- Volume 15 Issue 20
DOI QR Code
Status and Determinants of Health Literacy among Adolescents in Guangdong, China
- Ye, Xiao-Hua (Guangdong Key Laboratory of Molecular Epidemiology, School of Public Health, Guangdong Pharmaceutical University) ;
- Yang, Yi (Guangdong Key Laboratory of Molecular Epidemiology, School of Public Health, Guangdong Pharmaceutical University) ;
- Gao, Yan-Hui (Guangdong Key Laboratory of Molecular Epidemiology, School of Public Health, Guangdong Pharmaceutical University) ;
- Chen, Si-Dong (Guangdong Key Laboratory of Molecular Epidemiology, School of Public Health, Guangdong Pharmaceutical University) ;
- Xu, Ya (Guangdong Key Laboratory of Molecular Epidemiology, School of Public Health, Guangdong Pharmaceutical University)
- Published : 2014.11.06
Background: Previous studies for non-communicable disease cotrol, including cancer, have mostly relied on health literacy in adults. However, limited studies are available for adolescents. This study aimed to assess the status and determinants of health literacy in in-school adolescents in Guangdong, China. Materials and Methods: A total of 3,821 students aged 13-25 years were selected by multi-stage cluster sampling. After the questionnaire of health literacy was answered, the total scores for health knowledge (18 questions), skills (5 questions) and behaviors (14 questions) were determined. The total scores for health literacy and each subscale were recoded into adequate and inadequate subgroups, and logistic regression models were used to identify factors associated with each outcome variable. Results: The prevalence of adequate health literacy was 14.4%, and the prevalences for adequate knowledge, skills and behavior were 22.4%, 64.7% and 6.6%, respectively. Students coming from prestigious schools and having parents with higher education had higher odds of having adequate knowledge, skills and behaviors. Female students had higher odds of having adequate knowledge and behaviors. Students in grade 7-8 had higher odds of having adequate knowledge and skills. The health knowledge was positive associated with health skills (odds ratio [OR] =2.1, 95% confidence interval [CI] 1.7-2.5) and behaviors (OR=3.0, 95%CI 2.3-4.0), and health skills were positive associated with health behaviors (OR=2.6, 95%CI 1.8-3.8). Conclusions: Further efforts should be made to increase adolescents' health knowledge and behaviors, especially for low grade and male students in non-prestigious schools.
Health literacy;health knowledge;health behavior;adolescents
- Cutilli CC, Bennett IM (2009). Understanding the health literacy of America: results of the National Assessment of Adult Literacy. Orthop Nurs, 28, 27-32. https://doi.org/10.1097/01.NOR.0000345852.22122.d6
- Australian Bureau of Statistics (2006). Health Literacy. Australian Bureau of Statistics, Australia.
- Baker DW, Wolf MS, Feinglass J, et al (2007). Health literacy and mortality among elderly persons. Arch Intern Med, 167, 1503-9. https://doi.org/10.1001/archinte.167.14.1503
- Basu P, Hassan S, Fileeshia F, et al (2014). Knowledge, attitude and practices of women in Maldives related to the risk factors, prevention and early detection of cervical cancer. Asian Pac J Cancer Prev, 15, 6691-5. https://doi.org/10.7314/APJCP.2014.15.16.6691
- Chang L (2010). Health literacy, self-reported status and health promoting behaviours for adolescents in Taiwan. J Clinic Nursing, 20, 190-6.
- Dennison CR, McEntee ML, Samuel L, et al (2011). Adequate health literacy is associated with higher heart failure knowledgeand self-care confidence in hospitalized patients. J Cardiovasc Nurs, 26, 359-67. https://doi.org/10.1097/JCN.0b013e3181f16f88
- Davis TC, Wolf MS, Arnold CL, et al (2006). Development and validation of the rapid estimate of adolescent literacy in medicine (REALM-Teen): a tool to screen adolescents for below-grade reading in health care settings. Pediatrics, 118, 1707-14. https://doi.org/10.1542/peds.2006-1139
- Davis TC, Byrd RS, Arnold C, Auinger P, Bocchini JA. (1999). Low literacy and violence among adolescents in a summer sports program. J Adolesc Health, 24, 403-11. https://doi.org/10.1016/S1054-139X(98)00148-7
- DeWalt DA, Hink A (2009). Health literacy and child health outcomes: a systematic review of the literature. Pediatrics, 124, 265-74. https://doi.org/10.1542/peds.2009-1162B
- Eguzo K, Camazine B (2013). Beyond limitations: practical strategies for improving cancer care in Nigeria. Asian Pac J Cancer Prev, 14, 3363-8. https://doi.org/10.7314/APJCP.2013.14.5.3363
- Fortenberry JD, McFarlane MM, Hennessy M, et al (2001). Relation of health literacy to gonorrhea related care. Sex Transm Inf, 77, 206-11. https://doi.org/10.1136/sti.77.3.206
- Ghaddar SF, Valerio MA, Garcia CM, Hansen L. (2012). Adolescent health literacy: the importance of credible sources for online health information. J Sch Health, 82, 28-36. https://doi.org/10.1111/j.1746-1561.2011.00664.x
- Harirchi I, Azary S, Montazeri A, et al (2012). Literacy and breast cancer prevention: a population-based study from Iran. Asian Pac J Cancer Prev, 13, 3927-30. https://doi.org/10.7314/APJCP.2012.13.8.3927
- Hampton T (2008).Oncologists advice breast awareness over routine breast self-examination. JAMA, 300, 1748-9. https://doi.org/10.1001/jama.300.15.1748
- Kirsch J, Jungeblut A, Jenkins K (1993). Adult literacy in America: a first look at the findings of the national adult literacy survey. Office of Educational Research and Improvement U.S. Department of Education; Washington, DC.
- Morrow D, Clark D, Tu W, et al (2006). Correlates of health literacy in patients with chronic heart failure. Gerontologis, 46, 669-76. https://doi.org/10.1093/geront/46.5.669
- Li XL, Huang MH, Guo HJ, et al (2010). Health literacy monitor results among Jiangsu urban residents in 2009. JIANGSU HEALTH CARE, 12, 41-4.
- Laramee AS, Morris N, Littenberg B (2007). Relationship of literacy and heart failure in adults with diabetes. BMC Health Serv Res, 7, 98. https://doi.org/10.1186/1472-6963-7-98
- Lahelma E, Martikainen P, Laaksonen M, et al (2004). Pathways between socioeconomic determinants of health. J Epidemiol Community Health, 58, 327-32. https://doi.org/10.1136/jech.2003.011148
- Ministry of Health of the people's republic of China (2008). Health 66-health literacy reader of Chinese citizens,1st ed. people's medical publishing house, Beijing.
- National Center for Education Statistics (2006). The Health Literacy of America's Adults: Results from the 2003 national Assessment of Adult Literacy. U.S. Department of Education; Washington, D.C.
- Paasche-Orlow MK, McCaffery K, Wolf MS (2009). Bridging the international divide for health literacy research. Patient Educ Couns, 75, 293-4. https://doi.org/10.1016/j.pec.2009.05.001
- Parente ST, Salkever S, DaVanzo J (2005). The role of consumer knowledge of insurance benefits in the demand for preventive health care among the elderly. Health Econ, 14, 25-38. https://doi.org/10.1002/hec.907
- Shah LC, West P, Bremmeyr K, Savoy-Moore RT (2010). Health literacy instrument in family medicine: the “newest vital sign” ease of use and correlates. J Am Board Fam Med, 23, 195-203. https://doi.org/10.3122/jabfm.2010.02.070278
- Strommen L, Mates B (2004). Learning to love reading: interviews with older children and teens. J Adolesc Adult Lit, 48, 188-200. https://doi.org/10.1598/JAAL.48.3.1
- Wang P, Mao QA,Tao MX, et al (2010). Survey on the status of health literacy of Chinese residents in 2008. Chinese J Health Education, 26, 243-6.
- Thornton H, Pillarisetti RR (2008). 'Breast awareness' and 'breast self examination' are not the same. What do these terms mean? Why are they confused? Eur J Cancer, 44, 2118-21. https://doi.org/10.1016/j.ejca.2008.08.015
- Toan Tran N, Choe S, Taylor R, et al (2011). Knowledge, attitude and practice (KAP) concerning cervical cancer and screening among rural and urban women in six provinces of the democratic people's republic of Korea. Asian Pac J Cancer Prev, 12, 3029-33.
- ME (2009). Health literacy and sources of health education among adolescents in Greece. Int J Adolesc Med Health, 21, 179-86.
- Zhan LH, Jiang T, Miao YB, et al (2011). Cross-sectional survey on health literacy status and its influencing factors among residents in Guangzhou Yuexiu district. South China J Prev Med, 37, 49-51.
- Zhang L, Seale H, Wu S, et al (2014). Post-pandemic assessment of public knowledge, behavior, and skill on influenza prevention among the general population of Beijing, China. Int J Infect Dis, 24, 1-5. https://doi.org/10.1016/j.ijid.2014.01.003
- Health Literacy and Internet Health Information Use among In-school Adolescents in Osun State, South-West, Nigeria vol.22, pp.1, 2018, https://doi.org/10.1080/15398285.2017.1402636
- The association between quality of life(QOL) and health literacy among junior middle school students: a cross-sectional study vol.18, pp.1, 2018, https://doi.org/10.1186/s12889-018-6082-5
- Measuring functional, interactive and critical health literacy of Chinese secondary school students: reliable, valid and feasible? pp.1757-9767, 2018, https://doi.org/10.1177/1757975918764109
- Assessment of the Chinese Resident Health Literacy Scale in a population-based sample in South China vol.15, pp.1, 2015, https://doi.org/10.1186/s12889-015-1958-0