Determinants of tobacco-related health literacy: A qualitative study with early adolescents

被引:7
作者
Parisod, Heidi [1 ]
Axelin, Anna [1 ]
Smed, Jouni [2 ]
Salantera, Sanna [1 ,3 ]
机构
[1] Univ Turku, Dept Nursing Sci, FI-20014 Turku, Finland
[2] Univ Turku, Dept Informat Technol, FI-20014 Turku, Finland
[3] Turku Univ Hosp, FI-20521 Turku, Finland
关键词
Adolescent; Health literacy; Health promotion; Qualitative research; Tobacco; DISPARITIES; EDUCATION;
D O I
10.1016/j.ijnurstu.2016.07.012
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background: Today's adolescents are used to a constant information flow, but many face difficulties in processing health-related information due to low health literacy. There is still need for deeper understanding on the determinants of health literacy in relation to adolescents to guide the development of health literacy instruments and interventions. Purpose: The purpose of this study was to explore, from the perspective of early adolescents, the determinants of health literacy in the context of tobacco-related health communication. Design: A qualitative descriptive study. Setting: Two schools located in the south of Finland. One school represented a typical Finnish public school with students following general curriculum and the other represented a Finnish public school with students with special educational needs. Participants: Purposively selected sample of 10-13-year-old early adolescents (n = 39) from the two schools to obtain a varied group of early adolescents representing different kinds of literacy levels. Methods: We conducted 10 focus groups with early adolescents and analyzed the data using the theoretical thematic analysis method. We used a combination of the determinants presented in three adolescent-specific health literacy models as the theoretical framework of deductive analysis. The remaining data extracts were coded inductively. We sorted the codes under sub-themes that represented different determinants of health literacy. These were further divided between three themes: "personal", "external", and "mediating" determinants. Finally, we named the themes with an expression that embodied the early adolescents' views and experiences. Results: Early adolescents' descriptions revealed that the list of determinants presented in the three adolescent-specific health literacy models is not comprehensive enough. Early adolescents brought up how their motives, self-efficacy, and role expectations determine their health literacy in addition to the other personal determinants presented in the previous models. Their descriptions also suggest that external determinants include interpersonal relations with authorities, idols and random people, and the socio-cultural atmosphere as new factors. New mediating determinants that have a separate influence on health literacy were recognized based on early adolescents' descriptions as well. Conclusion: Our findings give a new, adolescent-oriented insight on the determinants of adolescents' health literacy. Based on the findings, there are additional personal, external, and mediating determinants that are not included in the current adolescent-specific health literacy models. These newly found determinants require attention and further exploration. The acquired knowledge can be used for strengthening existing adolescent specific health literacy models, and as a basis of health literacy instrument and intervention development. (C) 2016 Elsevier Ltd. All rights reserved.
引用
收藏
页码:71 / 80
页数:10
相关论文
共 36 条
  • [1] [Anonymous], 2015, WHO report on the global tobacco epidemic
  • [2] Baheiraei Azam, 2014, Int J Adolesc Med Health, V26, P61, DOI 10.1515/ijamh-2012-0112
  • [3] The Contribution of Health Literacy to Disparities in Self-Rated Health Status and Preventive Health Behaviors in Older Adults
    Bennett, Ian M.
    Chen, Jing
    Soroui, Jaleh S.
    White, Sheida
    [J]. ANNALS OF FAMILY MEDICINE, 2009, 7 (03) : 204 - 211
  • [4] Braun V, 2006, QUAL RES PSYCHOL, V3, DOI [DOI 10.1191/1478088706QP063OA, 10.1191/1478088706qp063oa]
  • [5] Adolescent-Friendly Remedies for the Challenges of Focus Group Research
    Daley, Alison Moriarty
    [J]. WESTERN JOURNAL OF NURSING RESEARCH, 2013, 35 (08) : 1043 - 1059
  • [6] DeWalt Darren A, 2009, Pediatrics, V124 Suppl 3, pS265, DOI 10.1542/peds.2009-1162B
  • [7] FABRI, 2012, RESPONSIBLE CONDUCT
  • [8] Gray Nicola J, 2005, J Adolesc Health, V37, P243
  • [9] Health information-seeking behaviour in adolescence: the place of the internet
    Gray, NJ
    Klein, JD
    Noyce, PR
    Sesselberg, TS
    Cantrill, JA
    [J]. SOCIAL SCIENCE & MEDICINE, 2005, 60 (07) : 1467 - 1478
  • [10] A Social Ecological Conceptual Framework for Understanding Adolescent Health Literacy in the Health Education Classroom
    Higgins, Joan Wharf
    Begoray, Deborah
    MacDonald, Marjorie
    [J]. AMERICAN JOURNAL OF COMMUNITY PSYCHOLOGY, 2009, 44 (3-4) : 350 - 362