ArticleBMC public health2023
Motivational readiness for physical activity and health literacy: results of a cross-sectional survey of the adult population in Germany.
Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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18 citing papers in PubMed, 37 citations in OpenAlex.
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- The interaction between future food considerations, regulation of eating behaviors, sense of purpose, and social media consciousness among college students: a study on mediation effects and network analysis.Frontiers in psychology · 2026Article
- The working population's health literacy and changes in physical activity over one year.BMC public health · 2025Article
- Understanding participation of liver transplant recipients in an exercise intervention RCT: a cross-sectional study of barriers and motivators.BMC sports science, medicine & rehabilitation · 2025Article
- Stages of change in leisure-domain physical activity behavior and its influencing factors among Chinese college students.BMC public health · 2025Article
- Health literacy and uptake of healthy diet and exercise amongst individuals with prehypertension in Thailand.Health promotion international · 2025Article
- Facilitators and barriers to physical activity in patients in an acute care hospital setting from an interprofessional perspective: A qualitative study.Clinical rehabilitation · 2025Article
- [Health literacy and health behaviour-insights into a developing field of research and action for public health].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025Article
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- Physical activity levels and its associated factors among adults in Vihiga county, Kenya.PLOS global public health · 2025Article
- Structural assessment of family and educational influences on student health behaviours: Insights from a public health perspective.PloS one · 2025Article
- Prevalence, motivations, lifestyle preferences, and basic health behavior among 1,350 vegan, vegetarian, and omnivorous Austrian school teachers and principals.Frontiers in nutrition · 2025Article
- Predictors of physical activity and public safety perception regarding technology adoption for promoting physical activity in Jeddah, Saudi Arabia.Preventive medicine reports · 2024Article
- General, Vaccination, Navigational and Digital Health Literacy of Students Enrolled in Different Medical and Health Educational Programs.Healthcare (Basel, Switzerland) · 2024Article
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- Pregnancy Desirability and Motivational Readiness for Postpartum Contraceptive Use: Findings from Population-Based Surveys in Eight Sub-Saharan African Countries.International journal of environmental research and public health · 2023Article
- Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth literacy, defined as the knowledge, motivation, and competences to use health information to improve health and well-being, is associated with regular physical activity. However, there is limited evidence on whether health literacy is also related to the motivational readiness for physical activity in a general population. The aim of this study was to investigate whether motivational readiness for leisure-time physical activity is associated with health literacy.
methodsAnalyses were based on data of 21,895 adults from the cross-sectional German Health Update and European Health Interview Survey 2014/2015 (GEDA 2014/2015-EHIS). Motivational readiness for leisure-time physical activity was assessed with stages of change for physical activity with a set of validated items. It was then classified, according to an established algorithm, into five stages: precontemplation, contemplation, preparation, action, and maintenance. Health literacy was measured with the short form of the European Health Literacy Survey Questionnaire (HLS-EU-Q16) and categorised as low, medium, and high. For bivariate and multinomial logistic regression analyses, the stages were categorised in three phases as: (1) no intention (precontemplation), (2) planning (contemplation or preparation), and (3) in activity (action or maintenance). The models were adjusted for sex, age, education, health consciousness, self-efficacy, and self-perceived general health status.
resultsHigh compared to low health literacy was associated with a 1.65-times (95% CI = 1.39-1.96) greater probability of being in activity than planning. High compared to low health literacy was associated with a reduced risk of having no intention to change physical activity behaviour (relative risk ratio, RRR = 0.84, 95% CI = 0.75-0.95). The associations persisted after adjusting for covariates.
conclusionHigh health literacy was positively associated with more advanced phases of motivational readiness for leisure-time physical activity. Therefore, taking health literacy into account in interventions to promote motivational readiness for leisure-time physical activity could be a useful approach.
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