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Socio-Economic Determinants of Health Literacy in High School Students: A Cross-Sectional Study

Author

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  • Mariusz Duplaga

    (Department of Health Promotion and e-Health, Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, 31-066 Kraków, Poland)

  • Marcin Grysztar

    (Department of Health Promotion and e-Health, Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, 31-066 Kraków, Poland)

Abstract

Today, a person’s health literacy (HL) is perceived as a critical determinant for their health. It is well known that limited health literacy is associated with harmful health behaviours, the lower use of preventive services, problems in making use of healthcare resources and poor skills for the self-management of chronic disorders. This study analysed the level and factors associated with HL in high school students in southern Poland. The study is based on the data from a paper-and-pencil survey of high schools students in the Malopolska Voivodshop. The students were selected using a two-stage cluster random sampling procedure. The level of HL was assessed with the European Health Literacy Survey Questionnaire, consisting of 47 items. Univariate logistic and linear regression models were applied to analyse the association between general HL score and the main domain-specific indices. The respondents whose parents had attended University and came from more affluent families were less likely to demonstrate limited HL. There was a significant positive relationship between the self-assessment of the economic situation, size of accommodation, the level of expenditure on a mobile phone and receiving external support, the size of the book collection at home, and domain-specific HL sub-indices. In conclusion, among socio-demographic factors, the parents’ education is the only consistent predictor of the level of HL in high school students. Furthermore, most variables reflecting the economic status of the respondent’s family are significantly associated with the general HL score and its sub-indices.

Suggested Citation

  • Mariusz Duplaga & Marcin Grysztar, 2021. "Socio-Economic Determinants of Health Literacy in High School Students: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(22), pages 1-17, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:12231-:d:684530
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    References listed on IDEAS

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    1. Lea Rossi & Nick Behme & Christoph Breuer, 2021. "Physical Activity of Children and Adolescents during the COVID-19 Pandemic—A Scoping Review," IJERPH, MDPI, vol. 18(21), pages 1-18, October.
    2. 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.
    3. Hongyan Liu & Huan Zeng & Yang Shen & Fan Zhang & Manoj Sharma & Weiyun Lai & Yu Zhao & Genhui Tao & Jun Yuan & Yong Zhao, 2018. "Assessment Tools for Health Literacy among the General Population: A Systematic Review," IJERPH, MDPI, vol. 15(8), pages 1-16, August.
    4. Mariusz Duplaga, 2020. "Determinants and Consequences of Limited Health Literacy in Polish Society," IJERPH, MDPI, vol. 17(2), pages 1-13, January.
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    Cited by:

    1. Dorota Kleszczewska & Joanna Mazur & Katarzyna Porwit & Anna Kowalewska, 2022. "Who Is Able to Resist What Is Forbidden?—The Relationship between Health Literacy and Risk Behaviours in Secondary School Students in the Broader Social and Educational Context," IJERPH, MDPI, vol. 19(15), pages 1-16, July.
    2. Anthony Faiola & Maged N. Kamel Boulos & Salman Bin Naeem & Aziz ur-Rehman, 2022. "Integrating Social and Family Support as a Measure of Health Outcomes: Validity Implications from the Integrated Model of Health Literacy," IJERPH, MDPI, vol. 20(1), pages 1-19, December.

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