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Guo S, Yu X, Davis E, Armstrong R, Naccarella L. Comparison of Health Literacy Assessment Tools among Beijing School-Aged Children. CHILDREN 2022; 9:children9081128. [PMID: 36010019 PMCID: PMC9406777 DOI: 10.3390/children9081128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/28/2022] [Revised: 07/18/2022] [Accepted: 07/26/2022] [Indexed: 11/16/2022]
Abstract
Health literacy is a broad and multidimensional construct, making its measurement and conclusions inconsistent. This study aims to compare the patterning of health literacy using different assessment tools and examine their impact on children’s developmental outcomes. A cross-sectional study was conducted with 650 students in Years 7–9 from four secondary schools in Beijing. Health literacy was measured by the eight-item health literacy assessment tool (HLAT, score range 0–37), the six-item Newest Vital Sign (NVS, score range 0–6), and the 16-item Health Literacy Survey (HLS, score range 0–16). Based on Manganello’s health literacy framework, information on upstream factors (e.g., gender, ethnicity, socioeconomic status) and developmental outcomes (e.g., health-promoting behaviours, health service use, global health status) was collected. Overall, the average scores for health literacy were 26.34 ± 5.89, 3.64 ± 1.64, and 13.72 ± 2.94, respectively, for HLAT, NVS, and HLS. The distribution of health literacy varied by socio-demographics and individual characteristics except for gender, no matter which health literacy assessment tool was used. The magnitude of associations between health literacy, its upstream factors and developmental outcomes was greater when using three-domain instruments (HLAT and HLS) than using single-domain instruments (NVS). The approach to health literacy measurement will influence the conclusion. Using multidimensional assessment tools may better capture a child’s health literacy and contribute to the maximum efficiency and effectiveness of school-based health literacy interventions.
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Affiliation(s)
- 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 3053, Australia; (E.D.); (R.A.); (L.N.)
- Department of Paediatrics, University of Melbourne, Melbourne, VIC 3052, Australia
- Correspondence: (S.G.); (X.Y.); Tel.: +61-452-110-331 (S.G.); +86-010-8280-2631 (X.Y.)
| | - Xiaoming Yu
- Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing 100191, China
- Correspondence: (S.G.); (X.Y.); Tel.: +61-452-110-331 (S.G.); +86-010-8280-2631 (X.Y.)
| | - Elise Davis
- Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC 3053, Australia; (E.D.); (R.A.); (L.N.)
| | - Rebecca Armstrong
- Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC 3053, Australia; (E.D.); (R.A.); (L.N.)
| | - Lucio Naccarella
- Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC 3053, Australia; (E.D.); (R.A.); (L.N.)
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Smith JA, Canuto K, Canuto K, Campbell N, Schmitt D, Bonson J, Smith L, Connolly P, Bonevski B, Rissel C, Aitken R, Dennis C, Williams C, Dyall D, Stephens D. Advancing health promotion in rural and remote Australia: Strategies for change. Health Promot J Austr 2022; 33:3-6. [PMID: 34989041 DOI: 10.1002/hpja.569] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
Affiliation(s)
- James A Smith
- Rural and Remote Health, College of Medicine and Public Health, Flinders University, Darwin, NT, Australia
| | - Karla Canuto
- Rural and Remote Health, College of Medicine and Public Health, Flinders University, Darwin, NT, Australia
| | - Kootsy Canuto
- Rural and Remote Health, College of Medicine and Public Health, Flinders University, Darwin, NT, Australia
| | - Narelle Campbell
- Rural and Remote Health, College of Medicine and Public Health, Flinders University, Darwin, NT, Australia
| | - Dagmar Schmitt
- Northern Territory Department of Health, Darwin, NT, Australia
| | - Jason Bonson
- Northern Territory Department of Health, Darwin, NT, Australia
| | - Le Smith
- Northern Territory Primary Health Network, Darwin, NT, Australia
| | - Paul Connolly
- Northern Territory Primary Health Network, Darwin, NT, Australia
| | - Billie Bonevski
- Flinders Health and Medical Research Institute (FHMRI), College of Medicine and Public Health, Flinders University, Bedford Park, South Australia, Australia
| | - Chris Rissel
- Rural and Remote Health, College of Medicine and Public Health, Flinders University, Darwin, NT, Australia
| | - Robyn Aitken
- Rural and Remote Health, College of Medicine and Public Health, Flinders University, Darwin, NT, Australia
| | - Christine Dennis
- Rural and Remote Health, College of Medicine and Public Health, Flinders University, Darwin, NT, Australia
| | - Carmel Williams
- Centre for Health in All Policies Research Translation, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia
| | - Danielle Dyall
- Aboriginal Medical Services Alliance Northern Territory, Darwin, NT, Australia
| | - Donna Stephens
- Aboriginal Medical Services Alliance Northern Territory, Darwin, NT, Australia
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