Background: Smoking and alcohol consumption are common risk factors associated with lifestyle diseases, such as cancer, and various health-related problems. Previous studies have suggested that the level of an individual’s health literacy (HL) can affect their health-related behaviors. However, little research has been conducted to assess the relationship between HL and alcohol consumption or smoking among Japanese people. Therefore, the present study aimed to conduct a literature review to assess this relationship.
Methods: We performed a literature review using databases such as PubMed, CiNii, Ichushi-Web (Japana centra revuo medicina), and Medical Online to search for English and Japanese articles. The main search terms used were “health literacy,” “scales,” “alcohol consumption,” and “smoking.” We examined whether the level of HL was associated with alcohol consumption and smoking in Japanese people in the studies identified.
Results: We identified eight articles in total. Seven of these studies examined the association between HL and alcohol consumption, two of which were significant (one of univariate analysis and one of multivariate analysis). All eight studies examined the association between HL and smoking, two of which were significant (two of multivariate analyses).
Conclusion: Some studies identified a significant association between HL and alcohol consumption and smoking; however, whether this holds true in the Japanese population was not clear. Further investigation of this association requires intervention and longitudinal studies to establish the relationship between HL and alcohol consumption and smoking among Japanese people.
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