Subjective health literacy among Polish adolescents in 2018 vs 2022 – impact of gender, age, and socio-economic factors during COVID-19

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Joanna Mazur, Dorota Kleszczewska, A. Małkowska-Szkutnik, A. Dzielska
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Abstract

Introduction and Objective. The results of the Health Behaviour in School-aged Children (HBSC) surveys conducted in 2018 and 2022 allow for a comparison of selected health-related indicators from before the COVID-19 pandemic and from its final phase. The aim of the study is to assess the level of health literacy (HL) among Polish students aged 13–17 years. Materials and Method. The surveys were conducted with nationwide samples of students (N2018=5648 and N2022=4994, respectively). Changes in the overall HLSAC-5 index and its five dimensions were examined. Results. The findings indicate a significant decline in the average HLSAC-5 scores from 15.35±2.40 to 14.84±2.80, alongside an increase in the proportion of students with low HL from 9.85% – 23.67%. Concurrently, the percentage of students rating their health as poor rose from 3.5% to 9.1%. An increasing disparity in HL levels across schools was also observed, with the intraclass correlation coefficient (ICC) escalating from 3.4% to 6.1%. General linear model confirmed a significant influence of gender, age, place of living, family affluence, self-rated health, and eight significant 2-way or 3-way interactions between independent variables. Notably, there were five significant 3-way interactions involving the year of the survey and self-rated health, with the third factor, gender, age, family wealth, presence of a chronic disease, and place of residence, respectively. Conclusions. The study highlights the dynamic nature of HL and its evolving relationship with various socio-demographic and health factors over time. The changes in students’ HL may have been influenced by factors related to living and learning during the COVID-19 pandemic.
2018年与2022年波兰青少年的主观健康素养对比--COVID-19期间性别、年龄和社会经济因素的影响
导言和目标。根据 2018 年和 2022 年开展的学龄儿童健康行为(HBSC)调查结果,可以对 COVID-19 大流行之前和最后阶段的部分健康相关指标进行比较。本研究旨在评估 13-17 岁波兰学生的健康素养(HL)水平。材料和方法。调查对象为全国范围内的学生样本(分别为 N2018=5648 和 N2022=4994)。研究了 HLSAC-5 总指数及其五个维度的变化。结果显示研究结果表明,HLSAC-5 的平均得分从 15.35±2.40 显著下降到 14.84±2.80,同时低 HL 学生的比例从 9.85% 上升到 23.67%。同时,健康状况较差的学生比例从 3.5%上升到 9.1%。不同学校之间健康水平的差异也越来越大,类内相关系数(ICC)从 3.4%上升到 6.1%。一般线性模型证实了性别、年龄、居住地、家庭富裕程度、自评健康状况的显著影响,以及自变量之间 8 个显著的 2 向或 3 向交互作用。值得注意的是,调查年份和自评健康状况分别与第三个因素、性别、年龄、家庭富裕程度、是否患有慢性疾病和居住地之间存在五种明显的 3 向交互作用。结论本研究强调了健康生活的动态性质及其与各种社会人口和健康因素的关系随着时间的推移而不断变化。学生 HL 的变化可能受到 COVID-19 大流行期间生活和学习相关因素的影响。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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