Institute of Mother and Child Foundation, 01-211 Warsaw, Poland.
Department of Humanization in Medicine and Sexology, Collegium Medicum, University of Zielona Gora, 65-729 Zielona Gora, Poland.
Int J Environ Res Public Health. 2022 Jul 31;19(15):9381. doi: 10.3390/ijerph19159381.
In the last Health Behaviour in School-Aged Children (HBSC) survey conducted in Poland in 2018, a group of 17-year-old adolescents ( = 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.
在 2018 年波兰进行的最后一次青少年健康行为调查（HBSC）中，一组 17 岁的青少年（= 1663；平均年龄 17.63 ± 0.36 岁）被纳入国际协议之外。这使得他们的健康素养（HL）水平可以使用 10 分制 HBSC 研究工具进行评估。该研究的目的是调查 HL 与风险行为（RB）之间的关系。过去 30 天的 RB 标准化指数被视为一项结果指标。与 HL 较高的组（-0.083 ± 0.962）相比，HL 较低的组（0.318 ± 1.269）的 RB 指数明显更高。在多元线性回归模型中，RB 的最强预测因素是性别、学业成绩和地区贫困程度，但与 HL 的关联仍然显著。这种显著的关联在普通学校和女孩中仍然存在，但在职业学校和男孩中消失了。研究还表明，如果 HL 水平较低，那么学业成绩良好对 RB 的影响就不那么显著了。分析得出的结论是，在研究青少年晚期 HL 与 RB 之间的关系时，建议考虑性别、教育轨迹和社区特征。
