Health literacy, self-reported status and health promoting behaviours for adolescents in Taiwan
Health literacy, self-reported status and health promoting behaviours for adolescents in Taiwan
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DOI：
10.1111/j.1365-2702.2009.03181.x
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发表时间：
2011-01-01
影响因子：
4.2
通讯作者：
Chang, Li-Chun
中科院分区：
文献类型：
--
作者：
Chang, Li-Chun
目的：本研究的目的是分析台湾青少年健康素养、健康状况和健康促进行为之间的关系。背景：健康素养有限与健康结果不佳有关，如预防服务的使用率低、自我报告的健康状况不佳和成年人缺乏健康促进行为。然而，这些因素尚未在青少年中进行分析。青少年健康素养和健康结果之间的关联提供了有益的见解，在进行健康教育计划的卫生professionals. Design。一个横断面survey。Methods。该调查分析了一个有目的的样本1601高中/职业高中学生从六个县在台湾。健康素养和健康促进行为的数据由中文版收集青少年功能性健康素养测试（简写）（c-sTOFHLAd）和健康促进行为量表，包括以下健康促进行为的子量表：营养，锻炼，压力管理，人际关系，健康责任和自我实现。结果：健康素养低的青少年不太可能感知到良好的健康状况[调整的比值比，（AOR）= 0中心点59，95%CI = 0中心点41-0中心点86]，不太可能表现出促进健康的行为（AOR = 0中心点58，95%CI = 0中心点39-0中心点86）高于健康素养高者，尤其是在营养方面（AOR = 0中心点62，95%CI = 0中心点43-0中心点89）和人际关系（AOR = 0中心点61，95%CI = 0中心点43-0中心点87）分量表。健康素养高和低的青少年在以下健康促进行为方面没有显著差异：运动、压力管理、健康责任和自我实现。结论：健康素养对促进青少年健康至关重要，特别是在营养和人际关系领域。与临床实践的相关性。卫生专业人员应在设计健康教育之前对青少年进行健康素养评估为那些健康知识水平低的人制定方案，发展健康知识技能，以采取促进健康的行为。
Aim and objective.The objective of this study was to analyse the associations between health literacy, health status and health-promoting behaviours among Taiwan adolescents.Background.Limited health literacy is associated with poor health outcomes such as low use of preventive services, poor self-reported health conditions and absence of health-promoting behaviours in adults. However, these factors have not been analysed in adolescents. The associations between health literacy and health outcome in adolescents provide helpful insights in conducting health education programmes for health professionals.Design.A cross-sectional survey.Methods.The survey analysed a purposive sample of 1601 senior/vocational high school students from six counties in Taiwan. Data for health literacy and health-promoting behaviours were collected by the Chinese version (short form) of the Test of Functional Health Literacy in Adolescents (c-sTOFHLAd) and health-promoting behaviour scale with subscales for the following health-promoting behaviours: nutrition, exercise, stress management, interpersonal relations, health responsibility and self-actualisation.Results.Adolescents with low health literacy were less likely to perceive good health status [adjusted odd ratio, (AOR) = 0 center dot 59, 95%CI = 0 center dot 41-0 center dot 86] and less likely to exhibit health-promoting behaviours (AOR = 0 center dot 58, 95%CI = 0 center dot 39-0 center dot 86) than those with high health literacy were, especially in nutrition (AOR = 0 center dot 62, 95%CI = 0 center dot 43-0 center dot 89) and interpersonal relations (AOR = 0 center dot 61, 95%CI = 0 center dot 43-0 center dot 87) subscales. Adolescents with high and low health literacy did not significantly differ in the following health-promoting behaviours: exercise, stress management, health responsibility and self-actualisation.Conclusion.Health literacy is vital for promoting health in adolescents, especially in the domains of nutrition and interpersonal relations.Relevance to clinical practice.Health professionals should conduct health literacy assessments for adolescents prior to designing health education programmes for those with low health literacy to develop health literacy skills as to perform health promoting behaviours.