Adolescents' Health Literacy and Decision-making: A Qualitative Study.
Adolescents' Health Literacy and Decision-making: A Qualitative Study.
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DOI：
10.5993/ajhb.44.4.3
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发表时间：
2020-07-01
影响因子：
2.3
通讯作者：
Joseph P
中科院分区：
文献类型：
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作者：
Fleary SA;Joseph P
青少年对自己的健康承担更多的责任，特别是在生活方式行为的健康决策方面。先前的研究表明，青少年的健康素养（HL）和健康行为之间的关系。然而，HL在青少年健康决策中的具体作用尚不清楚。本研究定性探讨青少年使用HL在他们的健康决策。进行了6个青少年焦点组（N = 37，法师= 16.49，86%为女孩）。青少年对有关其HL使用问题的回答采用主题分析进行编码。青少年确定了被动和主动的HL参与以及影响其在健康决策中使用HL的几个个体（例如，未来取向、风险认知）和环境（例如，资源/信息、媒体的获取）因素。来自他人的反馈、主观健康和驾驭多种信息来源的能力也决定了青少年对HL技能的信心。我们的研究结果支持扩大在青少年中研究/测量的HL类型，并提供有关如何利用HL来改善青少年健康决策的见解。虽然没有指导理论，本研究的结果支持使用信息-动机-行为技能模型来评估HL/健康决策的关系，在青春期。
Adolescents assume increased responsibility for their health, particularly regarding health decision-making for lifestyle behaviors. Prior research suggests a relationship between health literacy (HL) and health behaviors in adolescents. Yet, the specific role of HL in adolescents’ health decision-making is unclear. This study qualitatively explored adolescents’ use of HL in their health decision-making. Six focus groups with adolescents (N = 37, Mage = 16.49, 86% girls) were conducted. Adolescents’ responses to questions about their HL use were coded using thematic analysis. Adolescents identified passive and active HL engagement and several individual (eg, future orientation, risk perception) and environmental (eg, access to resources/information, media) factors that influenced their use of HL in health decision-making. Feedback from others, subjective health, and ability to navigate multiple sources of information also determined adolescents’ confidence in their HL skills. Our results support expanding the types of HL studied/measured in adolescents and provide insight on how HL can be leveraged to improve adolescents’ health decision-making. Though there was no guiding theory for this study, results support using the Information-Motivation-Behavior Skills model to assess the HL/health decision-making relationship in adolescence.