Association of Health Literacy with the Implementation of Exercise during the Declaration of COVID-19 State of Emergency among Japanese Community-Dwelling Old-Old Adults

Daijo Shiratsuchi, Hyuma Makizako, Yuki Nakai, Yoshiaki Taniguchi, Tomomi Akanuma, Kaori Yokoyama, Yuriko Matsuzaki-Kihara and Hiroto Yoshida
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Daijo Shiratsuchi: Graduate School of Health Sciences, Kagoshima University, Kagoshima 890-8544, Japan
Hyuma Makizako: Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima 890-8544, Japan
Yuki Nakai: Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima 890-8544, Japan
Yoshiaki Taniguchi: Graduate School of Health Sciences, Kagoshima University, Kagoshima 890-8544, Japan
Tomomi Akanuma: Bibai City Department of Health and Welfare Aged Care Division, Hokkaido 072-0026, Japan
Kaori Yokoyama: Bibai City Department of Health and Welfare Aged Care Division, Hokkaido 072-0026, Japan
Yuriko Matsuzaki-Kihara: Rehabilitation Department, Health and Medical Faculty, Japan Health Care College, Hokkaido 004-0839, Japan
Hiroto Yoshida: Graduate School of Health and Environment Science, Tohoku Bunka Gakuen University, Miyagi 981-8551, Japan

IJERPH, 2021, vol. 18, issue 4, 1-9

Abstract: Health literacy is important for promoting and maintaining good health in old-old adults. It may influence the implementation of exercise in the coronavirus disease epidemic. The present cross-sectional study investigated the association of each dimension of health literacy with the implementation of exercise during the declaration of a state of emergency due to coronavirus disease in community-dwelling old-old adults. We collected data from 483 community-dwelling old-old adults (52.8% women) aged between 77 and 99 years who participated in a mail survey. Participants were divided into exercise or nonexercise groups based on the implementation of exercise during the declaration of a state of emergency. Health literacy was assessed using a 14-item health literacy scale. There were 327 (67.7%) participants in the exercise group and 156 (32.3%) in the nonexercise group. A significantly higher score of health literacy was observed in the exercise group than in the nonexercise group (communicative health literacy score = 14.0 ± 3.6 vs. 12.7 ± 3.8, p = 0.001). In a multivariate logistic regression model adjusted for potential confounders, high communicative health literacy scores were significantly associated with the implementation of exercise during the declaration of a state of emergency (odds ratio = 1.88, 95% confidence interval = 1.20–2.93). Approximately two-thirds of community-dwelling old-old adults implement exercise during the declaration of a state of emergency. High communicative health literacy was associated with the implementation of exercise during this period.

Keywords: SARS-CoV-2; older person; health literacy; exercise (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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