ArticleAnnals of medicine2026
The role of health literacy in the association between nationality and health status among university students: a cross-sectional study.
Article in Annals of medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveImmigrants often face numerous health-related challenges, which may result in a lower health status (HS) as compared with the domestic population. This study examined the association between nationality and HS among university students in Japan and the role of health literacy (HL) on this association.
methodsWeb-based self-administered surveys were conducted with 1,366 university students across six of Japan's eight regions between February 20 and August 10, 2023. Nationality and HS were measured using a self-reported questionnaire, and HS was categorized into two groups: good or not good. HL was assessed by the 47-item European Health Literacy Survey.
resultsInternational students (61%) had a lower prevalence of good HS than Japanese students (73%) (
conclusionAlthough international students had a lower prevalence of good HS as compared to Japanese students, the direction of the association differs based on the level of HL.
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