Association between parents’ health literacy and health risk behaviors of middle school students in northeast Jiangxi Province

Abstract

Objective To explore the association between parents’ health literacy and health risk behaviors of middle school students, so as to provide theoretical basis for parental health literacy improvement and adolescent health risk behaviors prevention.

Methods A questionnaire survey was conducted among 1 993 middle school students and their parents in northeast Jiangxi Province by multistage stratified random sampling during Jun. to Sept. of 2020. Spearman correlation and generalized linear model were used to explore association between parents health literacy with 5 types of unhealthy behaviors.

Results Generalized linear model analysis showed that after adjusting household economic status and other covariates, parents’ health literacy was associated with adolescent health risk behaviors, and the scientific health view (β=−0.05, 95% CI=−0.09–−0.01), health information literacy (β=−0.06, 95% CI=−0.08–−0.05) were associated with substance abuse and violence among middle school students; health information literacy (β=−0.03, 95% CI=−0.04–−0.01) was associated with adolescent healthy eating behavior; health information literacy (β=−0.03, 95% CI=−0.05–−0.02) was associated with breakfast and exercise in middle school students; chronic disease literacy (β=0.05, 95% CI=0.00−0.09), health information literacy (β=−0.02, 95% CI=−0.03–−0.00) was associated with screen-related behavior of middle school students; scientific health view (β=−0.05, 95% CI=−0.09–−0.01), basic medical literacy (β=−0.08, 95% CI=−0.13–−0.04), health information literacy (β=0.02, 95% CI=0.00−0.03) were associated with middle school students’ traffic safety behavior ( P<0.05).

Conclusion There is a certain cross-sectional correlation between parents’ health literacy and adolescent health risk behaviors. It is necessary to clarify the direction and intensity of the correlation in the cohort study.

Abstract

【摘要】 目的 探究父母健康素养与中学生健康危险行为的关联, 为提髙父母健康素养和减少中学生健康危险行为提供 理论依据。 方法 采取多阶段分层随机抽样的方法, 于2020年6—9月对江西省东北区域1 993名中学生及其父母进行电 子化问卷调査, 使用Spearman相关分析父母健康素养与中学生5类不健康行为的相关性。使用广义线性模型分析父母健 康素养评分与中学生5类健康危险行为的关联。 结果 广义线性模型分析显示, 调整家庭经济状况等变量后父母健康素 养与中学生健康危险行为关联, 科学健康观 (β=−0.05, 95% CI=−0.09~−0.01)、健康信息素养(β=−0.06, 95% CI=−0.08~−0.05)均与中学生物质滥用与暴力行为关联; 健康信息素养与中学生健康饮食行为(β=−0.03, 95% CI=−0.04~−0.01)、中 学生运动与早餐(β=−0.03, 95% CI=−0.05~−0.02)关联; 慢性病防治素养(β=0.05, 95% CI=0.00~0.09)、健康信息素养 (β=−0.02, 95% CI=−0.03~−0.00)与中学生视屏行为关联; 科学健康观 (β=−0.05, 95% CI=−0.09~−0.01)、基本医疗素养 (β=−0.08, 95% CI=−0.13~−0.04)、健康信息素养(β=0.02, 95% CI=0.00~0.03)均与中学生交通安全行为关联( P值均< 0.05)。 结论 父母健康素养与中学生健康危险行为之间存在一定的关联, 需要在队列研究中明确关联的方向和强度。