Highlights
- •Health literacy begins in the childhood and continues throughout the lifetime.
- •Adolescents with health literacy display their health promotion behaviors much more.
- •Most of the adolescents had a moderate health literacy level and applied healthy behaviors.
Abstract
Purpose
This study was conducted to determine the health literacy and health promotion behaviors
of adolescents.
Design and methods
This study used cross sectional and correlational design. The population of the study
consisted of 6th, 7th, and 8th grade students from three different secondary schools
selected from high, middle, and low income levels. The sample consisted of 2498 students.
Results
The mean score of the health literacy scale of the students was 30.26. The mean score
of the adolescent health promotion scale was 143.75. The mean scores of health literacy
and adolescent health promotion scores of the students in high income level, sixth
grade, and have parents with a baccalaureate or graduate degree were significantly
higher (p < 0.005). A moderate positive correlation was found between the school age health
literacy scale and the adolescent health promotion scale (p < 0.001).
Conclusions
Adolescents' health literacy, and their health promotion behaviors were at moderate
level. By integrating a basic health knowledge and healthy lifestyle behaviors course
into the student curriculum, health literacy of the students could be increased.
Practice implications
The determination of health literacy and health promotion behaviors in adolescents
by nurses in the schools will be a guide for the promotion of enhanced adolescent
health.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric Nursing: Nursing Care of Children and FamiliesAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Health promotion behaviors in adolescents: Prevalence and association with mental health status in a statewide sample.The Journal of Behavioral Health Services & Research. 2014; 41: 140-152https://doi.org/10.1007/s11414-013-9370-y
- Investigation of health literacy and affecting factors of nursing students.Nurse Education in Practice. 2019; 34: 31-35https://doi.org/10.1016/j.nepr.2018.10.009
- A healthy lifestyle education programme for health literacy and health-promoting behaviours: A pre-implementation and post-implementation study.International Journal of Nursing Practice. 2020; 26https://doi.org/10.1111/ijn.12793
- Relationship between adolescents’ health promoting lifestyle behaviors and self-efficacy.The Journal of Pediatric Research. 2016; 3: 180-186https://doi.org/10.4274/jpr.18894
- Health literacy in childhood and youth: A systematic review of definitions and models.BMC Public Health. 2017; 17: 361https://doi.org/10.1186/s12889-017-4365-x
- Health literacy, self-reported status and health promoting behaviours for adolescents in Taiwan.Journal of Clinical Nursing. 2011; 20: 190-196https://doi.org/10.1111/j.1365-2702.2009.03181.x
- Association between health literacy and child and adolescent obesity.Patient Education and Counseling. 2014; 94: 61-66https://doi.org/10.1016/j.pec.2013.09.006
- Adolescent health promotion scale: development and psychometric testing.Public Health Nursing. 2003; 20: 104-110https://doi.org/10.1046/j.1525-1446.2003.20204.x
- Family socioeconomic status, parental attention, and health behaviors in middle childhood: A cross-sectional study.Nursing & Health Sciences. 2019; https://doi.org/10.1111/nhs.12661
- Adolescent health literacy and health behaviors: A systematic review.Journal of Adolescence. 2018; 62: 116-127https://doi.org/10.1016/j.adolescence.2017.11.010
- Adolescent health literacy: The importance of credible sources for online health information.Journal of School Health. 2012; 82: 28-36https://doi.org/10.1111/j.1746-1561.2011.00664.x
- Promoting health literacy in secondary schools: A review.British Journal of School Nursing. 2015; 10: 82-87https://doi.org/10.12968/bjsn.2015.10.2.82
- Psychometric testing of the Turkish version of the health literacy for school-aged children scale.Journal of Child Health Care. 2018; 22: 97-107https://doi.org/10.1177/1367493517738124
- Health literacy and health behavior in late school-age children.Journal of Korean Academy of Community Health Nursing. 2015; 26: 199-208https://doi.org/10.12799/jkachn.2015.26.3.199
- How health literate are the iGeneration Filipinos? Health literacy among filipino early adolescents in middle schools.Asia-Pacific Social Science Review. 2019; 19: 16-29
- Health promoting behaviors among adolescents: A cross-sectional study.Nursing and Midwifery Studies. 2014; 3: e14560https://doi.org/10.17795/nmsjournal14560
- Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century.Health Promotion International. 2000; 15: 259-267
- Health promotion and risk behaviors among adolescents in Turkey.The Journal of School Nursing. 2011; 27: 304-315https://doi.org/10.1177/1059840511408322
- Addressing health literacy in schools in the WHO European Region.Public Health Panorama. 2019; 5: 123-129
- Subjective health literacy: Development of a brief instrument for school-aged children.Scandinavian Journal of Public Health. 2016; 44: 751-757https://doi.org/10.1177/1403494816669639
- Subjective health literacy among school-aged children.Health Education. 2018; 118: 182-195https://doi.org/10.1108/HE-02-2017-0014
- Associations between health literacy and health behaviors among urban high school students.Journal of School Health. 2017; 87: 885-893https://doi.org/10.1111/josh.12567
- Promoting adolescent health: Insights from developmental and communication neuroscience.Behavioural Public Policy. 2019; 3: 47-71https://doi.org/10.1017/bpp.2018.30
- Health literacy revisited: What do we mean and why does it matter?.Health Promotion International. 2009; 24: 285-295https://doi.org/10.1093/heapro/dap014
- The association between quality of life (QOL) and health literacy among junior middle school students: A cross-sectional study.BMC Public Health. 2018; 18: 1183https://doi.org/10.1186/s12889-018-6082-5
- Health literacy in Europe: Comparative results of the European health literacy survey (HLS-EU).European Journal of Public Health. 2015; 25: 1053-1058https://doi.org/10.1093/eurpub/ckv043
- Subjective health literacy among school-aged children: First evidence from Lithuania.International Journal of Environmental Research and Public Health. 2019; 16: 3397https://doi.org/10.3390/ijerph16183397
- Factors that affect healthy lifestyle behaviors of high school students in Turkey: A systematic review.European Journal of Therapeutics. 2017; 23: 74-82
- Determinants of health literacy and health behavior regarding infectious respiratory diseases: A pathway model.BMC Public Health. 2013; 13: 261https://doi.org/10.1186/1471-2458-13-261
- Urban poverty map of Ankara.Turgut Özal University Publications, Ankara2012 (Chapter 5)
- The reliability and validity of adolescent health promotion scale in Turkish community.Journal of Current Pediatrics. 2011; 9: 14-22
- Health-promoting behaviors: Psychometric properties of an assessment tool.Texto & Contexto-Enfermagem. 2015; 24: 22-29https://doi.org/10.1590/0104-07072015000700014
- Socio-demographic predictors of health behaviors in Mexican college students.Health Promotion International. 2009; 25: 85-93https://doi.org/10.1093/heapro/dap047
- Health literacy and health behaviour. Erişim.https://www.who.int/healthpromotion/conferences/7gchp/track2/en/Date: 2018Date accessed: December 6, 2018
- Status and determinants of health literacy among adolescents in Guangdong, China.Asian Pacific Journal of Cancer Prevention. 2014; 15: 8735-8740https://doi.org/10.7314/APJCP.2014.15.20.8735
Article info
Publication history
Published online: May 20, 2020
Accepted:
April 18,
2020
Received in revised form:
April 12,
2020
Received:
January 29,
2020
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.