Health literacy as a key to improving weight status among Palestinian adolescents living in chronic conflict conditions: a cross-sectional study.

Health literacy as a key to improving weight status among Palestinian adolescents living in chronic conflict conditions: a cross-sectional study.
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健康素养是改善慢性冲突状况中的巴勒斯坦青少年体重状况的关键:一项横断面研究。

DOI:
10.1136/bmjopen-2022-061169
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发表时间:
2022-09-16
期刊:
影响因子:
2.9
通讯作者:
Jimba, Masamine
Jimba, Masamine
中科院分区:
医学3区
文献类型:
--
作者:
Sarhan, Mohammed B. A.;Fujiya, Rika;Shibanuma, Akira;Giacaman, Rita;Kiriya, Junko;Kitamura, Akiko;Jimba, Masamine

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研究巴勒斯坦青少年中健康素养在直接接触暴力与体重状况之间的关系中的调节作用。2017年进行的一项家庭横断面研究。约旦河西岸的巴勒斯坦地区。11-16岁的巴勒斯坦青少年。在从最初招募的1200名体重过轻的青少年中剔除后,对1173名青少年的数据进行了分析。青少年直接接触暴力的比例很高(62%)。肥胖和超重的患病率分别为6.5%和17.1%。未接触过家庭暴力和校园暴力的青少年中,当他们在沟通亚量表中健康素养较低时,肥胖和超重的几率分别高出2.8倍和1.8倍。在遭受家庭暴力和学校暴力以及任何形式的暴力时,具有高功能健康素养的青少年的肥胖几率分别降低62%和57%。在没有接触过任何形式暴力的青少年中,那些在交流亚量表中健康素养高的人比健康素养低的人肥胖的可能性低72%。健康素养降低了直接接触暴力与体重状况之间的关联。当健康知识水平较高时,在直接接触任何形式暴力或仅接触政治暴力或仅接触家庭和学校暴力的青少年中,观察到肥胖率较低。这些结果值得进一步调查健康素养在青少年健康中的作用。建议决策者将卫生素养概念纳入教育和卫生系统。
To examine the moderating role of health literacy in the association between direct exposure to violence and weight status among Palestinian adolescents. A household cross-sectional study conducted in 2017. A Palestinian district of the West Bank. Palestinian adolescents aged 11–16 years. After excluding underweight adolescents from the 1200 who were initially recruited, the data of 1173 adolescents were analysed. A high proportion (62%) of adolescents were directly exposed to violence. The prevalence of obesity and overweight was 6.5% and 17.1%, respectively. The odds of obesity and overweight were 2.8 and 1.8 times higher among adolescents who were not exposed to domestic and school violence when they had low health literacy in the communication subscale. The odds of obesity were 62% and 57% lower among adolescents with high functional health literacy when exposed to domestic and school violence and to any form of violence, respectively. Among adolescents who were not exposed to any form of violence, those who had high health literacy in the communication subscale were 72% less likely to be obese compared with those who had low health literacy. Health literacy moderated the association between direct exposure to violence and weight status. When health literacy levels were higher, lower obesity rates were observed among adolescents who were directly exposed to any form of violence or exposed either to political violence only or domestic and school violence only. The results warrant further investigation of the role of health literacy in adolescent health. It is recommended that policy-makers integrate the health literacy concept into both education and health systems.
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