Mohammed B A Sarhan, Rika Fujiya, Junko Kiriya, Zin Wai Htay, Kayono Nakajima, Rie Fuse, Nao Wakabayashi, Masamine Jimba
Health literacy among adolescents and young adults in the Eastern Mediterranean region: a scoping review
BMJ open
advent internet changed landscape available nutrition information however little known peoples informationseeking behavior toward healthy eating potential consequences aimed examine prevalence correlates nutrition information seeking various webbased offline media sources crosssectional study included 5998 japanese adults aged 20 79 years participating webbased questionnaire survey february march 2023 dependent variable regular use webbased offline media reliable source nutrition information main independent variables included health literacy food literacy diet quality assessed using validated tools well sociodemographic factors sex age education level nutrition healthrelated occupations top source nutrition information television 19735998 3289 followed web searches 13335998 2222 websites government medical manufacturers 9975998 1662 newspapers 9015998 1502 books magazines 6975998 1162 video sites eg youtube 6345998 1057 multivariable logistic regression showed higher health literacy associated higher odds using individual sources examined odds ratios ors 1point score increase ranged 127 95 ci 109149 181 95 ci 157209 contrast food literacy inversely associated use television 065 95 ci 055077 whereas positively associated use websites government medical manufacturers 198 95 ci 162244 books magazines 209 95 ci 164266 video sites 153 95 ci 119196 furthermore diet quality positively associated use newspapers 102 95 ci 101103 books magazines 103 95 ci 102104 female associated using television books magazines whereas male associated using websites government medical manufacturers newspapers video sites age positively associated using newspapers inversely associated using websites government medical manufacturers video sites people higher education likely refer websites government medical manufacturers newspapers less likely use television video sites dietitians likely use websites government medical manufacturers books magazines general public less likely use television video sites identified various webbased offline media sources regularly used japanese adults seeking nutrition information correlates varied widely lack positive associations use top 2 major sources television web searches food literacy diet quality highlighted findings provide useful insights potential developing disseminating evidencebased health promotion materials