葡萄牙青少年健康素养的生物心理社会与环境视角
A Biopsychosocial and Environmental Perspective of Youth Health Literacy in Portugal.
作者信息
Gaspar Tania, Arriaga Miguel, Carvalho Marina, Botelho-Guedes Fábio, Cerqueira Ana, Gaspar-Matos Margarida
机构信息
Digital Human-Environment Interaction Labs (HEI-LAB), Lusófona University, Campo Grande, 1749-024 Lisbon, Portugal.
Institute of Environmental Health (ISAMB), 1649-026 Lisbon, Portugal.
出版信息
Children (Basel). 2025 Mar 24;12(4):410. doi: 10.3390/children12040410.
BACKGROUND
From a biopsychosocial perspective, health literacy is a key factor for healthy development and the development of more comprehensive interventions directed at health literacy determinants. The present study had the main goal of studying demographic, individual, social, and contextual variables related to health literacy in adolescents.
METHODS
The data used in this study are part of the Health Behavior in School-aged Children (HBSC) 2022 survey. The study included 7649 adolescents, 53.9% ( = 3961) female, with an average age of 15.05 years ( = 2.36), in the 6th, 8th, 10th, and 12th grades, proportionally distributed across the five regions of the Portuguese mainland.
RESULTS
Health literacy was explained by factors related to physical, psychological, social, and environmental health. The factors with the higher explanatory value were the psychological variables, followed by social and lifestyle-related variables. Sociodemographic and environmental factors had a more modest explanatory value. These results point to the complexity of adolescents' health literacy.
CONCLUSIONS
These results are of the utmost importance for educators, professionals, and policymakers who can use this information to create friendly environments that promote health literacy and health-promoting activities according to a multidisciplinary, continuous, and consistent plan.
背景
从生物心理社会角度来看，健康素养是健康发展以及制定针对健康素养决定因素的更全面干预措施的关键因素。本研究的主要目的是探讨与青少年健康素养相关的人口统计学、个体、社会和环境变量。
方法
本研究使用的数据是2022年学龄儿童健康行为（HBSC）调查的一部分。该研究纳入了7649名青少年，其中53.9%（n = 3961）为女性，平均年龄为15.05岁（SD = 2.36），分布在六年级、八年级、十年级和十二年级，按比例分布在葡萄牙大陆的五个地区。
结果
健康素养可由与身体、心理、社会和环境健康相关的因素来解释。解释价值较高的因素是心理变量，其次是与社会和生活方式相关的变量。社会人口统计学和环境因素的解释价值相对较小。这些结果表明青少年健康素养具有复杂性。
结论
这些结果对于教育工作者、专业人员和政策制定者极为重要，他们可以利用这些信息，按照多学科、持续且一致的计划，营造促进健康素养和健康促进活动的友好环境。
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