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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

Author

Listed:
  • Dorota Kleszczewska

    (Institute of Mother and Child Foundation, 01-211 Warsaw, Poland)

  • Joanna Mazur

    (Department of Humanization in Medicine and Sexology, Collegium Medicum, University of Zielona Gora, 65-729 Zielona Gora, Poland)

  • Katarzyna Porwit

    (Centre of Migration Research, University of Warsaw, 02-093 Warsaw, Poland)

  • Anna Kowalewska

    (Department of Biomedical Aspects of Development and Sexology, Faculty of Education, Warsaw University, 00-561 Warsaw, Poland)

Abstract

In the last Health Behaviour in School-Aged Children (HBSC) survey conducted in Poland in 2018, a group of 17-year-old adolescents ( n = 1663; mean age 17.63 ± 0.36 years) was included outside the international protocol. This allowed an assessment to be made of their level of health literacy (HL) using the 10-point HBSC research tool. The aim of the study was to investigate the relationship between HL and risk behaviours (RB). A standardised index of RB in the last 30 days was considered as an outcome measure. This index was significantly higher in the group with low HL (0.318 ± 1.269) in comparison with the group with high HL (−0.083 ± 0.962). In a multivariate linear regression model, the strongest predictors of RB were gender, academic performance and level of regional deprivation, but the association with HL remained significant. This significant association persisted in general schools and in girls but disappeared in vocational schools and in boys. It was also shown that in rural areas, good academic performance has a less significant impact on RB if the HL level is low. The analyses led to the conclusion that when examining the relationship between HL and RB in older adolescents, it is advisable to take into account gender, the educational track and neighbourhood characteristics.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9381-:d:876930
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    References listed on IDEAS

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    1. Gilberto Gerra & Elisa Benedetti & Giuliano Resce & Roberta Potente & Arianna Cutilli & Sabrina Molinaro, 2020. "Socioeconomic Status, Parental Education, School Connectedness and Individual Socio-Cultural Resources in Vulnerability for Drug Use among Students," IJERPH, MDPI, vol. 17(4), pages 1-17, February.
    2. Junaidi Budi Prihanto & Faridha Nurhayati & Endang Sri Wahjuni & Ryota Matsuyama & Miwako Tsunematsu & Masayuki Kakehashi, 2021. "Health Literacy and Health Behavior: Associated Factors in Surabaya High School Students, Indonesia," IJERPH, MDPI, vol. 18(15), pages 1-20, July.
    3. Walid El Ansari & Abdul Salam, 2021. "Multi-Substance Use Behaviors: Prevalence and Correlates of Alcohol, Tobacco and Other Drug (ATOD) Use among University Students in Finland," IJERPH, MDPI, vol. 18(12), pages 1-14, June.
    4. Heather Orom & Elizabeth Schofield & Marc T. Kiviniemi & Erika A. Waters & Caitlin Biddle & Xuewei Chen & Yuelin Li & Kimberly A. Kaphingst & Jennifer L. Hay, 2018. "Low Health Literacy and Health Information Avoidance but Not Satisficing Help Explain “Don’t Know†Responses to Questions Assessing Perceived Risk," Medical Decision Making, , vol. 38(8), pages 1006-1017, November.
    5. Dorota Kleszczewska & Agnieszka Małkowska Szkutnik & Jadwiga Siedlecka & Joanna Mazur, 2019. "Physical Activity, Sedentary Behaviours and Duration of Sleep as Factors Affecting the Well-Being of Young People against the Background of Environmental Moderators," IJERPH, MDPI, vol. 16(6), pages 1-14, March.
    6. Apolinaras Zaborskis & Aistė Kavaliauskienė & Charli Eriksson & Ellen Klemera & Elitsa Dimitrova & Marina Melkumova & Daniela Husarova, 2021. "Family Support as Smoking Prevention during Transition from Early to Late Adolescence: A Study in 42 Countries," IJERPH, MDPI, vol. 18(23), pages 1-15, December.
    7. Charlotte Demant Klinker & Anna Aaby & Lene Winther Ringgaard & Anneke Vang Hjort & Melanie Hawkins & Helle Terkildsen Maindal, 2020. "Health Literacy is Associated with Health Behaviors in Students from Vocational Education and Training Schools: A Danish Population-Based Survey," IJERPH, MDPI, vol. 17(2), pages 1-13, January.
    8. Ellen Klemera & Fiona M. Brooks & Kayleigh L. Chester & Josefine Magnusson & Neil Spencer, 2017. "Self-harm in adolescence: protective health assets in the family, school and community," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(6), pages 631-638, July.
    9. Torbjørn Torsheim & Franco Cavallo & Kate Ann Levin & Christina Schnohr & Joanna Mazur & Birgit Niclasen & Candace Currie, 2016. "Psychometric Validation of the Revised Family Affluence Scale: a Latent Variable Approach," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 9(3), pages 771-784, September.
    10. 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.
    11. Elitsa Dimitrova & Tatyana Kotzeva & Anna Alexandrova-Karamanova, 2020. "Psychosocial school environment and health risk behaviours of adolescents in Bulgaria: results from multilevel analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(8), pages 1331-1344, November.
    12. Joanna Mazur & Izabela Tabak & Anna Dzielska & Krzysztof Wąż & Anna Oblacińska, 2016. "The Relationship between Multiple Substance Use, Perceived Academic Achievements, and Selected Socio-Demographic Factors in a Polish Adolescent Sample," IJERPH, MDPI, vol. 13(12), pages 1-13, December.
    13. Jane E. K. Hartley & Kate Levin & Candace Currie, 2016. "A new version of the HBSC Family Affluence Scale - FAS III: Scottish Qualitative Findings from the International FAS Development Study," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 9(1), pages 233-245, March.
    14. Rong Yang & Danlin Li & Jie Hu & Run Tian & Yuhui Wan & Fangbiao Tao & Jun Fang & Shichen Zhang, 2019. "Association between Health Literacy and Subgroups of Health Risk Behaviors among Chinese Adolescents in Six Cities: A Study Using Regression Mixture Modeling," IJERPH, MDPI, vol. 16(19), pages 1-14, September.
    15. Adam G. Cole & Rachel E. Laxer & Karen A. Patte & Scott T. Leatherdale, 2021. "Can We Reverse this Trend? Exploring Health and Risk Behaviours of Grade 12 Cohorts of Ontario Students from 2013–2019," IJERPH, MDPI, vol. 18(6), pages 1-14, March.
    16. Saulius Sukys & Laima Trinkuniene & Ilona Tilindiene, 2019. "Subjective Health Literacy among School-Aged Children: First Evidence from Lithuania," IJERPH, MDPI, vol. 16(18), pages 1-11, September.
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