The association between health literacy and psychosomatic symptoms of adolescents in China: a cross-sectional study

被引:14
作者
Zhang, Shi-chen [1 ,2 ]
Li, Dan-lin [1 ]
Yang, Rong [1 ]
Wan, Yu-hui [1 ,2 ]
Tao, Fang-biao [1 ,2 ]
Fang, Jun [2 ,3 ,4 ]
机构
[1] Anhui Med Univ, Sch Publ Hlth, Dept Maternal & Child Hlth, 81th Meishan Rd, Hefei 230032, Anhui, Peoples R China
[2] MOE Key Lab Populat Hlth Life Cycle, Anhui Prov Key Lab Populat Hlth & Aristogen, 81th Meishan Rd, Hefei 230032, Anhui, Peoples R China
[3] Anhui Med Univ, Sch Publ Hlth, Dept Toxicol, 81th Meishan Rd, Hefei 230032, Anhui, Peoples R China
[4] Sojo Univ, Fac Pharmaceut Sci, Ikeda 4-22-1, Kumamoto, Osaka 8600082, Japan
基金
中国国家自然科学基金;
关键词
Health literacy; Students; Psychosomatic symptoms; PROMOTING LIFE-STYLES; QUALITY-OF-LIFE; MENTAL-HEALTH; PSYCHOPATHOLOGICAL SYMPTOMS; PSYCHOLOGICAL SYMPTOMS; SOCIOECONOMIC-STATUS; PHYSICAL-ACTIVITY; DEPRESSION; CHILDREN; SCHIZOPHRENIA;
D O I
10.1186/s12889-019-7589-0
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
BackgroundLower health literacy (HL) has been known to be involved in a range of common mental and physical disorders among adolescent students. Ample studies indicated low HL is associated with a series of chronic diseases even psychological diseases, nevertheless, little is known about this relationship among adolescents. In this context, the study aimed to examine associations between psychosomatic symptoms (physical and psychological symptoms) and HL in junior and senior high school students in China, and to provide guidance for improving the physical and mental health in Chinese adolescents.MethodsA total of 22,628 junior and high school students in China were enrolled in this study. HL and psychosomatic symptoms were measured by self-report validated questionnaires. Multiple linear regression analyses were conducted to examine the associations between six sub-scales of HL and physical / psychological symptoms.ResultsMultiple linear regression analysis demonstrated that the sub-scales of HL showed a significantly negative association with physical symptoms and psychological symptoms (P<0.05 for each). Physical symptoms was most strongly associated with IR (beta=-0.134), followed by SM (beta=-0.093), DB (beta=-0.059), SA (beta=-0.058) and PA (beta=-0.054). No statistically significant difference was found between HA and physical symptoms (P>0.05). Meanwhile, psychological symptoms were most strongly associated with IR (beta=-0.160), followed by SA (beta=-0.129), SM (beta=-0.069), DB (beta=-0.031), HA (beta=-0.026) and PA (beta=-0.021).ConclusionThese results indicated the importance of identifying the association of HL with physical and psychological symptoms, and provided the evidence that lower HL may serve as a critical and independent risk factor for poor health outcomes. Meanwhile, to maintain students' desirable healthy status public health efforts for enhancing their HL level are urgently needed in adolescents.
引用
收藏
页数:9
相关论文
共 56 条
[1]  
Ahangar K, 2012, INT J CHILD YOUTH FA, V3, P112
[2]  
[Anonymous], 2000, HLTH LITERACY
[3]  
Berkman N D, 2004, Evid Rep Technol Assess (Summ), P1
[4]   Chronic musculoskeletal pain rarely presents in a single body site: results from a UK population study [J].
Carnes, D. ;
Parsons, S. ;
Ashby, D. ;
Breen, A. ;
Foster, N. E. ;
Pincus, T. ;
Voge, S. ;
Underwood, M. .
RHEUMATOLOGY, 2007, 46 (07) :1168-1170
[5]   Sexual risk behavior and STI health literacy among ethnic minority adolescent women [J].
Champion, Jane Dimmitt ;
Harlin, Badia ;
Collins, Jennifer L. .
APPLIED NURSING RESEARCH, 2013, 26 (04) :204-209
[6]   Association between health literacy and child and adolescent obesity [J].
Chari, Roopa ;
Warsh, Joel ;
Ketterer, Tara ;
Hossain, Jobayer ;
Sharif, Iman .
PATIENT EDUCATION AND COUNSELING, 2014, 94 (01) :61-66
[7]  
Cohen S., 2000, Social support measurement and intervention: A guide for health and social scientists
[8]   Adolescent Mental Health Literacy: Young People's Knowledge of Depression and Social Anxiety Disorder [J].
Coles, Meredith E. ;
Ravid, Ariel ;
Gibb, Brandon ;
George-Denn, Daniel ;
Bronstein, Laura R. ;
McLeod, Sue .
JOURNAL OF ADOLESCENT HEALTH, 2016, 58 (01) :57-62
[9]   NURSING AND HEALTH PROMOTION - CONCEPTUAL CONCERNS [J].
DELANEY, FG .
JOURNAL OF ADVANCED NURSING, 1994, 20 (05) :828-835
[10]   Early Menarche and Psychopathological Symptoms in Young Chinese Women [J].
Deng, Fang ;
Tao, Fang-Biao ;
Wan, Yu-Hui ;
Hao, Jia-Hu ;
Su, Pu-Yu ;
Cao, Yun-Xia .
JOURNAL OF WOMENS HEALTH, 2011, 20 (02) :207-213