Health Literacy and Health Promotion Behaviors of Adolescents in Turkey

Öztürk, Fatma Özlem; Ayaz‐Alkaya, Sultan

doi:10.1016/j.pedn.2020.04.019

Cited by 31 publications

(57 citation statements)

References 30 publications

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“…The health behaviors of adolescents are affected by environmental factors, such as school policies, school friends, family economic income level, cultural characteristics of their society, and health perceptions and health behaviors of family members (Bronfenbrenner, 1979;Fleary et al, 2018;McMurray, 2006;Ozturk & Ayaz-Alkaya, 2020). Furthermore, sub-dimensions of adolescents' health behaviors, such as physical, mental, social, and spiritual health, are also greatly influenced by the adolescent's environment and the family's health behavior (Ardic & Esin, 2016).…”

Section: Introductionmentioning

confidence: 99%

“…However, the limited number of studies examining how the relationship between health literacy and self-efficacy affects health behaviors have differing results (Barsell et al, 2018). Studies in Turkey indicate that these two variables do not seem to have an effect on health behavior (Binay & Yiğit, 2016;Ozturk & Ayaz-Alkaya, 2020). In several previous studies, the health literacy, self-efficacy, and healthy lifestyle behaviors of adolescents were examined separately (Binay & Yiğit, 2016;Ozturk & Ayaz-Alkaya, 2020); however, these variables have not been studied together.…”

Section: Introductionmentioning

confidence: 99%

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Predicting the Healthy Lifestyle Behaviors of Turkish Adolescents Based on their Health Literacy and Self-Efficacy Levels

Bektaş

Kudubeş

Ayar

et al. 2021

Journal of Pediatric Nursing

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The effects of Turkish adolescents' self-efficacy and health literacy on their health behaviors are examined in this study. Design and method: This study employed a descriptive cross-sectional design with a sample population of 440 adolescents between the ages of 13 and 18 years old. The data were collected using a demographic data form and analyzed according to the Self-Efficacy Scale for Children, the Health Literacy Scale, and the Adolescent Lifestyle Profile. Results: The regression analysis found that the self-efficacy and health literacy levels of adolescents predicted their healthy lifestyle behaviors (F = 141.813, p = 0.000). The self-efficacy and health literacy levels explained 41.9% of the healthy lifestyle behaviors of the subjects, with regression coefficients for self-efficacy and health literacy of 0.545 and 0.185, respectively. Self-efficacy among adolescents significantly predicted all the subdimensions of healthy lifestyle behaviors, such as health responsibility, physical activity, nutrition, positive life view, interpersonal relations, stress management, and spiritual health. Similarly, the health literacy levels predicted all the sub-dimensions except for physical activity and stress management. Conclusions: In this study, the adolescents' self-efficacy levels and their health literacy levels significantly explained their health behaviors. This finding suggests that increasing the self-efficacy and health literacy levels of adolescents should be increased to develop positive health behaviors among today's youth. Practice implications: Nurses should identify strategies to increase self-efficacy and health literacy among adolescents to protect and improve adolescent health behavior.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Predicting the Healthy Lifestyle Behaviors of Turkish Adolescents Based on their Health Literacy and Self-Efficacy Levels

Bektaş

Kudubeş

Ayar

et al. 2021

Journal of Pediatric Nursing

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“…Prior to childbirth, low health literacy in pregnant mothers has a significant impact on the health and development of their offspring, including prematurity, infancy death, and child vaccination participation [ 33 ]. Low health literacy in children and adolescents is associated with poor health behaviours, such as smoking, alcohol use, and obesity [ 34 , 35 , 36 , 37 ]. When children and adolescents transit into adulthood and older age, health literacy is closely linked with healthcare outcomes, such as prolonged hospitalization and poor medication adherence [ 17 , 38 ].…”

Section: What Is Known Already?mentioning

confidence: 99%

Moving Health Literacy Research and Practice towards a Vision of Equity, Precision and Transparency

Guo

Okan

2020

IJERPH

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Over the past two decades, health literacy research has gained increasing attention in global health initiatives to reduce health disparities. While it is well-documented that health literacy is associated with health outcomes, most findings are generated from cross-sectional data. Along with the increasing importance of health literacy in policy, there is a lack of specificity and transparency about how to improve health literacy in practice. In this study, we are calling for a shift of current research paradigms from judging health literacy levels towards observing how health literacy skills are developed over the life course and practised in the real world. This includes using a life-course approach, integrating the rationale of precision public health, applying open science practice, and promoting actionable knowledge translation strategies. We show how a greater appreciation for these paradigms promises to advance health literacy research and practice towards an equitable, precise, transparent, and actionable vision.

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“…Supporting adolescents' health literacy needs is a crucial step to make them adopt a healthy lifestyle in the present and future. Better understanding of the association between health literacy and adolescents' health behaviours is crucial to promote health literacy interventions for adolescents (Ozturk & Ayaz‐Alkaya, 2020).…”

Section: Introductionmentioning

confidence: 99%

“…Few studies have investigated the relationship between health literacy and health‐promoting behaviours in adolescents. These studies have shown that individuals with higher health literacy are more likely to have health‐promoting behaviours (Chang, 2011; Ozturk & Ayaz‐Alkaya, 2020; Park et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Association of electronic health literacy with health‐promoting behaviours in adolescents

Aslan

Kartal

Turan

et al. 2021

Int J of Nursing Practice

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Aim This study aimed to determine the electronic health (e‐health) literacy level of high school students and its relationship with their health‐promoting behaviours. Methods This was a cross‐sectional study conducted between April and May 2018. The study sample consisted of 409 students, who were aged between 14 and 19 years old, in three high schools located in the city centre of Denizli. Multiple regression analyses were performed to examine the predictive variables for six dimensions of health‐promoting behaviours. Results In this study, the mean (SD) e‐health literacy score of 27.89 (6.19) was slightly above moderate level. e‐Health literacy was found to significantly predict all six dimensions of health‐promoting behaviours positively, that is, e‐health literacy was determined to predict the dimensions of nutritional behaviours (β = 0.64, P < 0.001), life appreciation (β = 0.55, P < 0.001), social support (β = 0.72, P < 0.001), exercise (β = 0.36, P < 0.001), stress management (β = −0.22, P < 0.001) and health responsibility (β = 0.68, P < 0.001). Conclusion With e‐health literacy significantly predictive of health‐promoting behaviours, nurses are recommended to consider the e‐health literacy levels of adolescents in the health‐promoting programs they design.

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Health Literacy and Health Promotion Behaviors of Adolescents in Turkey

Cited by 31 publications

References 30 publications

Predicting the Healthy Lifestyle Behaviors of Turkish Adolescents Based on their Health Literacy and Self-Efficacy Levels

Predicting the Healthy Lifestyle Behaviors of Turkish Adolescents Based on their Health Literacy and Self-Efficacy Levels

Moving Health Literacy Research and Practice towards a Vision of Equity, Precision and Transparency

Association of electronic health literacy with health‐promoting behaviours in adolescents

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