Exploring the factors related to adolescent health literacy, health-promoting lifestyle profile, and health status

Chu-Ko, Fen; Chong, Meng-Ling; Chung, Chi-Jung; Chang, Che-Ming; Liu, Hsin‐Yi; Huang, Li-Chi

doi:10.1186/s12889-021-12239-w

Cited by 31 publications

(39 citation statements)

References 51 publications

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“…HL positively correlated with HPL and HPL increased with the growth of HL in many studies ( 7 – 11 , 22 , 39 , 40 ), but the relationship status between HL and HPL is complicated ( 28 ), these studies did not distinguish the effects of different HL stages/types to HPL. Some studies show different results.…”

Section: Discussionmentioning

confidence: 97%

“…In Shandong Province, China, 54.50% of adults had poor or average HPL ( 21 ). And the mean score for Taiwan adolescent HPL was 60.76 (± 11.88), which was considered moderate ( 22 ). HPL is a model for individuals to take control of, maintain, and/or enhance their own health ( 23 ) and an important determinant of health status ( 19 ).…”

Section: Introductionmentioning

confidence: 99%

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How to make more people adopt healthy behaviors? Assessing health literacy, health promoting lifestyle and their association of community residents in Shenzhen, China

Zhang

Jia

Pan

et al. 2022

Front. Public Health

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IntroductionHealth literacy (HL) has been concerned a key factor for determining the use of health information and promoting health. The study aimed to explore the relationship between different health literacy types and health promoting lifestyle (HPL) in different health literacy population.MethodsThe survey analyzed a sample of 16,921 community residents in Shenzhen. The Chinese Citizen Health Literacy Questionnaire and health-promoting lifestyle profile II (HPLP- II) were used to assess health literacy and health promoting lifestyle.ResultsParticipants were divided into different populations based on the correlation between HL and HPL. The low-HL and medium-HL populations were judged to lack health literacy, and demographic characteristics were significantly different between different HPL levels in low-HL and medium-HL populations. There were 6 types of HL, and health information literacy (β = 0.08, P < 0.001) and chronic disease literacy (β = 0.08, P < 0.001) positively predicted HPL in the low-HL population. In the medium-HL population, the results of reward and punishment analysis showed that health information was a basic factor, chronic disease was performance factor, medical care was a motivating factor for HPL; there were 6 dimensions of HPL, and health responsibility (HR), stress management (SM) and physical activity (PA) were not significantly different in medium-HL population. The results of regression analysis showed that HR and PA had a great impact on HPL (HR: β = 0.193, PA: β =0.179, β for other dimensions was 0.186, 0.176, 0.171, 0.164), but the HR and PA standardized scores were lowest in the HPL dimensions (HR: 69.42, PA: 68.5, lower than other dimensions), so it may be HR and PA that cause HPL unchanged between groups in the medium-HL population.ConclusionsDifferent HL levels have different relationships with HPL, and different HL types have different effects on HPL. Shenzhen community residents need to improve their HL, and they have great potentials for further progress to improve the population health. Public health policy makers need to consider formulating different policies for people with different HL levels.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

How to make more people adopt healthy behaviors? Assessing health literacy, health promoting lifestyle and their association of community residents in Shenzhen, China

Zhang

Jia

Pan

et al. 2022

Front. Public Health

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“…During the development process, the English version of the HLS-EU-Q simultaneously was translated into Bulgarian, Dutch, German, Greek, Polish, Spanish, Irish, Austrian [56] and in Asia into Indonesia, Kazakhstan, Malaysia, Myanmar, Taiwan, and Vietnam [292]. Also, the Taiwanese [293][294][295][296]; Norwegian [297]; Japanese [298]; Vietnamese [299] versions of this instrument have been used in various populations, making it one of the most widely used internationally. Given this instrument's relatively wide range of applications, it may be considered a prelude for producing an international instrument for measuring health literacy.…”

Section: Discussionmentioning

confidence: 99%

“…European Health Literacy Survey Questionnaire (HLS-EU-Q-47) Albanian [219]; Turkish [291]; Indonesian/Kazakh/ Malay/Myanmar/Burmese/Mandarin/Vietnamese [292]; Taiwanese [293][294][295][296]; Norwegian [297]; Japanese [298]; Vietnamese [299] -Suka et al…”

Section: Sorensen Et Al [56]mentioning

confidence: 99%

Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021

et al. 2022

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Background It has been about 30 years since the first health literacy instrument was developed. This study aimed to review all existing instruments to summarize the current knowledge on the development of existing measurement instruments and their possible translation and validation in other languages different from the original languages. Methods The review was conducted using PubMed, Web of Science, Scopus, and Google Scholar on all published papers on health literacy instrument development and psychometric properties in English biomedical journals from 1993 to the end of 2021. Results The findings were summarized and synthesized on several headings, including general instruments, condition specific health literacy instruments (disease & content), population- specific instruments, and electronic health. Overall, 4848 citations were retrieved. After removing duplicates (n = 2336) and non-related papers (n = 2175), 361 studies (162 papers introducing an instrument and 199 papers reporting translation and psychometric properties of an original instrument) were selected for the final review. The original instruments included 39 general health literacy instruments, 90 condition specific (disease or content) health literacy instruments, 22 population- specific instruments, and 11 electronic health literacy instruments. Almost all papers reported reliability and validity, and the findings indicated that most existing health literacy instruments benefit from some relatively good psychometric properties. Conclusion This review highlighted that there were more than enough instruments for measuring health literacy. In addition, we found that a number of instruments did not report psychometric properties sufficiently. However, evidence suggest that well developed instruments and those reported adequate measures of validation could be helpful if appropriately selected based on objectives of a given study. Perhaps an authorized institution such as World Health Organization should take responsibility and provide a clear guideline for measuring health literacy as appropriate.

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“…For children younger than 12, two definitions are used: (1) “The meaning of health literacy to children is defined as “to understand and act upon physical and psycho-social activities with appropriate standards, being able to interact with people and cope with necessary changes and; demands reasonable autonomy so as to achieve complete physical, mental and social well-being”” [ 33 ] (p. 257); (2) “[...] health literacy was defined simply as the ability to understand health information and to understand that actions taken in youth affect health later in life, combined with the ability to access valid health information” [ 34 ] (p. 13). To measure HL level in childhood there are a lot of instruments that focus on different areas [ 35 , 36 , 37 , 38 ], but we could not find even one which focused on general HL level in early childhood.…”

Section: Introductionmentioning

confidence: 99%

Health Literacy in Early Childhood: A Systematic Review of Empirical Studies

et al. 2022

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Early childhood plays a key role in the formation of healthy habits and the establishment of health literacy. Nonetheless, there are only a few research studies focusing on the health literacy level of children under the age of eight. The aim of our systematic review is to explore empirical research on health literacy related to early childhood. The research was conducted in accordance with the PRISMA protocol. This systematic review examines 12 studies published between 2013–2022. Results show that research focuses on different domains of health literacy for children. In relation to children’s food literacy, children understand the relationship between health and nutrition and they realize the health impact of obesity. The habits connected to oral health are strongly associated with parents’ knowledge of and behaviours around oral health. Results related to health care situations show that children are able to be actively involved in decision-making processes in connection with their health. Exploring young children’s health literacy is essential in order to be able to plan health promotion interventions, embedded into early childhood education. Picture-based messages or story-based messages supported by illustrations can help measure health literacy in early childhood and can support the formation of health literacy.

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Exploring the factors related to adolescent health literacy, health-promoting lifestyle profile, and health status

Cited by 31 publications

References 51 publications

How to make more people adopt healthy behaviors? Assessing health literacy, health promoting lifestyle and their association of community residents in Shenzhen, China

How to make more people adopt healthy behaviors? Assessing health literacy, health promoting lifestyle and their association of community residents in Shenzhen, China

Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021

Health Literacy in Early Childhood: A Systematic Review of Empirical Studies

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