Health-related behaviour, knowledge, attitudes, communication and social status in school children in Eastern Germany.
Health Educ Res
; 25(4): 542-51, 2010 Aug.
Article
em En
| MEDLINE
| ID: mdl-20228152
ABSTRACT
Enhancing health literacy is a keystone in health promotion. Yet, most studies on health literacy are limited to functional literacy levels. Furthermore, little evidence is available from children. Based on Nutbeam's outcome model for health promotion, this study aims (i) to elaborate a set of short scales to measure important health literacy domains in children and (ii) to analyse their associations among each other, with health behaviour as an intermediate health outcome, subjective health, social status and gender. The sample comprised 852 school children in fifth grade, aged 9-13 years, in Western Pomerania, Germany. Items were taken from the child's questionnaire to form short scales for health-related knowledge, attitudes, communication and behaviour. The internal consistencies of the communication and attitude scales were 0.73 and 0.57, respectively. Unidimensional scalability of the knowledge and behaviour scales was supported by item response models. Associations between health scales were modest. In regression analyses, social status and gender predicted only health knowledge and communication but not health behaviours, attitudes and self-efficacy. Health knowledge was not associated with any other scale. Our results suggest that targeting one specific component of health literacy in children is likely to exert only small effects on health status and health behaviour.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Classe Social
/
Conhecimentos, Atitudes e Prática em Saúde
/
Comunicação
/
Letramento em Saúde
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
Limite:
Adolescent
/
Child
/
Female
/
Humans
/
Male
País/Região como assunto:
Europa
Idioma:
En
Revista:
Health Educ Res
Assunto da revista:
EDUCACAO
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Alemanha