Health literacy and its determinants among school-going children: a school-based cross-sectional study in Nepal.

Limited health literacy is linked to unhealthy behaviors, adverse health outcomes, poor quality of life and financial burdens on society. However, little is known about the level of health literacy, especially among school-going children. This cross-sectional study assesses health literacy levels an...

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Publicado en:Health Promotion International Vol. 39; no. 4; pp. 1 - 11
Autores principales: Adhikari, Prakash, Paudel, Kiran, Bhusal, Sandesh, Gautam, Kamal, Khanal, Pratik, Adhikari, Tara Ballav, C., Prabhat K., Shrestha, Roman, Shrestha, Sushan Man
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Aug2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2024
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      pub: Oxford University Press / USA
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        atl: Health literacy and its determinants among school-going children: a school-based cross-sectional study in Nepal.
      aug:
        au:
          Adhikari, Prakash
          Paudel, Kiran
          Bhusal, Sandesh
          Gautam, Kamal
          Khanal, Pratik
          Adhikari, Tara Ballav
          C., Prabhat K.
          Shrestha, Roman
          Shrestha, Sushan Man
        affil: Central Department of Public Health, Institute of Medicine, Tribhuvan University , Maharajgunj, 44600, Kathmandu , Nepal
      sug:
        subj:
          Health Literacy Evaluation
          Health Promotion
          School Health Education Evaluation
          Students, Elementary
          Students, Middle School
          Students, High School
          Quality of Life
          Human
          Male
          Female
          Child
          Adolescence
          Adult
          Cross Sectional Studies
          Nepal
          Health Behavior
          Financial Stress
          Social Determinants of Health
          Cluster Sample
          Bivariate Statistics
          Multivariate Statistics
          Logistic Regression
          Descriptive Statistics
          Confidence Intervals
          Odds Ratio
          Health Status
          Mental Status
          Dependent Variable
          Independent Variable
          Data Analysis Software
          Health Education
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
          Female
      ab: Limited health literacy is linked to unhealthy behaviors, adverse health outcomes, poor quality of life and financial burdens on society. However, little is known about the level of health literacy, especially among school-going children. This cross-sectional study assesses health literacy levels and their determinants in 354 school children from Kathmandu Metropolitan City, utilizing a multi-stage cluster sampling method. The 10-item Health Literacy for School-Aged Children was used to measure the student's literacy levels. Bivariate analysis and multivariable logistic regression at the significance level of 0.05 were performed to determine factors associated with limited health literacy. The majority of participants (76.6%) had moderate health literacy, while 13.8% had a high level and 9.6% had a low level of health literacy. Students from nuclear families had lower odds [adjusted odds ratio (aOR): 0.4; 95% CI: 0.2–0.8] of having limited health literacy. Students whose mother education was up to secondary school (aOR: 10.1; 95% CI: 1.3–78.9), students with pre-existing mental health conditions (aOR: 3.7; 95% CI: 1.4–9.6) and students with unsatisfactory health status (aOR: 3.9; 95% CI: 1.5–10.5) had higher odds to have limited health literacy. These results suggest the importance of prioritizing school health promotion and education activities for students with pre-existing mental health conditions and mothers with low educational attainment. Implementing peer support group programs for children with mental illnesses, mobilizing school health professionals and introducing interventions such as vocational training of mothers can collectively improve health literacy among school-going children.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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