Akyuz Simay, Donmez Elif, Kılıç Betülay, Jama Nasra Alı, Eker Hasan Hüseyin
Department of Oncology Nursing, Gulhane Faculty of Nursing, University of Health Sciences, Ankara 06010, Turkey.
Department of Oncology Nursing, Hamıdıye Faculty of Nursing, University of Health Sciences, Istanbul 34668, Turkey.
Int J Environ Res Public Health. 2025 Aug 11;22(8):1259. doi: 10.3390/ijerph22081259.
According to the WHO, health problems in Somalia are reported to be at an alarming level today and in the future.
The aim of this study was to determine the relationship between healthy lifestyle behaviours and the levels of health literacy of university students receiving health sciences education in Mogadishu, Somalia.
This descriptive, cross-sectional study was conducted in April 2024 in a university delivering education in Turkish in Mogadishu. The study sample comprised 219 health sciences students. The data collection tools used were a demographic data form, the Healthy Lifestyle Behaviours Scale II (HLBS-II) and the Turkish version of the European Health Literacy Scale (HLS-EU-TR).
A total of 219 students participated, with 86.3% identifying as female and 13.7% as male, and the average age was 20.91 ± 2.2 years. The mean of the total scores obtained for the HLBS II was found to be 127.54 ± 23.46 and the mean of the total scores obtained for HLS-EU-TR was 30.33 ± 8.17, while scores across all dimensions of the HLS-EU-TR indicated a problematic-borderline level. Analysis showed that with each advancing year of study, there was a statistically significant increase in health responsibility, physical activity, nutrition and total HLBS scores ( < 0.05). A positive correlation was observed between healthy lifestyle behaviours and HLS-EU-TR total scores, with correlation coefficients as follows: r = 0.230, = 0.001; r = 0.215, = 0.001; r = 0.193, = 0.004; r = 0.308, < 0.001; r = 0.247, < 0.001; r = 0.284, < 0.001; r = 0.313, < 0.001. Furthermore, 13.1% of the change in healthy lifestyle behaviours was explained by the HLS-EU-TR Treatment and Services subdimension and grade level (R = 0.131). The HLS-EU-TR Treatment and Services subdimension and grade level positively contributed to the level of healthy lifestyle behaviours (ß = 0.373; ß = 0.164).
It can be concluded that the identification of a positive correlation between health literacy and healthy lifestyle behaviours indicates that health literacy significantly influences healthy lifestyle choices. This correlation suggests that as students progress through their educational journey, their knowledge and behaviours toward health improve, highlighting that increased educational attainment equips individuals with the skills necessary to engage more effectively in the healthcare system and to translate acquired knowledge into behaviour. These findings underscore the critical role of ongoing health education initiated from an early age.
据世界卫生组织称，索马里的健康问题在当下及未来均处于令人担忧的水平。
本研究旨在确定在索马里摩加迪沙接受健康科学教育的大学生的健康生活方式行为与健康素养水平之间的关系。
本描述性横断面研究于2024年4月在摩加迪沙一所用土耳其语授课的大学进行。研究样本包括219名健康科学专业学生。所使用的数据收集工具包括一份人口统计学数据表格、健康生活方式行为量表II（HLBS-II）以及欧洲健康素养量表土耳其语版（HLS-EU-TR）。
共有219名学生参与，其中86.3%为女性，13.7%为男性，平均年龄为20.91±2.2岁。HLBS II的总得分均值为127.54±23.46，HLS-EU-TR的总得分均值为30.33±8.17，而HLS-EU-TR所有维度的得分均表明处于问题临界水平。分析表明，随着学习年限的增加，健康责任、体育活动、营养及HLBS总分在统计学上有显著增加（<0.05）。健康生活方式行为与HLS-EU-TR总分之间存在正相关，相关系数如下：r = 0.230，p = 0.001；r = 0.215，p = 0.001；r = 0.193，p = 0.004；r = 0.308，p < 0.001；r = 0.247，p < 0.001；r = 0.284，p < 0.001；r = 0.313，p < 0.001。此外，健康生活方式行为变化的13.1%可由HLS-EU-TR的治疗与服务子维度及年级水平解释（R = 0.131）。HLS-EU-TR的治疗与服务子维度及年级水平对健康生活方式行为水平有正向贡献（β = 0.373；β = 0.164）。
可以得出结论，健康素养与健康生活方式行为之间存在正相关，这表明健康素养对健康生活方式选择有显著影响。这种相关性表明，随着学生在教育过程中的进步，他们对健康的知识和行为会得到改善，突出了教育程度的提高使个人具备了更有效地参与医疗保健系统并将所学知识转化为行为的必要技能。这些发现强调了从小开始持续进行健康教育的关键作用。
