Department of Health Informatics, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima 734-8553, Japan.
Department of Sport Education, Faculty of Sport Science, State University of Surabaya, Surabaya 60213, Indonesia.
Int J Environ Res Public Health. 2021 Jul 30;18(15):8111. doi: 10.3390/ijerph18158111.
(1) Background: The health behavior (HB) of adolescents develops in the school or family setting and plays an important role in their future health status. Health literacy (HL) has been identified as an important factor in modifying health behavior in addition to socioeconomic factors. health-promoting school (HPS) programs also have a significant role in providing students with the means of learning the importance of knowledge, behavior, and skills for a healthy lifestyle. (2) Method: This study aims to identify the association between HB, HL measured in comprehensive health literacy (CHL) and functional health literacy (FHL), HPS programs, and socioeconomic factors among high school students in Surabaya, Indonesia. A cross-sectional study was conducted, and 1066 students were evaluated as respondents. (3) Result: The results of multivariate analyses showed that following factors were associated with better health behavior: female, better academic performance, higher grade, higher father's education, lower allowance, and better CHL and FHL. The strongest association for HB was gender. CHL was especially associated with handwashing, physical activity, and drug abuse. FHL was associated with smoking and drug abuse. The implementation of HPS programs did not reach an optimum level and only influenced physical activity. (4) Conclusions: The findings confirm that CHL and FHL have a significant association with several HBs. HB intervention in the HPS program is recommended to incorporate the CHL and FHL for a better health impact.
(1) 背景：青少年的健康行为（HB）在学校或家庭环境中发展，并对他们未来的健康状况起着重要作用。除了社会经济因素外，健康素养（HL）已被确定为改变健康行为的重要因素。健康促进学校（HPS）计划也在为学生提供学习知识、行为和技能的重要性，以促进健康生活方式的手段方面发挥着重要作用。(2) 方法：本研究旨在确定印度尼西亚泗水市高中生的健康行为、综合健康素养（CHL）和功能性健康素养（FHL）、HPS 计划与社会经济因素之间的关联。进行了一项横断面研究，评估了 1066 名学生作为受访者。(3) 结果：多变量分析的结果表明，以下因素与更好的健康行为相关：女性、更好的学业成绩、更高的年级、更高的父亲教育程度、较低的津贴以及更好的 CHL 和 FHL。与 HB 关联最强的是性别。CHL 特别与洗手、体育活动和药物滥用有关。FHL 与吸烟和药物滥用有关。HPS 计划的实施并未达到最佳水平，仅影响体育活动。(4) 结论：研究结果证实，CHL 和 FHL 与多种 HB 显著相关。建议在 HPS 计划中实施 HB 干预，将 CHL 和 FHL 纳入其中，以产生更好的健康影响。
