RESUMO
BACKGROUND: Schools are high incidence places for public health emergencies. Good health literacy helps students cope with public health emergencies. Overall, the health literacy of young students is relatively low. Health education can promote health literacy, but the health education related to public health emergencies for Chinese junior middle school students needs to be improved. To design and implement health education courses related to public health emergencies for junior middle school students and examine the impact on their health literacy, emotions, and coping styles. METHODS: From March to December 2022, 724 students in Grade 7 and Grade 8 of two junior middle schools in Changzhou were randomly divided into a course group (n = 359) and a control group (n = 365). The course group received an age-appropriate health education course that addressed public health emergencies; there were 12 classes, one per week. The control group received general health education. One week before and after the courses, the two groups of students were assessed with the Adolescent Health Literacy Evaluation Scale under Public Health Emergencies (AHLES-PHE), the Depression Self-Rating Scale for Children (DSRSC), the Generalized Anxiety Disorder 7-item scale (GAD-7), and the Simplified Coping Style Questionnaire (SCSQ). RESULTS: After the courses were completed, the scores of AHLES-PHE [156.0 (45.0,180.0) vs. 165.0 (54.0,180.0), P < 0. 05] in the course group increased significantly. The positive rate of DSRSC [81 (22.6%) vs. 57 (15.9%), P < 0.05] and GAD-7 [45 (12.5%) vs. 29 (8.1), P < 0.05]in the course group were significantly lower than those before courses. There was no significant difference in the above indices before and after courses in the control group (P > 0.05). CONCLUSION: This suggests that the health education courses related to public health emergencies designed in this study has an effect on improving health literacy, depression and anxiety in junior middle school students.
Assuntos
Letramento em Saúde , Criança , Adolescente , Humanos , Saúde Pública , Promoção da Saúde , Emergências , População do Leste Asiático , Adaptação Psicológica , Estudantes , Ansiedade/psicologiaRESUMO
OBJECTIVE: To understand the potential categories of health risk Guizhou Province. METHODS: From November to December 2021, 4452 rural students in middle school students with average age of(13.5±1.6) years were selected from Guizhou Province by multi-stage stratified random cluster sampling method.1505(33.8%) students in the first grade, 1958(44.0%) students in the second grade and 989(22.2%) students in the third grade. There were 2295 boys(51.5%) and 2157 girls(48.5%). Basic information questionnaire, health risk behavior questionnaire and self-control scale were used for questionnaire survey. Latent category analysis was used to explore the potential categories of health risk behaviors, and disordered multiple classification logistic regression analysis was used to explore the relationship between potential categories and self-control. RESULTS: The health risk behaviors of rural middle school students in Guizhou Province could be divided into four potential categories: low risk group(71.4%), medium risk group(11.6%), sub-high risk group(5.2%) and high risk group(10.7%). There were statistically significant differences in the distribution characteristics of potential categories of junior middle school students with different gender, grade, nationality, only child, accommodation, stay-behind, academic performance, academic pressure, peer relationship, parent-child relationship, teacher-student relationship and domestic violence(P<0.05 or P<0.01). Taking the low-risk group as the reference group, the highest self-control scores were in the medium risk group(OR=1.049, 95%CI 1.040-1.058), the sub-high risk group(OR=1.098, 95%CI 1.083-1.113), and the high risk group(OR=1.077, 95%CI 1.066-1.087). CONCLUSION: The latent characteristics of health risk behavior of rural junior middle school students in Guizhou Province are obvious. Improving self-control ability can reduce the occurrence of medium risk group, sub-high risk group and high risk group.