Health Literacy in Children and Adolescents: A Review of the State of the Art

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Published Jun 26, 2023
DOI: https://doi.org/10.18103/mra.v11i6.3882

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Main Article Content

Maria D. Navarro Rubio
The School of Health, Sant Joan de Déu Children’s Hospital, Barcelona (Spain)
Carles Blay
The School of Health, Sant Joan de Déu Children’s Hospital, Barcelona (Spain); C3RG Central Catalonian Chronicity Research Group. University of Vic-Universitat Central de Catalunya, Vic (Spain)

Abstract

Health literacy has been defined as the ability of people to access quality health information and apply it, making appropriate decisions in the process of health and a correct use of health services. Despite the large body of literature produced since the first studies of this topic on the adult population, there is less scientific documentation regarding children and adolescents.


The research team conducted a literature review of health literacy in children and adolescents; as well as the role of digital health literacy and other divides in the health status of this specific group of the population.


The results of the literature review showed that health literacy is crucial to obtain a good physical, emotional and cognitive development. It is also related with the acquisition of healthy behaviors and lifestyles. The level of health literacy depends on many factors such as personal health status, the existence of health problems or diseases; as well as socio-economic status, cultural, social, and demographic determinants of health, among other variables. These aspects at the family level, friends, and school life, moreover, influence children and adolescents. In this group of the population, health status and healthy lifestyles are not only influenced by the level of individual (or parental) health literacy, but also by the social context in which the child or youth is immersed.


In addition, these variables related to socio-economic and cultural factors are associated with the existence of gaps or divides in certain groups. In this scenario, an adequate conceptualization of health literacy during childhood and adolescence is necessary when designing appropriate interventions and policies for this group of the population. In order to achieve this, it is necessary to define what we mean by health literacy and how we are going to measure it.


In summary, it is important not to focus only on an individual perspective; on the contrary, it is necessary to understand health literacy in the context where children and youth live and develop, as well as their interactions with the health, educational and social system. Further research is needed to explore more in depth the importance of health literacy in children and adolescence.

Keywords: Health literacy, digital health literacy, digital divide, children, adolescents

Article Details

How to Cite
RUBIO, Maria D. Navarro; BLAY, Carles. Health Literacy in Children and Adolescents: A Review of the State of the Art. Medical Research Archives, [S.l.], v. 11, n. 6, june 2023. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/3882>. Date accessed: 21 nov. 2024. doi: https://doi.org/10.18103/mra.v11i6.3882.
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Issue
Vol 11 No 6 (2023): June Issue, Vol.11, Issue 6
Section
Research Articles

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References

1. Nielsen-Bohlman L, Panzer AM, Kindig DA. Health literacy: A Prescription to end confusion. National Academies Press: 2004. doi.org/10.17226/10883. Accessed April 5, 2023.
2. Rudd RE, McCray AT, Nutbeam D. Health literacy and definition of terms. In: Begoray D, Gillis D, Rowlands G, eds. Health literacy in context. Nova Science Publishers; 2012. ISBN: 978-1-61942-921-5.
3. Jones S, Kirsch I, Murray S. Literacy, economy, and society: results of the first international adult literacy survey. Washington, DC: OECD Publications and Information Centre; 1995.
4. Nutbeam D. The evolving concept of health literacy. Soc. Sci. Med. 2008; 67:2072-2078.
5. Sorensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur. J. Public Health 2015; 25(6):1053-1058.
6. Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann. Intern. Med. 2011; 155:97-107.
7. Rudd RE, Groene OR, Navarro Rubio MD. On health literacy and health outcomes: Background, impact, and future directions. Rev. Calid. Asist. 2013; 28(3): 188-92. doi.org/10.1016/j.cali.2013.03.003. Accessed April 3, 2023.
8. U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. National Action Plan to improve health literacy. Washington, DC: USDHHS, 2010.
9. Bröder J, Okan O, Bauer U, Bruland D, Schlupp S, Bollweg TM, Saboga-Nunes L, Bond E, Sorensen K, Bitzer EM. Health literacy in childhood and youth: A systematic review of definitions and models. BMC Public Health 2017; 17:361.
10. Braveman P, Gottlieb L. The social determinants of health: It's time to consider the causes of the causes. Public Health Rep. 2014; 129(Suppl 2): 19-31. doi: 10.1177/00333549141291S206: 10.1177/00333549141291S206. Accessed April 22, 2023.
11. Koch-Weser S, DeJong W, Rudd RE. Medical word use in clinical encounters Health Expect 2009; 12: 371-382. doi: 10.1111/j.1369-7625.2009.00555.x. Accessed April 7, 2023.
12. Colledge A, Car J, Donnelly A, Majeed A. Health information for patients: time to look beyond patient information leaflets. J R Soc Med 2008; 101: 447-453. doi: 10.1258/jrsm.2008.080149. Accessed April 11, 2023.
13. Groene RO, Rudd RE. Results of a feasibility study to assess the health literacy environament: navigation, written, and oral communication in ten hospitals in Catalonia, Spain. J. Healthc. Commun. 2011; 4: 227-237. doi: 10.1179/1753807611Y.0000000005. Accessed April 11, 2023.
14. Rudd RE, Oelschlegel S, Grabeel KL, Tester E, Heidel E. The HLE2 The health literacy environment of hospitals and health centers Assessment tool, Boston: Harvard T.H. Chan School of Public Health. 2019. https://www.hsph.harvard.edu/healthliteracy/. Accessed April 11, 2023.
15. Brach B, Keller D, Hernandez LM, Baur C, Parker R, Dreyer B, et al.Ten attributes of health literate health care organizations. Institute of Medicine, 2012.
16. Rudd R. Health literacy studies. Boston: Harvard T.H. Chan School of Public Health. 2019. https://www.hsph.harvard.edu/healthliteracy/. Accessed April 11, 2023.
17. Edwards M, Wood F, Davies M, Edwards A. Distributed health literacy: Longitudinal qualitative analysis of the roles of health literacy mediators and social networks of people living with a long-term health condition. Health Expec 2013; 18:1180-1193.
18. Brach C, Harris LM. Healthy People 2030 health literacy definition tells organizations: Make information and services easy to find, understand, and use. J. Gen. Intern. Med. 2021; 36:1084-1085.
19. Schulenkorf T, Sorensen K, Okan O. International understandings of health literacy in childhood and adolescence. A qualitative-explorative analysis of global expert interviews. Int. J. Environ. Res. Public Health 2022; 19:1591. doi.org/10.3390/ijerph19031591. Accessed April 19, 2023.
20. Bánfai-Csonka H, Betlehem J, Deutsch K, Derzsi-Horváth M, Bánfai B, Fináncz J, Podráczky, Csima M. Health literacy in early childhood: A systematic review of empirical studies. Children 2022; 9:1131. doi.org/10.3390/children9081131. Accessed April 10, 2023.
21. Riemann L, Lubasch JS, Heep A, Ansmann L. The role of health literacy in health behavior, health service use, health outcomes, and empowerment in pediatric patients with chronic disease: A systematic review. Int. J. Environ. Res. Public Health 2021; 18:12464. doi.org/10.3390/ijerph182312464. Accessed April 5, 2023.
22. Mörelius E, Robinson S, Arabiat D, Whitehead L. Digital interventions to improve health literacy among parents of children aged 0 to 12 years with a health condition: Systematic review. J. Medical Internet Res. 2021; 23(12): e31665.
23. Meherali S, Rahim KA, Campbell S, Lassi ZS. Does digital literacy empower adolescent girls in low-and-middle-income countries: A systematic review. Front. Public Health 2021; 9: 761394. doi:10.3389/fpubh.2021.761394. Accessed April 14, 2023.
24. Sorensen K, Van den Broucke S, Fullam j, Doyle G, Pelikan j, Slonska Z, (HLS-EU) Consortium Health Literacy Project European. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health 2012; 25,12:80. https://doi:10.1186/1471-2458-12-80. Accessed April 5, 2023.
25. Higgins JW, BegorayD, MacDonald MA. Social ecological conceptual framework for understanding adolescent health literacy in the health education classroom. AJCP 2009; 44:350-362.
26. Taba M, Allen TB, Caldwell P, Skinner R, Kang M. Adolescents’ self-efficacy and digital health literacy: a cross-sectional mixed methods study. BMC Public Health 2022; 22: 1223. doi:10.1186/s12889-022-13599-7. Accessed April 6, 2023.
27. Kulasegarah J, McGregor K, Mahadevan M. Quality of information on the Internet. Has a decade made a difference? Ir J Med Sci. 2018; 187(4):873-876. doi: 10.1007/s11845-018-1790-5. Accessed April 11, 2023.
28. Hart A, Henwood F, Wyatt S. The role of the Internet in patient-practitioner relationships: findings from a qualitative research study. J Med Internet Res. 2004; 6(3):e36. doi: 10.2196/jmir.6.3.e36.
29. Lopez de Coca T, Moreno L, Alacreu M, Sebastian-Morello M. Bridging the generational digital divide in the healthcare environment. J Pers Med 2022; 12(8):1214. doi:10.3390/jpm12081214. Accessed April 18, 2023.
30. George MJ, Jensen MR, Russell MA, Gassman-Pines A, Copeland WE, Hoyle RH, Odgers CL. Young adolescents' digital technology use, perceived impairments, and well-being in a representative sample. J. Pediatr. 2020; 219: 180-187. doi:10.1016/j.jpeds.2019.12.002. Accessed April 15, 2023.
31. Vyncke V, De Clercq B, Stevens V, Costongs C, Barbareschi G, Jónsson SH, Darias Curvo S, Kebza V, Currie C, Maes L. Does neighbourhood social capital aid in levelling the social gradient in the health and well-being of children and adolescents? A literature review. BMC Public Health 2013; 23: 13-65. doi:10.1186/1471-2458-13-65. Accessed April 3, 2023.
32. Didsbury MS, Kim S, Medway MM, Tong A, McTaggart SJ, Walker AM, White S, Mackie FE, Kara T, Craig JC, Wong G. Socio-economic status and quality of life in children with chronic disease: A systematic review. J. Paediatr. Child Health. 2016; 52(12):1062-1069. doi:10.1111/jpc.13407. Accessed April 24, 2023.
33. Van Kessel R, Li Han Wong B, Clemens T, Brand H. Digital health literacy as a super determinant of health: More than simply the sum of its parts Internet Interv. 2022; 27:100500 doi.org/10.1016/j.invent.2022.100500. Accessed April 10, 2023.
34. Halfon N, Russ SA, Schor EL. The emergence of Life Course Intervention research: Optimizing health development and child well-being. Pediatrics 2022;149(Suppl 5):e2021053509C. doi: 10.1542/peds.2021-053509C. Accessed April 11, 2023.
35. Rudd RE. A call for more rigor in science and health communication. Int J Environ Res Public Health 2022;19(3):1825. doi: 10.3390/ijerph19031825. Accessed April 5, 2023.
36. Rudd RE. Needed action in health literacy. J Health Psychol 2013; 18(8):
1004-10. doi: 10.1177/1359105312470128. Accessed April 5, 2023.
37. Sanders LM, Shaw JS, Guez G, Baur C, Rudd R. Health literacy and child health promotion: implications for research, clinical care, and public policy. Pediatrics 2009; 124 Suppl 3:S306-14. doi: 10.1542/peds.2009-1162G. Accessed April 12, 2023.
38. Okan O, Lopes E, Torsten M, Bröder J, Messer M, Bruland D, et al. Generic health literacy measurement instruments for children and adolescents: a systematic review of the literature. BMC Public Health 2018; 18:166. doi10.1186/s12889-018-5054-0. Accessed April 14, 2023.