Motivational readiness for physical activity and health literacy: results of a cross-sectional survey of the adult population in Germany

BMC Public Health

Research

Susanne Jordan¹  Olga Maria Domanska¹  Maike Buchmann¹  Anne-Kathrin Mareike Loer¹  Jonas David Finger² 

[1] Department of Epidemiology and Health Monitoring, Robert Koch Institute, Nordufer 20, 13353, Berlin, Germany;Senate Department for Higher Education and Research, Long-Term Care and Gender Equality, Department of Health, Oranienstraße 106, 10969, Berlin, Germany;

关键词: Health literacy;    Motivational readiness;    Stages of change;    Transtheoretical model;    Physical activity;    Health behaviour change;    Prevention;    Health promotion;    Cross-sectional study;    German Health Update;   

DOI  :  10.1186/s12889-023-15219-4

 received in 2022-08-09, accepted in 2023-02-06,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundHealth literacy, defined as the knowledge, motivation, and competences to use health information to improve health and well-being, is associated with regular physical activity. However, there is limited evidence on whether health literacy is also related to the motivational readiness for physical activity in a general population. The aim of this study was to investigate whether motivational readiness for leisure-time physical activity is associated with health literacy.MethodsAnalyses were based on data of 21,895 adults from the cross-sectional German Health Update and European Health Interview Survey 2014/2015 (GEDA 2014/2015-EHIS). Motivational readiness for leisure-time physical activity was assessed with stages of change for physical activity with a set of validated items. It was then classified, according to an established algorithm, into five stages: precontemplation, contemplation, preparation, action, and maintenance. Health literacy was measured with the short form of the European Health Literacy Survey Questionnaire (HLS-EU-Q16) and categorised as low, medium, and high. For bivariate and multinomial logistic regression analyses, the stages were categorised in three phases as: (1) no intention (precontemplation), (2) planning (contemplation or preparation), and (3) in activity (action or maintenance). The models were adjusted for sex, age, education, health consciousness, self-efficacy, and self-perceived general health status.ResultsHigh compared to low health literacy was associated with a 1.65-times (95% CI = 1.39–1.96) greater probability of being in activity than planning. High compared to low health literacy was associated with a reduced risk of having no intention to change physical activity behaviour (relative risk ratio, RRR = 0.84, 95% CI = 0.75–0.95). The associations persisted after adjusting for covariates.ConclusionHigh health literacy was positively associated with more advanced phases of motivational readiness for leisure-time physical activity. Therefore, taking health literacy into account in interventions to promote motivational readiness for leisure-time physical activity could be a useful approach.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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Fig. 2