The relationship between health literacy and health-related quality of life among school-aged children in regional China

Abstract Objectives To examine the association between health literacy (HL) and health-related quality of life (HRQoL) among primary and high school students in Nanjing, China. Methods A cross-sectional study was conducted among randomly selected primary (graders 4–6), junior (graders 7–9) and senio...

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Autores principales:	Huifen Qiao, Xiaorong Wang, Zhenzhen Qin, Na Wang, Ning Zhang, Fei Xu
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Health literacy Health-related quality of life CHU9D Children and adolescents Primary and high school students Computer applications to medicine. Medical informatics R858-859.7
Acceso en línea:	https://doaj.org/article/364eef7cf0c4446db166feed534cdc5e
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spelling	oai:doaj.org-article:364eef7cf0c4446db166feed534cdc5e2021-11-28T12:25:23ZThe relationship between health literacy and health-related quality of life among school-aged children in regional China10.1186/s12955-021-01895-61477-7525https://doaj.org/article/364eef7cf0c4446db166feed534cdc5e2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12955-021-01895-6https://doaj.org/toc/1477-7525Abstract Objectives To examine the association between health literacy (HL) and health-related quality of life (HRQoL) among primary and high school students in Nanjing, China. Methods A cross-sectional study was conducted among randomly selected primary (graders 4–6), junior (graders 7–9) and senior (graders 10–12) high school students in 2018 in Nanjing Municipality of China. HRQoL, the outcome variable, was assessed with the validated Chinese version of Child Health Utility 9D (CHU9D) and used as continuous variable, while HL, our independent variable, was measured with the validated Chinese Students’ Health literacy Assessment Scale and treated as categorical variable (“adequate” or “inadequate”) in the analysis. Mixed-effects linear regression models were introduced to calculate mean difference and 95% confidence interval (CI) for examining the association between HL and HRQoL. Results Totally, 4388 of 4498 students completed the survey. Among these responders, the mean score of CHU9D was 0.78 ± 0.17, and the proportion of participants with adequate HL was 85.8% (95% CI = 84.7%, 86.8%). After adjustment for potential confounders and class-level clustering effects, participants who had adequate HL were observed having, on average, an elevated HRQoL score of 0.08 (95% CI = 0.06, 0.11) units compared to their counterparts with inadequate HL. Such a positive HL-HRQoL association was also identified among each stratum of participants’ age, gender and residence. Conclusions HL was positively associated with HRQoL score among primary and high school students in China. It has public health implications that HRQoL may be improved through school-based health literacy intervention among children and adolescents in China.Huifen QiaoXiaorong WangZhenzhen QinNa WangNing ZhangFei XuBMCarticleHealth literacyHealth-related quality of lifeCHU9DChildren and adolescentsPrimary and high school studentsComputer applications to medicine. Medical informaticsR858-859.7ENHealth and Quality of Life Outcomes, Vol 19, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Health literacy Health-related quality of life CHU9D Children and adolescents Primary and high school students Computer applications to medicine. Medical informatics R858-859.7
spellingShingle	Health literacy Health-related quality of life CHU9D Children and adolescents Primary and high school students Computer applications to medicine. Medical informatics R858-859.7 Huifen Qiao Xiaorong Wang Zhenzhen Qin Na Wang Ning Zhang Fei Xu The relationship between health literacy and health-related quality of life among school-aged children in regional China
description	Abstract Objectives To examine the association between health literacy (HL) and health-related quality of life (HRQoL) among primary and high school students in Nanjing, China. Methods A cross-sectional study was conducted among randomly selected primary (graders 4–6), junior (graders 7–9) and senior (graders 10–12) high school students in 2018 in Nanjing Municipality of China. HRQoL, the outcome variable, was assessed with the validated Chinese version of Child Health Utility 9D (CHU9D) and used as continuous variable, while HL, our independent variable, was measured with the validated Chinese Students’ Health literacy Assessment Scale and treated as categorical variable (“adequate” or “inadequate”) in the analysis. Mixed-effects linear regression models were introduced to calculate mean difference and 95% confidence interval (CI) for examining the association between HL and HRQoL. Results Totally, 4388 of 4498 students completed the survey. Among these responders, the mean score of CHU9D was 0.78 ± 0.17, and the proportion of participants with adequate HL was 85.8% (95% CI = 84.7%, 86.8%). After adjustment for potential confounders and class-level clustering effects, participants who had adequate HL were observed having, on average, an elevated HRQoL score of 0.08 (95% CI = 0.06, 0.11) units compared to their counterparts with inadequate HL. Such a positive HL-HRQoL association was also identified among each stratum of participants’ age, gender and residence. Conclusions HL was positively associated with HRQoL score among primary and high school students in China. It has public health implications that HRQoL may be improved through school-based health literacy intervention among children and adolescents in China.
format	article
author	Huifen Qiao Xiaorong Wang Zhenzhen Qin Na Wang Ning Zhang Fei Xu
author_facet	Huifen Qiao Xiaorong Wang Zhenzhen Qin Na Wang Ning Zhang Fei Xu
author_sort	Huifen Qiao
title	The relationship between health literacy and health-related quality of life among school-aged children in regional China
title_short	The relationship between health literacy and health-related quality of life among school-aged children in regional China
title_full	The relationship between health literacy and health-related quality of life among school-aged children in regional China
title_fullStr	The relationship between health literacy and health-related quality of life among school-aged children in regional China
title_full_unstemmed	The relationship between health literacy and health-related quality of life among school-aged children in regional China
title_sort	relationship between health literacy and health-related quality of life among school-aged children in regional china
publisher	BMC
publishDate	2021
url	https://doaj.org/article/364eef7cf0c4446db166feed534cdc5e
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The relationship between health literacy and health-related quality of life among school-aged children in regional China

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