Royal Children's Hospital, Melbourne, Victoria, Australia.
University of Melbourne, Melbourne, Victoria, Australia.
Asia Pac J Public Health. 2021 Jan;33(1):76-83. doi: 10.1177/1010539520980926. Epub 2020 Dec 21.
While health literacy research in mainland China has gained increasing attention, most studies focus on adults. This study aimed to examine the mediating role of health literacy in the relationship between a range of upstream factors and health behaviors among Chinese secondary students. A cross-sectional study was conducted with 650 students in Years 7 to 9 from four secondary schools in Beijing. Based on an adapted health literacy framework from Manganello, a self-administered questionnaire was designed to collect information on upstream factors, health literacy, and health behaviors. Path analysis results showed that the proposed framework was mostly supported by empirical data after modification indices were examined and 3 direct paths were added. Students' self-efficacy, social support, and school environment were associated with health literacy, which in turn predicted health behaviors. A holistic approach is needed to improve both adolescent health literacy and health behaviors for Chinese school-aged adolescents.
虽然健康素养研究在中国内地受到越来越多的关注，但大多数研究都集中在成年人身上。本研究旨在探讨健康素养在一系列上游因素与中国中学生健康行为之间关系中的中介作用。本研究采用横断面研究设计，从北京的四所中学中抽取了 7 至 9 年级的 650 名学生作为研究对象。基于 Manganello 的适应性健康素养框架，设计了一份自填式问卷，收集上游因素、健康素养和健康行为的信息。路径分析结果表明，在检查修正指标并添加 3 条直接路径后，所提出的框架得到了实证数据的大部分支持。学生的自我效能感、社会支持和学校环境与健康素养相关，而健康素养又反过来预测健康行为。对于中国学龄期青少年，需要采取整体方法来提高青少年的健康素养和健康行为。
