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Health Literacy is Associated with Health Behaviors in Students from Vocational Education and Training Schools: A Danish Population-Based Survey

Author

Listed:
  • Charlotte Demant Klinker

    (Steno Diabetes Center Copenhagen, Health Promotion, Niels Steensens vej 6, 2820 Gentofte, Denmark)

  • Anna Aaby

    (Department of Public Health, Bartholins Alle 2, Aarhus University, 8000 Aarhus, Denmark)

  • Lene Winther Ringgaard

    (Steno Diabetes Center Copenhagen, Health Promotion, Niels Steensens vej 6, 2820 Gentofte, Denmark)

  • Anneke Vang Hjort

    (Steno Diabetes Center Copenhagen, Health Promotion, Niels Steensens vej 6, 2820 Gentofte, Denmark)

  • Melanie Hawkins

    (School of Health and Social Development, Deakin University, Geelong, VIC 3220, Australia)

  • Helle Terkildsen Maindal

    (Steno Diabetes Center Copenhagen, Health Promotion, Niels Steensens vej 6, 2820 Gentofte, Denmark
    Department of Public Health, Bartholins Alle 2, Aarhus University, 8000 Aarhus, Denmark)

Abstract

Health literacy has been identified as an important and changeable intermediary determinant of health equity. Vocational education and training (VET) schools are a relevant setting for health behavior interventions seeking to diminish health inequities because many VET students come from low socio-economic status backgrounds. This study examines VET students’ health literacy and its association with health behavior based on a cross-sectional survey among 6119 students from 58 VET schools in Denmark in 2019. Two scales from the Health Literacy Questionnaire was used to assess domains of health literacy. Data were analyzed using Anova and logistic regression. The study population consisted of 43.4% female, and mean age was 24.2 years (range 15.8–64.0). The health literacy domain ‘Actively managing my health’ mean was 2.51, SD 0.66, and ‘Appraisal of health information’ mean was 2.37, SD 0.65. For both domains, being female, older age, attending the VET educational program Care-health-pedagogy, and higher self-rated health were associated with higher scale scores. In the adjusted analyses, lower scale scores were associated with less frequent breakfast, daily smoking, high-risk alcohol behavior and moderate-to-low physical activity. Our results show that low health literacy is associated with unhealthy behaviors in this population. Our results support and inform health literacy research and practice in educational institutions and services.

Suggested Citation

  • Charlotte Demant Klinker & Anna Aaby & Lene Winther Ringgaard & Anneke Vang Hjort & Melanie Hawkins & Helle Terkildsen Maindal, 2020. "Health Literacy is Associated with Health Behaviors in Students from Vocational Education and Training Schools: A Danish Population-Based Survey," IJERPH, MDPI, vol. 17(2), pages 1-13, January.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:2:p:671-:d:311114
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    References listed on IDEAS

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    3. Chung-Chih Lin & Pang-Hsiang Yu & Jin-Kwan Lin, 2022. "Prompts for the Future to Live Healthier: A Study of Cognition and Motivation for Healthy Behaviors," IJERPH, MDPI, vol. 19(11), pages 1-10, May.
    4. Junaidi Budi Prihanto & Faridha Nurhayati & Endang Sri Wahjuni & Ryota Matsuyama & Miwako Tsunematsu & Masayuki Kakehashi, 2021. "Health Literacy and Health Behavior: Associated Factors in Surabaya High School Students, Indonesia," IJERPH, MDPI, vol. 18(15), pages 1-20, July.
    5. Anneke Vang Hjort & Mirte A. G. Kuipers & Maria Stage & Charlotta Pisinger & Charlotte Demant Klinker, 2022. "Intervention Activities Associated with the Implementation of a Comprehensive School Tobacco Policy at Danish Vocational Schools: A Repeated Cross-Sectional Study," IJERPH, MDPI, vol. 19(19), pages 1-19, September.
    6. Bent E. Mikkelsen & Annette Q. Romani & Maria P. Brandão, 2021. "Do Crowding-Out Effects Explain the Low Effect of a Health Promotion Intervention among Young People at a Vocational School?," IJERPH, MDPI, vol. 18(21), pages 1-18, October.
    7. Dorota Kleszczewska & Joanna Mazur & Katarzyna Porwit & Anna Kowalewska, 2022. "Who Is Able to Resist What Is Forbidden?—The Relationship between Health Literacy and Risk Behaviours in Secondary School Students in the Broader Social and Educational Context," IJERPH, MDPI, vol. 19(15), pages 1-16, July.

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