Research article Topical Sections

The effect of guardians' health literacy on the child's spending time at home: A cross-sectional study among Japanese schoolchildren

  • Received: 02 August 2022 Revised: 16 January 2023 Accepted: 18 January 2023 Published: 08 February 2023
  • Background 

    The contents of children's daily activities and the amount of time spent on them has been directly linked to their health and development. Parental health behavior has also been considered a key factor, and the aim of this study was to determine the relationship between parent/guardian health literacy (HL) and their child's time spent at home by behavioral types. The study was conducted in elementary schools in Japan.

    Method 

    The target subjects for this study were elementary schoolchildren (all grades, aged 6 to 12 years) and their parents/guardians, and almost 3000 schoolchildren and their parents/guardians in the Northern and Southern districts in Japan participated. The questionnaire for parents/guardians included amount of time spent per day on the seven major behavioral contents of their child's time at home, on weekdays and weekends, respectively, and a shortened five-item health literacy (HL) scale. Parent/guardian HL results were categorized into two groups (low HL group and high HL group), and we analyzed the association between the HL and child's time spent at home by behavioral contents.

    Results 

    Children in the high HL parent/guardian group spent significantly less time watching TV and playing games than those in the low HL group, both on weekdays and weekends. Time spent playing outside on weekdays and on hobbies on weekdays and weekends was significantly longer for children in the high HL parent/guardian group than in the low HL group. Results of logistic regression analyses adjusted for confounders showed that higher parental/guardian HL reduced children's spending more than 30 minutes watching TV or playing games and increased children's spending more than 30 minutes on outside playing and doing hobbies.

    Conclusions 

    Parental/guardian HL affected the child's time spent at home. The results could suggest that increasing parental/guardian HL has strong potential to improve children's major lifestyle behaviors.

    Citation: Yuki Sato, Reiko Suzuki, Michiko Shigihara, Chieko Suzuki. The effect of guardians' health literacy on the child's spending time at home: A cross-sectional study among Japanese schoolchildren[J]. AIMS Public Health, 2023, 10(1): 52-62. doi: 10.3934/publichealth.2023005

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  • Background 

    The contents of children's daily activities and the amount of time spent on them has been directly linked to their health and development. Parental health behavior has also been considered a key factor, and the aim of this study was to determine the relationship between parent/guardian health literacy (HL) and their child's time spent at home by behavioral types. The study was conducted in elementary schools in Japan.

    Method 

    The target subjects for this study were elementary schoolchildren (all grades, aged 6 to 12 years) and their parents/guardians, and almost 3000 schoolchildren and their parents/guardians in the Northern and Southern districts in Japan participated. The questionnaire for parents/guardians included amount of time spent per day on the seven major behavioral contents of their child's time at home, on weekdays and weekends, respectively, and a shortened five-item health literacy (HL) scale. Parent/guardian HL results were categorized into two groups (low HL group and high HL group), and we analyzed the association between the HL and child's time spent at home by behavioral contents.

    Results 

    Children in the high HL parent/guardian group spent significantly less time watching TV and playing games than those in the low HL group, both on weekdays and weekends. Time spent playing outside on weekdays and on hobbies on weekdays and weekends was significantly longer for children in the high HL parent/guardian group than in the low HL group. Results of logistic regression analyses adjusted for confounders showed that higher parental/guardian HL reduced children's spending more than 30 minutes watching TV or playing games and increased children's spending more than 30 minutes on outside playing and doing hobbies.

    Conclusions 

    Parental/guardian HL affected the child's time spent at home. The results could suggest that increasing parental/guardian HL has strong potential to improve children's major lifestyle behaviors.



    加载中

    Acknowledgments



    The authors thank to all participants, the education committee, the participating schools and research assistants.

    Conflict of interest



    All authors declare no conflicts of interest in this paper.

    [1] Chaput JP, Willumsen J, Bull F (2020) 2020 WHO guidelines on physical activity and sedentary behaviour for children and adolescents aged 5–17 years: summary of the evidence. Int J Behav Nutr Phys Act 17: 141. https://doi.org/10.1186/s12966-020-01037-z
    [2] Domingues-Montanari S (2017) Clinical and psychological effects of excessive screen time on children. J Paediatr Child Health 53: 333-338. https://doi.org/10.1111/jpc.13462
    [3] Pyper E, Harrington D, Manson H (2016) The impact of different types of parental support behaviours on child physical activity, healthy eating, and screen time: a cross-sectional study. BMC Public Health 16: 568. https://doi.org/10.1186/s12889-016-3245-0
    [4] Summerbell CD (2007) The identification of effective programs to prevent and treat overweight preschool children. Obesity 15: 1341-1342. https://doi.org/10.1038/oby.2007.160
    [5] Drenowatz C, Erkelenz N, Wartha O, et al. (2014) Parental characteristics have a larger effect on children's health behaviour than their body weight. Obes Facts 7: 388-398. https://doi.org/10.1159/000369984
    [6] Morrison AK, Glick A, Yin HS (2019) Health literacy: Implications for child health. Pediatr Rev 40: 263-277. https://doi.org/10.1542/pir.2018-0027
    [7] Van Der Horst K, Paw MJ, Twisk JW, et al. (2007) A brief review on correlates of physical activity and sedentariness in youth. Med Sci Sports Exerc 39: 1241-1250. https://doi.org/10.1249/mss.0b013e318059bf35
    [8] De Craemer M, Verloigne M, Ghekiere A, et al. (2018) Changes in children's television and computer time according to parental education, parental income and ethnicity: A 6-year longitudinal EYHS study. PLoS One 13: e0203592. https://doi.org/10.1371/journal.pone.0203592
    [9] Pawellek M, Kopf FM, Egger N, et al. (2022) Pathways linking parental health literacy with health behaviours directed at the child: a scoping review. Health Promot Int 37: daab154. https://doi.org/10.1093/heapro/daab154
    [10] De Buhr E, Tannen A (2020) Parental health literacy and health knowledge, behaviours and outcomes in children: a cross-sectional survey. BMC Public Health 20: 1096. https://doi.org/10.1186/s12889-020-08881-5
    [11] Ishikawa H, Nomura K, Sato M, et al. (2008) Developing a measure of communicative and critical health literacy: a pilot study of Japanese office workers. Health Promot Int 23: 269-274. https://doi.org/10.1093/heapro/dan017
    [12] Sato Y, Iwakiri K, Matsuo T, et al. (2021) Impact of health literacy on health practices in the working life of young Japanese nurses and care workers. Ind Health 17: 171-179. https://doi.org/10.2486/indhealth.2020-0218
    [13] Yokokawa H, Fukuda H, Yuasa M, et al. (2016) Association between health literacy and metabolic syndrome or healthy lifestyle characteristics among community-dwelling Japanese people. Diabetol Metab Syndr 8: 30. https://doi.org/10.1186/s13098-016-0142-8
    [14] Suka M, Odajima T, Kasai M, et al. (2013) The 14-item health literacy scale for Japanese adults (HLS-14). Environ Health Prev Med 18: 407-415. https://doi.org/10.1007/s12199-013-0340-z
    [15] De Craemer M, Verloigne M, Ghekiere A, et al. (2018) Changes in children's television and computer time according to parental education, parental income and ethnicity: A 6-year longitudinal EYHS study. PLoS One 13: e0203592. https://doi.org/10.1371/journal.pone.0203592
    [16] Gorely T, Marshall SJ, Biddle SJ (2004) Couch kids: correlates of television viewing among youth. Int J Behav Med 11: 152-163. https://doi.org/10.1207/s15327558ijbm1103_4
    [17] Hennessy E, Hughes SO, Goldberg JP, et al. (2010) Parent-child interactions and objectively measured child physical activity: a cross-sectional study. Int J Behav Nutr Phys Act 7: 71. https://doi.org/10.1186/1479-5868-7-71
    [18] Arredondo E, Elder J, Ayala G, et al. (2006) Is parenting style related to children's eating and physical activity in Latino families?. Health Educ Res 21: 862-871. https://doi.org/10.1093/her/cyl110
    [19] Schmitz KH, Lytle LA, Phillips GA, et al. (2002) Psychosocial correlates of physical activity and sedentary leisure habits in young adolescents: the Teens Eating for Energy and Nutrition at School study. Prev Med 34: 266-278. https://doi.org/10.1006/pmed.2001.0982
    [20] Brindova D, Pavelka J, Ševčikova A, et al. (2014) How parents can affect excessive spending of time on screen-based activities. BMC Public Health 14: 1261. https://doi.org/10.1186/1471-2458-14-1261
    [21] Sørensen K, van den Broucke S, Fullam J, et al. (2012) Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health 12: 80. https://doi.org/10.1186/1471-2458-12-80
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