家长-青少年对子中健康素养和健康行为：一种主体间相互依赖模型方法。
Health literacy and health behaviors in parent-adolescent dyads: an actor-partner interdependence model approach.
机构信息
Department of Community Health and Social Sciences, City University of New York Graduate School of Public Health and Health Policy, New York, NY, USA.
Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
出版信息
Psychol Health. 2024 Jun;39(6):803-822. doi: 10.1080/08870446.2022.2117809. Epub 2022 Sep 1.
OBJECTIVE
Health literacy (HL), skills for accessing, appraising and using health information in health decision-making is implicated in adolescents' health behaviors. HL skills develop through scaffolding, modeling, practice and opportunity. Therefore, adolescents' HL skills are likely closely tied to parents' HL and health behaviors. Yet, no studies have examined the dyadic interdependence of the relationship between HL and health behaviors between parents and adolescents. The purpose of this study was to determine the interdependence of adolescents' and parents' HL and health behaviors.
METHODS AND MEASURES
Data were collected from 300 parent-adolescent dyads via Qualtrics Panel. Dyads completed identical measures of their HL, diet, physical activity, sedentary activity, cigarette-smoking, vaping, and alcohol binge-drinking behaviors. Data were analyzed using Pearson correlations and the Actor-Partner Interdependence Model.
RESULTS
Within-dyad correlations were significant for HL and all health behaviors assessed. After controlling for covariates and partner effects, adolescents' HL was related to their sugar-sweetened beverage intake, sedentary activity, and substance use. After controlling for covariates and actor effects, adolescents' HL was related to parents' sedentary activity, binge-drinking, and vaping while parents' HL was related to adolescents' sedentary activity.
CONCLUSION
Our results suggest that there is interdependence in these relationships especially for risk behaviors.
目的
健康素养（HL）是指在健康决策中获取、评估和使用健康信息的技能，与青少年的健康行为有关。HL 技能通过支架、建模、实践和机会发展。因此，青少年的 HL 技能可能与父母的 HL 和健康行为密切相关。然而，尚无研究探讨 HL 和健康行为之间的父母与青少年之间的关系的这种双重相互依存关系。本研究的目的是确定青少年和父母 HL 和健康行为之间的相互依存关系。
方法和措施
通过 Qualtrics 小组从 300 对父母-青少年对子中收集数据。对子完成了对其 HL、饮食、体育活动、久坐活动、吸烟、蒸气和酒精狂欢饮酒行为的相同测量。使用 Pearson 相关系数和参与者相互依存模型对数据进行分析。
结果
HL 和评估的所有健康行为的同对相关均具有统计学意义。在控制协变量和伙伴效应后，青少年的 HL 与他们的含糖饮料摄入、久坐活动和物质使用有关。在控制协变量和参与者效应后，青少年的 HL 与父母的久坐活动、狂欢饮酒和蒸气有关，而父母的 HL 与青少年的久坐活动有关。
结论
我们的结果表明，这些关系存在相互依存关系，尤其是对于风险行为。
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