性尺度，心理測定尺度集 人間の内面を探る <自己・個人内過程>. 山本眞理（編），サイエンス社，東京，2001，pp．195-198． – reference: 7) 大阪府Webサイト．第3次大阪府健康増進計画． https://www.pref.osaka.lg.jp/kenkozukuri/dai3ji_kenzokeikaku/index.html（2024年3月1日引用） – reference: 9 ) Yokoyama H, Imai D, et al. Health Literacy among Japanese College Students: Association with Healthy Lifestyle and Subjective Health Status. Healthcare (Basel). 2023; 11: 704. |
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| Title | Association between Impulsivity and Critical Health Literacy among College Students |
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