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Health literacy and its determinants among school-going children: a school-based cross-sectional study in Nepal

健康素养 心理健康 医学 优势比 心理干预 健康促进 横断面研究 可能性 读写能力 学历 环境卫生 公共卫生 逻辑回归 老年学 家庭医学 心理学 护理部 医疗保健 精神科 教育学 内科学 病理 经济 经济增长
作者
Prakash Adhikari,Kiran Paudel,Sandesh Bhusal,Kamal Gautam,Pratik Khanal,Tara Ballav Adhikari,K. Prabhat,Roman Shrestha,Santosh Shrestha
出处
期刊:Health Promotion International [Oxford University Press]
卷期号:39 (4)
标识
DOI:10.1093/heapro/daae059
摘要

Abstract Limited health literacy is linked to unhealthy behaviors, adverse health outcomes, poor quality of life and financial burdens on society. However, little is known about the level of health literacy, especially among school-going children. This cross-sectional study assesses health literacy levels and their determinants in 354 school children from Kathmandu Metropolitan City, utilizing a multi-stage cluster sampling method. The 10-item Health Literacy for School-Aged Children was used to measure the student’s literacy levels. Bivariate analysis and multivariable logistic regression at the significance level of 0.05 were performed to determine factors associated with limited health literacy. The majority of participants (76.6%) had moderate health literacy, while 13.8% had a high level and 9.6% had a low level of health literacy. Students from nuclear families had lower odds [adjusted odds ratio (aOR): 0.4; 95% CI: 0.2–0.8] of having limited health literacy. Students whose mother education was up to secondary school (aOR: 10.1; 95% CI: 1.3–78.9), students with pre-existing mental health conditions (aOR: 3.7; 95% CI: 1.4–9.6) and students with unsatisfactory health status (aOR: 3.9; 95% CI: 1.5–10.5) had higher odds to have limited health literacy. These results suggest the importance of prioritizing school health promotion and education activities for students with pre-existing mental health conditions and mothers with low educational attainment. Implementing peer support group programs for children with mental illnesses, mobilizing school health professionals and introducing interventions such as vocational training of mothers can collectively improve health literacy among school-going children.
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