ArticlePreventive medicine reports2019
Relationship of health literacy with utilization of health-care services in a general Japanese population.
Article in Preventive medicine reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
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Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.
- Definitions and measurement of health literacy in health and medicine research: a systematic review.BMJ open · 2022Pooled it
- Factors Influencing Telehealth Service Use and Health Outcomes in Patients Undergoing Continuous Ambulatory Peritoneal Dialysis: Cross-Sectional Study.Journal of medical Internet research · 2023Trial
- Potential role of regular physicians in improving health literacy in patients with chronic diseases: a retrospective cross-sectional study in Korea.Korean journal of family medicine · 2026Article
- Health Literacy, Social Support and Quality of Life in Chinese Health Examination Population.Healthcare (Basel, Switzerland) · 2026Article
- The association between health literacy and out-of-pocket health expenditure: exploring heterogeneity by chronic disease in Zhejiang, China.International journal for equity in health · 2026Article
- Familiarity with Population Health Management Terminology and Attitudes Toward PHM-Aligned Principles Among Primary Care Attendees in Riyadh, Saudi Arabia: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Rural-urban disparities in Emergency Medical Services: a qualitative study of barriers and opportunities in Rivers State, Nigeria.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Health equity through health literacy: validating HLSBMC public health · 2026Article
- Determinants of health literacy among older adults in Saboba district in Ghana: a cross-sectional study.BMC public health · 2025Article
- Primary and Emergency Care Use: The Roles of Health Literacy, Patient Activation, and Sleep Quality in a Latent Profile Analysis.Behavioral sciences (Basel, Switzerland) · 2025Article
- Article
- Investigating the relationship between health literacy and preconceptual care components during the first 14 weeks of pregnancy: a cross-sectional study.BMC primary care · 2024Article
- Exploring Smoking Disparities and Sociodemographic Factors in a Peri-urban Landscape: A Census Tract-Level Analysis in McLennan County, Texas.Journal of community health · 2024Article
- Compliance with COVID-19 Physical Distancing Mandates in Oman: The Role of Health Literacy and Internal Health Locus of Control.Health literacy research and practice · 2024Article
- Reduction in all-cause medical and caregiving costs through innovative health awareness projects in a rural area in Japan: a retrospective cohort study.BMC health services research · 2024Article
- Environmental Health Literacy Regarding Fine Particulate Matter and Related Factors Among Village Health Volunteers in Upper Northern Thailand.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2024Article
- Nursing students' Health Literacy skills: a scoping review protocol for driving research.BMJ open · 2024Article
- Observational
- Factors Related to Treatment Non-Adherence Among Caregivers of Pediatric and Adolescent Growth Hormone Deficiency Patients in Japan.Patient preference and adherence · 2024Article
- Socioeconomic Disparities in the Association Between All-Cause Mortality and Health Check-Up Participation Among Healthy Middle-Aged Workers: A Nationwide Study.Journal of Korean medical science · 2023Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Many studies have explored the association between health literacy and health-care utilization; however, the majority assessed functional health literacy in terms of basic skills. Japan's health-care and medical examination system in workplaces is different from that of other major countries. This study examined the relationship of health literacy with health-care use (emergency visit, hospitalization, dental checkup, and health checkup or cancer screening); it focused on differences by occupation and health-care service utilization among general Japanese using the communicative and critical health literacy scale. We conducted a cross-sectional observational study of 1002 Japanese residents. Through a questionnaire, we investigated socioeconomic status, health status, health-care use, and health literacy. Among all participants and non-workers, logistic regression analyses revealed that health literacy was significantly associated with health checkup or cancer screening after adjusting for sex, age, marital status, education, and having a disease or disorder (adjusted odds ratio [OR] = 1.431, 95% confidence interval [CI], 1.131-1.810; adjusted OR = 1.614, 95% CI, 1.114-2.339, respectively). Among workers, we observed no significant association between health literacy and health-care utilization. These results indicate that health literacy is closely related to use of preventive health-care. Japan's health-care system in workplaces may promote use of preventive health-care services regardless of health literacy, whereas improving health literacy may be more critical among non-workers.
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