Low Health Literacy Is Associated with Energy-Balance-Related Behaviors, Quality of Life, and BMI among Rural Appalachian Middle School Students: A Cross-Sectional Study

Autor/inn/en	Reid, Annie L.; Porter, Kathleen J.; You, Wen; Kirkpatrick, Brittany M.; Yuhas, Maryam; Vaught, Shannon S.; Zoellner, Jamie M.
Titel	Low Health Literacy Is Associated with Energy-Balance-Related Behaviors, Quality of Life, and BMI among Rural Appalachian Middle School Students: A Cross-Sectional Study
Quelle	In: Journal of School Health, 91 (2021) 8, S.608-616 (9 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Reid, Annie L.) ORCID (Zoellner, Jamie M.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-4391
DOI	10.1111/josh.13051
Schlagwörter	Health; Literacy; Correlation; Health Behavior; Rural Areas; Disadvantaged; Case Studies; Body Composition; Physiology; Quality of Life; Grade 7; Grade 8; Middle School Students; Student Attitudes; Measures (Individuals); Health Promotion; Food; Eating Habits; Body Weight; Sleep; Physical Activities; Risk; Body Height; Information Technology; Time on Task; Geographic Regions + Suchen Sie Ihr Suchwort? Gesundheit; Alphabetisierung; Schreib- und Lesefähigkeit; Korrelation; Health behaviour; Gesundheitsverhalten; Rural area; Ländlicher Raum; Case study; Fallstudie; Case Study; Physiologie; Lebensqualität; School year 07; 7. Schuljahr; Schuljahr 07; School year 08; 8. Schuljahr; Schuljahr 08; Middle school; Middle schools; Student; Students; Mittelschule; Mittelstufenschule; Schüler; Schülerin; Schülerverhalten; Messdaten; Gesundheitsfürsorge; Gesundheitshilfe; Reihenuntersuchung; Lebensmittel; Ernährungsgewohnheit; Essgewohnheit; Körpergewicht; Schlaf; Risiko; Körpergröße; Informationstechnologie; Zeitaufwand
Abstract	Background: Many studies document associations between low health literacy (HL) and poor health behaviors and outcomes. Yet, HL is understudied among adolescents, particularly from underserved, rural communities. We targeted rural adolescents in this cross-sectional study and explored relationships between HL and (1) energy-balance-related health behaviors and (2) body mass index (BMI) and quality of life (QOL). Methods: Surveys were administered to 7th graders across 8 middle schools in rural Appalachia. HL was assessed using the Newest Vital Sign. Energy-balance-related behaviors and QOL were assessed using validated instruments. Height and weight were objectively measured. Analyses were conducted using the Hodges-Lehmann nonparametric median difference test. Results: Of the 854 adolescent students (mean age = 12; 55% female), 47% had limited HL. Relative to students with higher HL, students with lower HL reported significantly lower frequency of health-promoting behaviors (water, fruit and vegetable intake, physical activity, sleep), higher frequency of risky health behaviors (sugar-sweetened beverages, junk food, screen time), and had higher BMI percentiles and lower QOL (all p < 0.05). Conclusions: Low HL is associated with energy-balance-related behaviors, BMI, and QOL among rural, Appalachian adolescents. Findings underscore the relevance of HL among rural middle school students and highlight implications for school health. (As Provided).
Anmerkungen	Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01