Low Health Literacy Is Associated With Energy-Balance-Related Behaviors, Quality of Life, and BMI Among Rural Appalachian Middle School Students: A Cross-Sectional Study.
Low Health Literacy Is Associated With Energy-Balance-Related Behaviors, Quality of Life, and BMI Among Rural Appalachian Middle School Students: A Cross-Sectional Study.
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DOI：
10.1111/josh.13051
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发表时间：
2021-08
影响因子：
2.2
通讯作者：
Zoellner, Jamie M.
中科院分区：
文献类型：
--
作者：
Reid, Annie L.;Porter, Kathleen J.;You, Wen;Kirkpatrick, Brittany M.;Yuhas, Maryam;Vaught, Shannon S.;Zoellner, Jamie M.
关键词：
许多研究记录了低健康素养（HL）与不良健康行为和结果之间的关联。然而，HL在青少年中研究不足，特别是来自服务不足的农村社区。我们在这项横断面研究中以农村青少年为目标，探讨HL与（1）能量平衡相关的健康行为和（2）体重指数（BMI）和生活质量（QOL）之间的关系。调查对象是阿巴拉契亚农村地区8所中学的7年级学生。使用最新生命体征评估HL。能量平衡相关的行为和生活质量进行了评估，使用有效的工具。客观测量身高和体重。使用Hodges-Lehmann非参数中位数差异检验进行分析。在854名青少年学生（平均年龄= 12岁; 55%为女性）中，47%患有有限的HL。相对于HL较高的学生，HL较低的学生报告的促进健康行为（水，水果和蔬菜摄入量，体育活动，睡眠）的频率显著较低，危险健康行为（含糖饮料，垃圾食品，屏幕时间）的频率较高，BMI指数较高，QOL较低（所有p <0.05）。在阿巴拉契亚地区农村青少年中，低HL与能量平衡相关行为、BMI和QOL相关。研究结果强调了HL在农村中学生中的相关性，并强调了对学校健康的影响。
Many studies document associations between low health literacy (HL) and poor health behaviors and outcomes. Yet, HL is understudied among adolescents, particularly from underserved, rural communities. We targeted rural adolescents in this cross-sectional study and explored relationships between HL and (1) energy-balance-related health behaviors and (2) body mass index (BMI) and quality of life (QOL). Surveys were administered to 7th graders across 8 middle schools in rural Appalachia. HL was assessed using the Newest Vital Sign. Energy-balance-related behaviors and QOL were assessed using validated instruments. Height and weight were objectively measured. Analyses were conducted using the Hodges-Lehmann nonparametric median difference test. Of the 854 adolescent students (mean age = 12; 55% female), 47% had limited HL. Relative to students with higher HL, students with lower HL reported significantly lower frequency of health-promoting behaviors (water, fruit and vegetable intake, physical activity, sleep), higher frequency of risky health behaviors (sugar-sweetened beverages, junk food, screen time), and had higher BMI percentiles and lower QOL (all p < .05). Low HL is associated with energy-balance-related behaviors, BMI, and QOL among rural, Appalachian adolescents. Findings underscore the relevance of HL among rural middle school students and highlight implications for school health.
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影响因子：
--
作者：
HODGES, JL;LEHMANN, EL
通讯作者：
LEHMANN, EL
影响因子：
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作者：
Fleary, Sasha A;Ettienne, Reynolette
通讯作者：
Ettienne, Reynolette
影响因子：
3.2
作者：
Chang, Fong-ching;Miao, Nae-fang;Lee, Shu-ching
通讯作者：
Lee, Shu-ching
影响因子：
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作者：
Hedrick, Valisa E.;Comber, Dana L.;Davy, Brenda M.
通讯作者：
Davy, Brenda M.
影响因子：
4.2
作者：
Chang, Li-Chun
通讯作者：
Chang, Li-Chun