- 著者
-
萩原 加奈子
- 出版者
- 一般社団法人 日本学校保健学会
- 雑誌
- 学校保健研究 (ISSN:03869598)
- 巻号頁・発行日
- vol.64, no.4, pp.313-321, 2023-01-20 (Released:2023-01-31)
- 参考文献数
- 45
Background: With the widespread use of the internet, children have been exposed to health-related information provided in multiple modes, such as text, numerical and video formats from various sources. It is imperative that children develop health literacy in order to make their own medical and health decisions based on reliable information that is appropriate for them. However, the level of health literacy among adults in Japan is lower than in eight EU countries and six other Asian countries. Acquiring health literacy at an early age is an urgent issue. Objective: Through a thorough literature review, the present study examined the feasibility of employing a comprehensive health literacy scale for children in Japan and overseas. Methods: A literature search was conducted on PubMed, PsycINFO and CiNii Articles for health literacy scales that targeted participants aged under 20 years. Each item on the available scales was classified in accordance with the 14 components of health literacy for children and youth, which Bröder et al. (2017) identified, as well as the eight components of health education content of the Curriculum Guidelines of the Japanese Ministry of Education, Culture, Sports, Science and Technology for defining the basic standards for education. Results: In total, 21 scales were found, including 17 from outside Japan. Four of the questionnaires were unavailable, thus leaving 17 scales for examination. All 17 scales were developed between 2000 and 2020, and reliability was confirmed for 13. Among 17 scales, all four health literacy skills (accessing, understanding, appraising and applying) were included with eight. Several scales included child-specific components, such as communication and self-efficacy. Regarding health education content, health promotion was included in all 17 scales; the use of medical facilities, mental health, environment, and health was incorporated in several scales. Most of the scales were self-administered and involved questions about subjective experiences; however, some scales employed objective measures, such as of health knowledge and BMI. Conclusion: Numerous scales have been developed in Japan and overseas; the assessment methods and components of health literacy and health education content differed among them. In Japan, the HLS-Child-Q15 for elementary school students aged 9 years and above and the MOHLAA-Q for junior and senior high school students aged 14 years and above are notable. With other scales, it is necessary to make a selection based on differences in the components of health literacy and health education content.