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Adolescent Health Literacy in Beijing and Melbourne: A Cross-Cultural Comparison

Author

Listed:
  • Shuaijun Guo

    (Centre for Community Child Health, Murdoch Children’s Research Institute, Royal Children’s Hospital, Melbourne, VIC 3052, Australia
    Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC 3010, Australia
    Department of Paediatrics, University of Melbourne, Melbourne, VIC 3010, Australia)

  • Xiaoming Yu

    (Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing 100191, China)

  • Elise Davis

    (Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC 3010, Australia)

  • Rebecca Armstrong

    (Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC 3010, Australia)

  • Elisha Riggs

    (Intergenerational Health Research Group, Murdoch Children’s Research Institute, Royal Children’s Hospital, Melbourne, VIC 3052, Australia
    Department of General Practice, University of Melbourne, Melbourne, VIC 3010, Australia)

  • Lucio Naccarella

    (Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC 3010, Australia)

Abstract

While adolescent health literacy has gained momentum, it is under-researched from a cross-cultural perspective. This study aims to compare health literacy among two cultural groups of secondary students in Beijing and Melbourne. A cross-sectional study was conducted with 770 students from five secondary schools in Beijing and Melbourne. A self-administered questionnaire was designed to collect information on health literacy (the eight-item health literacy assessment tool (HLAT-8), the Newest Vital Sign (NVS) and the 47-item Health Literacy Survey (HLS-47)), its antecedents and health outcomes. Overall, students’ health literacy in Melbourne (n = 120) was higher than that in Beijing (n = 650): 28.25 ± 6.00 versus 26.37 ± 5.89 (HLAT-8); and 4.13 ± 1.73 versus 3.65 ± 1.64 (NVS). The proportion of students with low health literacy varied by instruments, representing 23.7–32.2% in Melbourne and 29.0%–45.5% in Beijing. In both cultural groups, students’ self-efficacy, social support, and perceptions of school environment were associated with their health literacy, which in turn predicted their health behaviours, patient-provider communication and health status. Given the nature of our study design and small samples, a cautious conclusion would be that adolescent health literacy is sensitive to the broad cultural context and might be an interactive outcome influenced by an individual’s health skills and the social environment. Particularly, creating a supportive school environment is critical to develop adolescent health literacy that would eventually contribute to better health outcomes.

Suggested Citation

  • Shuaijun Guo & Xiaoming Yu & Elise Davis & Rebecca Armstrong & Elisha Riggs & Lucio Naccarella, 2020. "Adolescent Health Literacy in Beijing and Melbourne: A Cross-Cultural Comparison," IJERPH, MDPI, vol. 17(4), pages 1-17, February.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:4:p:1242-:d:320893
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    References listed on IDEAS

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    1. Janine Bröder & Orkan Okan & Torsten M. Bollweg & Dirk Bruland & Paulo Pinheiro & Ullrich Bauer, 2019. "Child and Youth Health Literacy: A Conceptual Analysis and Proposed Target-Group-Centred Definition," IJERPH, MDPI, vol. 16(18), pages 1-17, September.
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    2. Anne-Kathrin M. Loer & Olga M. Domanska & Christiane Stock & Susanne Jordan, 2020. "Subjective Generic Health Literacy and Its Associated Factors among Adolescents: Results of a Population-Based Online Survey in Germany," IJERPH, MDPI, vol. 17(22), pages 1-23, November.
    3. Tetine Sentell & Sandra Vamos & Orkan Okan, 2020. "Interdisciplinary Perspectives on Health Literacy Research Around the World: More Important Than Ever in a Time of COVID-19," IJERPH, MDPI, vol. 17(9), pages 1-13, April.
    4. Leena Paakkari & Minna Torppa & Joanna Mazur & Zuzana Boberova & Gorden Sudeck & Michal Kalman & Olli Paakkari, 2020. "A Comparative Study on Adolescents’ Health Literacy in Europe: Findings from the HBSC Study," IJERPH, MDPI, vol. 17(10), pages 1-12, May.
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    6. Patrizio Zanobini & Marco Del Riccio & Chiara Lorini & Guglielmo Bonaccorsi, 2024. "Empowering Sustainable Healthcare: The Role of Health Literacy," Sustainability, MDPI, vol. 16(10), pages 1-12, May.

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