IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i15p9381-d876930.html
   My bibliography  Save this article

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

Author

Listed:
  • Dorota Kleszczewska

    (Institute of Mother and Child Foundation, 01-211 Warsaw, Poland)

  • Joanna Mazur

    (Department of Humanization in Medicine and Sexology, Collegium Medicum, University of Zielona Gora, 65-729 Zielona Gora, Poland)

  • Katarzyna Porwit

    (Centre of Migration Research, University of Warsaw, 02-093 Warsaw, Poland)

  • Anna Kowalewska

    (Department of Biomedical Aspects of Development and Sexology, Faculty of Education, Warsaw University, 00-561 Warsaw, Poland)

Abstract

In the last Health Behaviour in School-Aged Children (HBSC) survey conducted in Poland in 2018, a group of 17-year-old adolescents ( n = 1663; mean age 17.63 ± 0.36 years) was included outside the international protocol. This allowed an assessment to be made of their level of health literacy (HL) using the 10-point HBSC research tool. The aim of the study was to investigate the relationship between HL and risk behaviours (RB). A standardised index of RB in the last 30 days was considered as an outcome measure. This index was significantly higher in the group with low HL (0.318 ± 1.269) in comparison with the group with high HL (−0.083 ± 0.962). In a multivariate linear regression model, the strongest predictors of RB were gender, academic performance and level of regional deprivation, but the association with HL remained significant. This significant association persisted in general schools and in girls but disappeared in vocational schools and in boys. It was also shown that in rural areas, good academic performance has a less significant impact on RB if the HL level is low. The analyses led to the conclusion that when examining the relationship between HL and RB in older adolescents, it is advisable to take into account gender, the educational track and neighbourhood characteristics.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9381-:d:876930
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/15/9381/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/15/9381/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Gilberto Gerra & Elisa Benedetti & Giuliano Resce & Roberta Potente & Arianna Cutilli & Sabrina Molinaro, 2020. "Socioeconomic Status, Parental Education, School Connectedness and Individual Socio-Cultural Resources in Vulnerability for Drug Use among Students," IJERPH, MDPI, vol. 17(4), pages 1-17, February.
    2. Walid El Ansari & Abdul Salam, 2021. "Multi-Substance Use Behaviors: Prevalence and Correlates of Alcohol, Tobacco and Other Drug (ATOD) Use among University Students in Finland," IJERPH, MDPI, vol. 18(12), pages 1-14, June.
    3. Dorota Kleszczewska & Agnieszka Małkowska Szkutnik & Jadwiga Siedlecka & Joanna Mazur, 2019. "Physical Activity, Sedentary Behaviours and Duration of Sleep as Factors Affecting the Well-Being of Young People against the Background of Environmental Moderators," IJERPH, MDPI, vol. 16(6), pages 1-14, March.
    4. Mariusz Duplaga & Marcin Grysztar, 2021. "Socio-Economic Determinants of Health Literacy in High School Students: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(22), pages 1-17, November.
    5. Elitsa Dimitrova & Tatyana Kotzeva & Anna Alexandrova-Karamanova, 2020. "Psychosocial school environment and health risk behaviours of adolescents in Bulgaria: results from multilevel analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(8), pages 1331-1344, November.
    6. Joanna Mazur & Izabela Tabak & Anna Dzielska & Krzysztof Wąż & Anna Oblacińska, 2016. "The Relationship between Multiple Substance Use, Perceived Academic Achievements, and Selected Socio-Demographic Factors in a Polish Adolescent Sample," IJERPH, MDPI, vol. 13(12), pages 1-13, December.
    7. Rong Yang & Danlin Li & Jie Hu & Run Tian & Yuhui Wan & Fangbiao Tao & Jun Fang & Shichen Zhang, 2019. "Association between Health Literacy and Subgroups of Health Risk Behaviors among Chinese Adolescents in Six Cities: A Study Using Regression Mixture Modeling," IJERPH, MDPI, vol. 16(19), pages 1-14, September.
    8. Saulius Sukys & Laima Trinkuniene & Ilona Tilindiene, 2019. "Subjective Health Literacy among School-Aged Children: First Evidence from Lithuania," IJERPH, MDPI, vol. 16(18), pages 1-11, September.
    9. 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.
    10. Heather Orom & Elizabeth Schofield & Marc T. Kiviniemi & Erika A. Waters & Caitlin Biddle & Xuewei Chen & Yuelin Li & Kimberly A. Kaphingst & Jennifer L. Hay, 2018. "Low Health Literacy and Health Information Avoidance but Not Satisficing Help Explain “Don’t Know†Responses to Questions Assessing Perceived Risk," Medical Decision Making, , vol. 38(8), pages 1006-1017, November.
    11. Apolinaras Zaborskis & Aistė Kavaliauskienė & Charli Eriksson & Ellen Klemera & Elitsa Dimitrova & Marina Melkumova & Daniela Husarova, 2021. "Family Support as Smoking Prevention during Transition from Early to Late Adolescence: A Study in 42 Countries," IJERPH, MDPI, vol. 18(23), pages 1-15, December.
    12. 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.
    13. Ellen Klemera & Fiona M. Brooks & Kayleigh L. Chester & Josefine Magnusson & Neil Spencer, 2017. "Self-harm in adolescence: protective health assets in the family, school and community," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(6), pages 631-638, July.
    14. Torbjørn Torsheim & Franco Cavallo & Kate Ann Levin & Christina Schnohr & Joanna Mazur & Birgit Niclasen & Candace Currie, 2016. "Psychometric Validation of the Revised Family Affluence Scale: a Latent Variable Approach," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 9(3), pages 771-784, September.
    15. Jane E. K. Hartley & Kate Levin & Candace Currie, 2016. "A new version of the HBSC Family Affluence Scale - FAS III: Scottish Qualitative Findings from the International FAS Development Study," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 9(1), pages 233-245, March.
    16. Adam G. Cole & Rachel E. Laxer & Karen A. Patte & Scott T. Leatherdale, 2021. "Can We Reverse this Trend? Exploring Health and Risk Behaviours of Grade 12 Cohorts of Ontario Students from 2013–2019," IJERPH, MDPI, vol. 18(6), pages 1-14, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Anne-Kathrin M. Loer & Olga M. Domanska & Christiane Stock & Susanne Jordan, 2020. "Subjective Generic Health Literacy and Its Associated Factors among Adolescents: Results of a Population-Based Online Survey in Germany," IJERPH, MDPI, vol. 17(22), pages 1-23, November.
    2. Leena Paakkari & Minna Torppa & Joanna Mazur & Zuzana Boberova & Gorden Sudeck & Michal Kalman & Olli Paakkari, 2020. "A Comparative Study on Adolescents’ Health Literacy in Europe: Findings from the HBSC Study," IJERPH, MDPI, vol. 17(10), pages 1-12, May.
    3. Anne-Kathrin M. Loer & Olga M. Domanska & Christiane Stock & Susanne Jordan, 2022. "Correction: Loer et al. Subjective Generic Health Literacy and Its Associated Factors among Adolescents: Results of a Population-Based Online Survey in Germany. Int. J. Environ. Res. Public Health 202," IJERPH, MDPI, vol. 19(3), pages 1-3, February.
    4. Tetine Sentell & Sandra Vamos & Orkan Okan, 2020. "Interdisciplinary Perspectives on Health Literacy Research Around the World: More Important Than Ever in a Time of COVID-19," IJERPH, MDPI, vol. 17(9), pages 1-13, April.
    5. 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.
    6. Alberto Borraccino & Noemi Marengo & Paola Dalmasso & Claudia Marino & Silvia Ciardullo & Paola Nardone & Patrizia Lemma & The 2018 HBSC-Italia Group, 2022. "Problematic Social Media Use and Cyber Aggression in Italian Adolescents: The Remarkable Role of Social Support," IJERPH, MDPI, vol. 19(15), pages 1-10, August.
    7. Stefan Kühner & Maggie Lau & Evelyn Aboagye Addae, 2021. "The Mediating Role of Social Capital in the Relationship Between Hong Kong Children’s Socioeconomic Status and Subjective Well-Being," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 14(5), pages 1881-1909, October.
    8. Carsten Müller & Kareem El-Ansari & Walid El Ansari, 2022. "Health-Promoting Behavior and Lifestyle Characteristics of Students as a Function of Sex and Academic Level," IJERPH, MDPI, vol. 19(12), pages 1-18, June.
    9. Vladimir Hobza & Zdenek Hamrik & Jens Bucksch & Bart De Clercq, 2017. "The Family Affluence Scale as an Indicator for Socioeconomic Status: Validation on Regional Income Differences in the Czech Republic," IJERPH, MDPI, vol. 14(12), pages 1-9, December.
    10. Dagmar Sigmundová & Erik Sigmund & Riki Tesler & Kwok W. Ng & Zdenek Hamrik & Frida Kathrine Sofie Mathisen & Jo Inchley & Jens Bucksch, 2019. "Vigorous physical activity in relation to family affluence: time trends in Europe and North America," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(7), pages 1049-1058, September.
    11. Orit Shapiro & Riki Tesler & Sharon Barak & Lilach Ben-Meir & Ariela Giladi & Rachel Nissanholtz-Gannot & Gizell Green & Moti Zwilling & Avi Zigdon & Yossi Harel-Fisch, 2022. "A Biopsychosocial Approach to Examining Alcohol Consumption among Youth during the COVID-19 Pandemic," Sustainability, MDPI, vol. 14(22), pages 1-15, November.
    12. Leena Paakkari & Minna Torppa & Raili Välimaa & Jari Villberg & Kristiina Ojala & Jorma Tynjälä, 2019. "Health asset profiles and health indicators among 13- and 15-year-old adolescents," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(9), pages 1301-1311, December.
    13. Schmengler, Heiko & Peeters, Margot & Stevens, Gonneke W.J.M. & Kunst, Anton E. & Delaruelle, Katrijn & Dierckens, Maxim & Charrier, Lorena & Weinberg, Dom & Oldehinkel, Albertine J. & Vollebergh, Wil, 2022. "Socioeconomic inequalities in adolescent health behaviours across 32 different countries – The role of country-level social mobility," Social Science & Medicine, Elsevier, vol. 310(C).
    14. Valentin Benzing & Patrice Gaillard & David Scheidegger & Alain Dössegger & Claudio R. Nigg & Mirko Schmidt, 2022. "COVID-19: Physical Activity and Quality of Life in a Sample of Swiss School Children during and after the First Stay-at-Home," IJERPH, MDPI, vol. 19(4), pages 1-13, February.
    15. Zsuzsa Lábiscsák-Erdélyi & Ilona Veres-Balajti & Annamária Somhegyi & Karolina Kósa, 2022. "Self-Esteem Is Independent Factor and Moderator of School-Related Psychosocial Determinants of Life Satisfaction in Adolescents," IJERPH, MDPI, vol. 19(9), pages 1-14, May.
    16. Gillian C. Williams & Karen A. Patte & Mark A. Ferro & Scott T. Leatherdale, 2021. "Associations between Longitudinal Patterns of Substance Use and Anxiety and Depression Symptoms among a Sample of Canadian Secondary School Students," IJERPH, MDPI, vol. 18(19), pages 1-14, October.
    17. Róbert Ochaba & Tibor Baška & Martina Bašková, 2021. "Alcohol Use and Its Affordability in Adolescents in Slovakia between 2010 and 2018: Girls Are Less Adherent to Policy Measures," IJERPH, MDPI, vol. 18(10), pages 1-10, May.
    18. Yekaterina Chzhen & Jennifer Symonds & Dympna Devine & Júlia Mikolai & Susan Harkness & Seaneen Sloan & Gabriela Martinez Sainz, 2022. "Learning in a Pandemic: Primary School children’s Emotional Engagement with Remote Schooling during the spring 2020 Covid-19 Lockdown in Ireland," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 15(4), pages 1517-1538, August.
    19. David S. Evans & Anne O’Farrell & Aishling Sheridan & Paul Kavanagh, 2023. "Social Connectedness and Smoking among Adolescents in Ireland: An Analysis of the Health Behaviour in Schoolchildren Study," IJERPH, MDPI, vol. 20(9), pages 1-11, April.
    20. Dorota Kleszczewska & Joanna Mazur & Jens Bucksch & Anna Dzielska & Catherina Brindley & Agnieszka Michalska, 2020. "Active Transport to School May Reduce Psychosomatic Symptoms in School-Aged Children: Data from Nine Countries," IJERPH, MDPI, vol. 17(23), pages 1-12, November.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:15:p:9381-:d:876930. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.