Health Literacy and Health Behavior: Associated Factors in Surabaya High School Students, Indonesia

Junaidi Budi Prihanto, Faridha Nurhayati, Endang Sri Wahjuni, Ryota Matsuyama, Miwako Tsunematsu and Masayuki Kakehashi
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Junaidi Budi Prihanto: Department of Health Informatics, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima 734-8553, Japan
Faridha Nurhayati: Department of Sport Education, Faculty of Sport Science, State University of Surabaya, Surabaya 60213, Indonesia
Endang Sri Wahjuni: Department of Sport Education, Faculty of Sport Science, State University of Surabaya, Surabaya 60213, Indonesia
Ryota Matsuyama: Department of Health Informatics, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima 734-8553, Japan
Miwako Tsunematsu: Department of Health Informatics, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima 734-8553, Japan
Masayuki Kakehashi: Department of Health Informatics, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima 734-8553, Japan

IJERPH, 2021, vol. 18, issue 15, 1-20

Abstract: (1) Background: The health behavior (HB) of adolescents develops in the school or family setting and plays an important role in their future health status. Health literacy (HL) has been identified as an important factor in modifying health behavior in addition to socioeconomic factors. health-promoting school (HPS) programs also have a significant role in providing students with the means of learning the importance of knowledge, behavior, and skills for a healthy lifestyle. (2) Method: This study aims to identify the association between HB, HL measured in comprehensive health literacy (CHL) and functional health literacy (FHL), HPS programs, and socioeconomic factors among high school students in Surabaya, Indonesia. A cross-sectional study was conducted, and 1066 students were evaluated as respondents. (3) Result: The results of multivariate analyses showed that following factors were associated with better health behavior: female, better academic performance, higher grade, higher father’s education, lower allowance, and better CHL and FHL. The strongest association for HB was gender. CHL was especially associated with handwashing, physical activity, and drug abuse. FHL was associated with smoking and drug abuse. The implementation of HPS programs did not reach an optimum level and only influenced physical activity. (4) Conclusions: The findings confirm that CHL and FHL have a significant association with several HBs. HB intervention in the HPS program is recommended to incorporate the CHL and FHL for a better health impact.

Keywords: health behavior; health literacy; health-promoting school; high school student; adolescent (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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