Yıl: 2022 Cilt: 64 Sayı: 1 Sayfa Aralığı: 110 - 121 Metin Dili: İngilizce DOI: 10.24953/turkjped.2021.1264 İndeks Tarihi: 15-12-2022

Promoting adolescent health: health literacy, self-efficacy and internet use

Öz:
Background. Adolescents are mostly considered as a healthy population; however, failure to acquire positive health behaviors during this period makes them vulnerable to poor health outcomes and long-term chronic disorders. Health literacy is one of the most influential parameters in promoting adolescent health. This study aimed to determine the level and promoters of health literacy in adolescents, emphasize the importance of internet use, and evaluate the relationship between self-efficacy and health literacy. Methods. A total of 756 adolescents aged 15 and 18 years attending two high schools in socioeconomically different districts in Ankara, Turkey were included in this cross-sectional study. A survey consisting of descriptive questions, a health literacy survey, and a general self-efficacy scale were used to collect data. p<0.05 was considered statistically significant. Results. Among the adolescents who participated in the study, the level of health literacy was inadequatelimited in 56.1%, sufficient in 30.1%, and excellent in 13.8%. A statistically significant correlation was found between health literacy and general self-efficacy levels (r: .412, p<0.001). There was also a statistically significant difference between the health literacy groups in terms of the education level of the adolescents` mothers, internet use frequency, and self-efficacy level. The multivariate logistic regression analysis revealed that the participants whose mothers had only received primary school education or no formal education, those that were not using the internet regularly, those that did not search health information on the internet, and those with poor self-efficacy levels were more likely to have an inadequate level of health literacy [odds ratio (OR)=2.6, 95% confidence interval (CI)=1.4-4.9; OR=5.5, 95% CI=1.2-25.1; OR=1.7, 95% CI=1.1-2.9; and OR=3.7, 95% CI=2.6- 5.2, respectively]. Conclusions. In this study, it was concluded that the adolescents` health literacy and general self-efficacy levels were related. Furthermore, the health literacy level of the adolescents was associated with internet use and maternal education status.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Christie D, Viner R. Adolescent development. BMJ 2005; 330: 301-304. https://doi.org/10.1136/bmj.330.7486.301
  • 2. Kleinert S. Adolescent health: an opportunity not to be missed. Lancet 2007; 369: 1057-1058. https://doi.org/10.1016/S0140-6736(07)60374-2
  • 3. Shone LP, King JP, Doane C, Wilson KM, Wolf MS. Misunderstanding and potential unintended misuse of acetaminophen among adolescents and young adults. J Health Commun 2011; 16: 256-267. https://doi.org/10.1080/10810730.2011.604384
  • 4. Blakemore SJ, Robbins T. Decision-making in the adolescent brain. Nat Neurosci 2012; 15: 1184-1191. https://doi.org/10.1038/nn.3177
  • 5. Alwan A, Maclean DR, Riley LM, et al. Monitoring and surveillance of chronic non-communicable diseases: progress and capacity in high-burden countries. Lancet 2010; 376: 1861-1868. https://doi.org/10.1016/S0140-6736(10)61853-3
  • 6. Fleary SA, Joseph P, Pappagianopoulos JE. Adolescent health literacy and health behaviors: a systematic review. J Adolesc 2018; 62: 116-127. https://doi.org/10.1016/j.adolescence.2017.11.010
  • 7. Sorensen K, Van den Broucke S, Fullam J, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health 2012; 12: 80. https://doi.org/10.1186/1471-2458-12-80
  • 8. Institute of Medicine (US) Committee on Health Literacy. Health Literacy: A Prescription to End Confusion. Nielsen-Bohlman L, Panzer AM, Kindig DA (eds). Washington (DC): National Academies Press, 2004.
  • 9. Sharif I, Blank AE. Relationship between child health literacy and body mass index in overweight children. Patient Educ Couns 2010; 79: 43-48. https://doi.org/10.1016/j.pec.2009.07.035
  • 10. Humensky JL. Are adolescents with high socioeconomic status more likely to engage in alcohol and illicit drug use in early adulthood? Subst Abuse Treat Prev Policy 2010; 5: 19. https://doi.org/10.1186/1747-597X-5-19
  • 11. Osborn CY, Cavanaugh K, Wallston KA, Rothman RL. Self-efficacy links health literacy and numeracy to glycemic control. J Health Commun 2010; 15: 146- 158. https://doi.org/10.1080/10810730.2010.499980
  • 12. Bandura, A. Self-efficacy: the exercise of control. New York: W. H. Freeman, 1997.
  • 13. Stuifbergen AK, Seraphine A, Roberts G. An explanatory model of health promotion and quality of life in chronic disabling conditions. Nursing Research. 2000; 49: 122-129. https://doi.org/10.1097/00006199-200005000-00002
  • 14. Apter AJ, Wang X, Bogen D, et al. Linking numeracy and asthma-related quality of life. Patient Educ Couns 2009; 75: 386-391. https://doi.org/10.1016/j.pec.2009.01.003
  • 15. Nickel F, Schmidt L, Bruckner T, Müller-Stich BP, Fischer L. Influence of bariatric surgery on quality of life, body image, and general self-efficacy within 6 and 24 months-a prospective cohort study. Surg Obes Relat Dis 2017; 13: 313-319. https://doi.org/10.1016/j.soard.2016.08.017
  • 16. Guntzviller LM, King AJ, Jensen JD, Davis LA. Selfefficacy, health literacy, and nutrition and exercise behaviors in a low-ıncome, hispanic population. J Immigr Minor Health 2017; 19: 489-493. https://doi.org/10.1007/s10903-016-0384-4
  • 17. Punamäki RL, Wallenius M, Nygård CH, Saarni L, Rimpelä A. Use of information and communication technology (ICT) and perceived health in adolescence: the role of sleeping habits and wakingtime tiredness. J Adolesc 2007; 30: 569-585. https://doi.org/10.1016/j.adolescence.2006.07.004
  • 18. Kim SU, Syn SY. Research trends in teens’ health information behaviour: a review of the literature. Health Info Libr J 2014; 31: 4-19. https://doi.org/10.1111/hir.12057
  • 19. Borzekowski DL, Fobil JN, Asante KO. Online access by adolescents in Accra: Ghanaian teens’ use of the internet for health information. Dev Psychol 2006; 42: 450-458. https://doi.org/10.1037/0012-1649.42.3.450
  • 20. Neumark Y, Lopez-Quintero C, Feldman BS. Online health information seeking among Jewish and Arab adolescents in Israel: results from a national school survey. J Health Commun 2013; 18: 1097-1115. https://doi.org/10.1080/10810730.2013.778360
  • 21. Jiménez-Pernett J, de Labry-Lima AO, Bermúdez- Tamayo C, García-Gutiérrez JF, del Carmen Salcedo-Sánchez M. Use of the internet as a source of health information by Spanish adolescents. BMC Med Inform Decis Mak. 2010; 10: 6. https://doi.org/10.1186/1472-6947-10-6
  • 22. Wartella E, Rideout V, Zupancic H, Beaudoin-Ryan L, Lauricella A. Teens, health, and technology: a national survey. Northwestern University, 2015. Available at: https://cmhd.northwestern.edu/wpcontent/uploads/2015/05/1886_1_SOC_ConfReport_TeensHealthTech_051115.pdf
  • 23. Hansen DL, Derry HA, Resnick PJ, Richardson CR. Adolescents searching for health information on the internet: an observational study. J Med Internet Res 2003; 17: 25. https://doi.org/10.2196/jmir.5.4.e25
  • 24. Mutlu MK, Beşkaya A, Taş R, et al. Ankara’nın kentsel yoksulluk haritası. Ankara: Turgut Özal Üniversitesi Yayınları, 2012.
  • 25. Fadare J, Olamoyegun M, Gbadegesin BA. Medication adherence and direct treatment cost among diabetes patients attending a tertiary healthcare facility in Ogbomosho, Nigeria. Malawi Med J 2015; 27: 65-70. https://doi.org/10.4314/mmj.v27i2.7
  • 26. Dean AG, Sullivan KM, Soe MM. OpenEpi: Open Source Epidemiologic Statistics for Public Health, Version. www.OpenEpi.com, Accessed 12/07/2021 (OpenEpi: Sample Size for Sample Size for % Frequency in a Population https://www.openepi. com/SampleSize/SSPropor.htm
  • 27. Israel GD. Determining sample size. University of Florida, IFAS Extension, 1992. Available at: https://www.tarleton.edu/academicassessment/ documents/samplesize.pdf (Accessed on July 12, 2021)
  • 28. Okyay P, Abacıgil F. Türkiye Sağlık Okuryazarlığı Ölçekleri Güvenilirlik ve Geçerlilik Çalışması. Ankara: Sağlık Bakanlığı Yayınları, 2016.
  • 29. Aypay A. Genel Öz Yeterlik Ölçeği’nin (GÖYÖ) Türkçe’ye uyarlama çalışması. İnönü Üniversitesi Eğitim Fakültesi Dergisi 2010; 11: 113-132.
  • 30. Sørensen K, Pelikan JM, Röthlin F, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Public Health 2015; 25: 1053-1058. https://doi.org/10.1093/eurpub/ckv043
  • 31. Cangöz K, Savcı Ö, Sırtbaşı S, et al. Ankara il merkezinde bazı aile sağlığı merkezlerine başvuran 18 yaş üstü bireylere yönelik sağlık okuryazarlığı ve genel düzeylerinin değerlendirilmesi. Ankara: 2017.
  • 32. Loer AKM, Domanska OM, Stock C, Jordan S. Subjective generic health literacy and ıts associated factors among adolescents: results of a populationbased online survey in Germany. Int J Environ Res Public Health 2020; 17: 8682. https://doi.org/10.3390/ijerph17228682
  • 33. Sukys S, Trinkuniene L, Tilindiene I. Subjective health literacy among school-aged children: first evidence from Lithuania. Int J Environ Res Public Health 2019; 16: 3397. https://doi.org/10.3390/ijerph16183397
  • 34. Paakkari O, Torppa M, Villberg J, Kannas L, Paakkari L. Subjective health literacy among school-aged children. Health Educ 2018; 118: 182-195. https://doi.org/10.1108/HE-02-2017-0014
  • 35. Berens EM, Vogt D, Messer M, Hurrelmann K, Schaeffer D. Health literacy among different age groups in Germany: results of a cross-sectional survey. BMC Public Health 2016; 16: 1151. https://doi.org/10.1186/s12889-016-3810-6
  • 36. Javadzade SH, Sharifirad G, Radjati F, Mostafavi F, Reisi M, Hasanzade A. Relationship between health literacy, health status, and healthy behaviors among older adults in Isfahan, Iran. J Educ Health Promot 2012; 1: 31. https://doi.org/10.4103/2277-9531.100160
  • 37. Wharf Higgins J, Begoray D, MacDonald M. A social ecological conceptual framework for understanding adolescent health literacy in the health education classroom. Am J Community Psychol 2009; 44: 350- 362. https://doi.org/10.1007/s10464-009-9270-8
  • 38. Levin-Zamir D, Lemish D, Gofin R. Media Health Literacy (MHL): development and measurement of the concept among adolescents. Health Educ Res 2011; 26: 323-335. https://doi.org/10.1093/her/cyr007
  • 39. Chisolm DJ, Manganello JA, Kelleher KJ, Marshal MP. Health literacy, alcohol expectancies, and alcohol use behaviors in teens. Patient Educ Couns 2014; 97: 291-296. https://doi.org/10.1016/j.pec.2014.07.019
  • 40. Primack BA, Gold MA, Land SR, Fine MJ. Association of cigarette smoking and media literacy about smoking among adolescents. J Adolesc Health 2006; 39: 465-472. https://doi.org/10.1016/j.jadohealth.2006.05.011
  • 41. Ghaddar SF, Valerio MA, Garcia CM, Hansen L. Adolescent health literacy: the importance of credible sources for online health information. J Sch Health 2012; 82: 28-36. https://doi.org/10.1111/j.1746-1561.2011.00664.x
  • 42. Guo S, Yu X, Davis E, Riggs E, Naccarella L. Adolescent health literacy in Beijing and Melbourne: A cross-cultural comparison. Int J Environ Res Public Health 2020; 17: 1242. https://doi.org/10.3390/ijerph17041242
  • 43. Wang C, Lang J, Xuan L, Li X, Zhang L. The effect of health literacy and self-management efficacy on the health-related quality of life of hypertensive patients in a western rural area of China: a cross-sectional study. Int J Equity Health 2017; 16: 58. https://doi.org/10.1186/s12939-017-0551-9
  • 44. Lee SY, Tsai TI, Tsai YW, Kuo KN. Health literacy, health status, and healthcare utilization of Taiwanese adults: results from a national survey. BMC Public Health 2010; 10: 614. https://doi.org/10.1186/1471-2458-10-614
  • 45. Bodenheimer T, Lorig K, Holman H, Grumbach K. Patient self-management of chronic disease in primary care. Jama 2002; 288: 2469-2475. https://doi.org/10.1001/jama.288.19.2469
  • 46. Wolf MS, Davis TC, Osborn CY, Skripkauskas S, Bennett CL, Makoul G. Literacy, self-efficacy, and HIV medication adherence. Patient Educ Couns 2007; 65: 253-260. https://doi.org/10.1016/j.pec.2006.08.006
  • 47. Rudd RE. Health literacy skills of U.S. adults. Am J Health Behav 2007; 3: 8-18. https://doi.org/10.5993/AJHB.31.s1.3
  • 48. Keim-Malpass J, Letzkus LC, Kennedy C. Parent/ caregiver health literacy among children with special health care needs: a systematic review of the literature. BMC Pediatr 2015; 15: 92. https://doi.org/10.1186/s12887-015-0412-x
  • 49. Paasche Orlow MK, Parker RM, Gazmararian JA, Nielsen-Bohlman LT, Rudd RR. The prevalence of limited health literacy. J Gen Intern Med 2005; 20: 175- 184. https://doi.org/10.1111/j.1525-1497.2005.40245.x
  • 50. Howard DH, Sentell T, Gazmararian JA. Impact of health literacy on socioeconomic and racial differences in health in an elderly population. J Gen Intern Med 2006; 21: 857-861. https://doi.org/10.1111/j.1525-1497.2006.00530.x
  • 51. Stella MY, Bellamy HA, Schwalberg RH, Drum MA. Factors associated with use of preventive dental and health services among US adolescents. J Adolesc Health 2001; 29: 395-405. https://doi.org/10.1016/S1054-139X(01)00252-X
  • 52. Chang FC, Chiu CH, Chen PH, et al. Relationship between parental and adolescent ehealth literacy and online health information seeking in Taiwan. Cyberpsychol Behav Soc Netw 2015; 18: 618-624. https://doi.org/10.1089/cyber.2015.0110
  • 53. Block SA. Maternal nutrition knowledge versus schooling as determinants of child micronutrient status. Oxf Econ Pap 2007; 59: 330-353. https://doi.org/10.1093/oep/gpm001
  • 54. Burchi F. Child nutrition in Mozambique in 2003: the role of mother’s schooling and nutrition knowledge. Econ Hum Biol 2010; 8: 331-345. https://doi.org/10.1016/j.ehb.2010.05.010
  • 55. Seid AK. Health and nutritional status of children in Ethiopia: do maternal characteristics matter? J Biosoc Sci 2013; 45: 187-204. https://doi.org/10.1017/S0021932012000442
  • 56. Tylee A, Haller DM, Graham T, Churchill R, Sanci LA. Youth-friendly primary-care services: how are we doing and what more needs to be done? Lancet 2007; 369: 1565-1573. https://doi.org/10.1016/S0140-6736(07)60371-7
  • 57. Spadaro R. European Union citizens and sources of information about health. European Union Research Group, 2003.
  • 58. Rideout V. Generation Rx.com. What are young people really doing online?. Mark Health Serv 2002; 22: 26-30.
  • 59. Borzekowski DL, Rickert VI. Adolescent cybersurfing for health information: a new resource that crosses barriers. Arch Pediatr Adolesc Med 2001; 155: 813- 817. https://doi.org/10.1001/archpedi.155.7.813
  • 60. Moreno MA, Ralston JD, Grossman DC. Adolescent access to online health services: perils and promise. J Adolesc Health 2009; 44: 244-251. https://doi.org/10.1016/j.jadohealth.2008.07.015
APA Ceylan D, Akan Çelen F, ozkan S, aycan z (2022). Promoting adolescent health: health literacy, self-efficacy and internet use. , 110 - 121. 10.24953/turkjped.2021.1264
Chicago Ceylan Dilara,Akan Çelen Feyza Nur,ozkan Secil,aycan zehra Promoting adolescent health: health literacy, self-efficacy and internet use. (2022): 110 - 121. 10.24953/turkjped.2021.1264
MLA Ceylan Dilara,Akan Çelen Feyza Nur,ozkan Secil,aycan zehra Promoting adolescent health: health literacy, self-efficacy and internet use. , 2022, ss.110 - 121. 10.24953/turkjped.2021.1264
AMA Ceylan D,Akan Çelen F,ozkan S,aycan z Promoting adolescent health: health literacy, self-efficacy and internet use. . 2022; 110 - 121. 10.24953/turkjped.2021.1264
Vancouver Ceylan D,Akan Çelen F,ozkan S,aycan z Promoting adolescent health: health literacy, self-efficacy and internet use. . 2022; 110 - 121. 10.24953/turkjped.2021.1264
IEEE Ceylan D,Akan Çelen F,ozkan S,aycan z "Promoting adolescent health: health literacy, self-efficacy and internet use." , ss.110 - 121, 2022. 10.24953/turkjped.2021.1264
ISNAD Ceylan, Dilara vd. "Promoting adolescent health: health literacy, self-efficacy and internet use". (2022), 110-121. https://doi.org/10.24953/turkjped.2021.1264
APA Ceylan D, Akan Çelen F, ozkan S, aycan z (2022). Promoting adolescent health: health literacy, self-efficacy and internet use. Turkish Journal of Pediatrics, 64(1), 110 - 121. 10.24953/turkjped.2021.1264
Chicago Ceylan Dilara,Akan Çelen Feyza Nur,ozkan Secil,aycan zehra Promoting adolescent health: health literacy, self-efficacy and internet use. Turkish Journal of Pediatrics 64, no.1 (2022): 110 - 121. 10.24953/turkjped.2021.1264
MLA Ceylan Dilara,Akan Çelen Feyza Nur,ozkan Secil,aycan zehra Promoting adolescent health: health literacy, self-efficacy and internet use. Turkish Journal of Pediatrics, vol.64, no.1, 2022, ss.110 - 121. 10.24953/turkjped.2021.1264
AMA Ceylan D,Akan Çelen F,ozkan S,aycan z Promoting adolescent health: health literacy, self-efficacy and internet use. Turkish Journal of Pediatrics. 2022; 64(1): 110 - 121. 10.24953/turkjped.2021.1264
Vancouver Ceylan D,Akan Çelen F,ozkan S,aycan z Promoting adolescent health: health literacy, self-efficacy and internet use. Turkish Journal of Pediatrics. 2022; 64(1): 110 - 121. 10.24953/turkjped.2021.1264
IEEE Ceylan D,Akan Çelen F,ozkan S,aycan z "Promoting adolescent health: health literacy, self-efficacy and internet use." Turkish Journal of Pediatrics, 64, ss.110 - 121, 2022. 10.24953/turkjped.2021.1264
ISNAD Ceylan, Dilara vd. "Promoting adolescent health: health literacy, self-efficacy and internet use". Turkish Journal of Pediatrics 64/1 (2022), 110-121. https://doi.org/10.24953/turkjped.2021.1264