Health Literacy Levels among Italian Students: Monitoring and Promotion at School

Velasco, Veronica; Gragnano, Andrea; Lombardia, Gruppo Regionale Hbsc; Vecchio, Luca

doi:10.3390/ijerph18199943

Cited by 22 publications

(26 citation statements)

References 51 publications

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“…In some respects, our results contrast studies in comparable countries such as the recent Danish 21 and Italian 18 validations of the HLSAC. Including all ten items in one dimension, the Danish study found an excellent fit with factor loadings ranging between 0.52 and 0.75, and good internal consistency (Cronbach's alpha = 0.86), while the Italian study demonstrated an acceptable fit.…”

Section: Discussioncontrasting

confidence: 99%

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Validation of the brief instrument “Health Literacy for School-Aged Children” (HLSAC) among Norwegian adolescents

Bjørnsen

Moksnes

Eilertsen

et al. 2022

Sci Rep

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Health literacy (HL) has been identified as an important and modifiable determinant of health. To succeed in promoting HL, it is crucial to evaluate interventions addressing HL using validated instruments. However, HL measurement is an under-researched area among adolescents. The Health Literacy for School-Aged Children (HLSAC) scale is developed in Finland to measure the subjective HL levels of school-aged children. The HLSAC has been used and validated across Europe. No validated instrument for measuring HL among Norwegian adolescents has been identified. Therefore, the aim of this study was to assess the psychometric properties of the HLSAC among Norwegian adolescents in upper secondary schools. Cross-sectional data were collected in 2017 from 1 054 adolescents with a response rate of 93.5%. The participants were students aged 16–21 (mean = 17.3) years from four upper secondary schools in an urban area in Mid-Norway. Confirmatory factor analysis (CFA) was utilized to investigate the underlying dimensionality of the data together with composite reliability based on Raykov’s reliability coefficient and certain aspects of construct validity. The original ten-item one-dimensional version of the HLSAC revealed a poor fit. A one-dimensional version including six of the original ten items presented the best fit to our data, demonstrating good reliability and construct validity. This validation study suggests a one-dimensional solution of the HLSAC scale including six of the original ten items, i.e., the HLSAC-6 as a statistical valid and reliable measure for HL among adolescents in upper secondary schools. However, the modifications of the instrument indicate the need for further investigation of the HLSAC in this age group, i.e. by conducting cognitive interviews and focus-group discussions on the concept of HL among adolescents. Testing the wording of the HLSAC prior to additional psychometric evaluations of both the original HLSAC and the suggested HLSAC-6 is recommended. Finally, developing more age-appropriate items for the measurement of HL in this age-group is suggested.

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Section: Discussioncontrasting

confidence: 99%

“…The HLSAC has been used across Europe and validated in Slovakia and Belgium 17 , Italy 18 , Poland 19 , France 20 , Denmark 21 and Turkey 22 . No validated instrument for measuring HL among Norwegian children and adolescents has been identified.…”

Section: Introductionmentioning

confidence: 99%

Validation of the brief instrument “Health Literacy for School-Aged Children” (HLSAC) among Norwegian adolescents

Bjørnsen

Moksnes

Eilertsen

et al. 2022

Sci Rep

View full text Add to dashboard Cite

show abstract

“…However, the use of a regional representative sample attests to the validity of the study, and the Lombardy region is a very populated area with a number of inhabitants compared to many European countries. Lastly, although subdimensions of health literacy could constitute better predictive factors leading to healthy behaviours, the Health Literacy for School-Aged Children (HLSAC) scale used in this study has a solid background [ 60 , 61 , 62 , 63 , 69 , 70 ].…”

Section: Discussionmentioning

confidence: 99%

“…The Health Literacy for School-Aged Children (HLSAC) scale was used to measure self-reported health literacy [ 60 , 61 , 62 ]. The Italian version was validated by Velasco and colleagues [ 63 ]. The instrument includes 10 items (e.g., “Having good information regarding health”) on a 4-point Likert scale (1 = “Not at all true”; 4 = “Absolutely true”).…”

Section: Methodsmentioning

confidence: 99%

Adolescents’ Nutrition: The Role of Health Literacy, Family and Socio-Demographic Variables

Delbosq

Velasco²,

Vercesi³

et al. 2022

IJERPH

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Adolescent obesity rates are increasing on an epidemic level and food intake is one of the most important causes of this condition. From an ecological perspective, food intake is, in turn, influenced by many factors that need to be considered. This study aims to evaluate the associations between socio-demographic factors (gender, family origin, socio-economic status, parent’s education level), which consist of social stratifiers, health literacy and family context, as independent variables, and food intake (consumption of fruits, vegetables, soft drinks and sweets and breakfast frequency) and outcomes (Body Mass Index category), as dependent variables. Data were retrieved from 2145 students (13 and 15 years old) from the Lombardy region (Italy) who participated in the 2018 edition of Health Behaviour in School-Aged Children (HBSC). Six multiple binary logistic regression models were used in this study. Fruit, vegetable and soft drinks consumption models were related to all three-factor levels. Breakfast consumption frequency was associated with socio-demographic variables. BMI category was associated with socio-demographic and family variables. The results confirmed the existence of social inequalities, the importance of health literacy in predicting healthy behaviours and the relevance of the family context. The study confirms the importance of the ecological approach to understanding food intake and overweight/obesity status in adolescents.

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“…In order to optimize the role of medication literacy and patient empowerment in health management, those two components should be aligned to individual's cognitive, affective and behavioral abilities (Velasco et al, 2021). Childhood is a critical stage for development of fundamental cognitive, physical, and emotional processes.…”

Section: Introductionmentioning

confidence: 99%

Affecting children’s knowledge about rational use of medicines using read-along videos of pictorial storybooks

Bakaruddin

Noordin²,

Karuppannan³

2022

Front. Pharmacol.

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Although efforts have been taken to educate the public about medication from a very young age, there are very limited availability and accessibility of education material for children. The aim of this study is to assess the impact of read-along videos of pictorial storybooks on children’s knowledge about rational use of medicines. This study compared pre and post knowledge scores in a nonrandomized, one-group pre-test-post-test experimental design. Pre-recorded read-along storytelling videos were used as intervention covering two topics on rational use of medicine -medicine storage and antibiotic resistance. The questionnaire and intervention videos were distributed using Google Forms to children aged six and seven in Malaysia via online social media platforms. 521 children completed the study. The mean baseline knowledge score for medication storage was 4.89 (SD = 1.12) pre-test and 5.44 (SD = 0.78) post-test while for antibiotic resistance the mean was 3.616 (SD = 1.340) pre-test and 4.820 (SD = 1.134) post-test. A Wilcoxon signed-rank test showed statistically significant changes on medication storage (Z = −10.21, p < 0.001) and antibiotic resistance (Z = −14.869, p < 0.001) related knowledge among children. Pictorial storybook read-along video interventions were shown to be effective in improving children’s knowledge on rational use of medicine. Education and awareness on the use of antibiotics should be prioritized.

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Health Literacy Levels among Italian Students: Monitoring and Promotion at School

Cited by 22 publications

References 51 publications

Validation of the brief instrument “Health Literacy for School-Aged Children” (HLSAC) among Norwegian adolescents

Validation of the brief instrument “Health Literacy for School-Aged Children” (HLSAC) among Norwegian adolescents

Adolescents’ Nutrition: The Role of Health Literacy, Family and Socio-Demographic Variables

Affecting children’s knowledge about rational use of medicines using read-along videos of pictorial storybooks

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