Fact-finding survey on health literacy among Japanese predialysis chronic kidney disease patients: a multi-institutional
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ORIGINAL ARTICLE
Fact‑finding survey on health literacy among Japanese predialysis chronic kidney disease patients: a multi‑institutional cross‑sectional study Yohei Kita1 · Shinji Machida1 · Yugo Shibagaki1 · Tsutomu Sakurada1 Received: 14 June 2020 / Accepted: 1 October 2020 © Japanese Society of Nephrology 2020
Abstract Background Low health literacy (HL) has been associated with poor chronic disease management and adverse outcomes. However, reports on HL in predialysis chronic kidney disease (CKD) patients are limited in Japan. Methods From August 2019 to February 2020, the European Health Literacy Survey (Japanese version) and a patient background survey (highest level of education, income, social activities, and exercise habit) were conducted on adult predialysis CKD patients. We compared clinical parameters in two groups according to the average HL score of a healthy Japanese population. In addition, a median value of 42 items was used as a cutoff for extracting CKD patient background factors associated with HL since HLS-EU-Q47 included five items related to physical activity and exercise. Results Valid responses were received from 200 patients. Median general HL index was 25.2 points. The high-HL group (≥ 25.3 points) showed a low proportion of male (56.7% vs. 70.9%, p = 0.038), high social activities (69.1% vs. 48.5%, p = 0.003), and high exercise habit (36.1% vs. 13.6%, p
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