Associations between GoSmart Channel, health literacy and health behaviours in adolescents: A population‐based study

Abstract Background Health literacy is essential in the promotion of healthy lifestyle habits and chronic disease prevention. Objective To assess the health literacy level among Hong Kong adolescents; to evaluate the association between access of an online health information platform (GoSmart Channe...

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Main Authors: Junjie Huang, Sze Chai Chan, Vera M. W. Keung, Calvin K. M. Cheung, Amelia S. C. Lo, Vincent T. C. Lau, Lancelot W. H. Mui, Albert Lee, Martin C. S. Wong
Format: Article
Language:English
Published: Wiley 2024-02-01
Series:Health Expectations
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Online Access:https://doi.org/10.1111/hex.13894
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author Junjie Huang
Sze Chai Chan
Vera M. W. Keung
Calvin K. M. Cheung
Amelia S. C. Lo
Vincent T. C. Lau
Lancelot W. H. Mui
Albert Lee
Martin C. S. Wong
author_facet Junjie Huang
Sze Chai Chan
Vera M. W. Keung
Calvin K. M. Cheung
Amelia S. C. Lo
Vincent T. C. Lau
Lancelot W. H. Mui
Albert Lee
Martin C. S. Wong
author_sort Junjie Huang
collection DOAJ
description Abstract Background Health literacy is essential in the promotion of healthy lifestyle habits and chronic disease prevention. Objective To assess the health literacy level among Hong Kong adolescents; to evaluate the association between access of an online health information platform (GoSmart Channel) and health literacy level; and to examine the association between health literacy level and various unhealthy behaviours. Design This study recruited students from 10 local secondary schools in Hong Kong to assess the health literacy level among adolescents. Settings and Participants Participants were required to complete a self‐administered questionnaire on health behaviours and health literacy using the Health Literacy Measure for Adolescents (HELMA). Main Outcome Measure Data were analysed using descriptive statistics and multivariate regression modelling. Results A total of 777 responses were collected. Overall, most (74.4%) of the adolescents in Hong Kong have limited health literacy (HELMA score <66). The majority (63.7%) of adolescents relied on their parents for health information, while 11.4% of the respondents sought information from the GoSmart Channel. The intervention of GoSmart Channel was significantly associated with better health literacy in almost all aspects among adolescents. Desired levels of health literacy were significantly associated with better perceived health (adjusted odds ratio: 2.04, p = .001) and negatively associated with a range of unhealthy and risky behaviours including unhealthy dietary habits, poor hygienic measures and physical inactivity. Discussion and Conclusion This study highlights the importance of improving health literacy among Hong Kong adolescents and the potential of technology‐based interventions. The findings suggest the need for continued efforts to promote health literacy and healthy behaviours among adolescents, especially given the limited health literacy levels observed in the study. Patient or Public Contribution Members of the GoSmart.Net Built‐on Project patient and public involvement and engagement group advised about survey development.
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spelling doaj-art-4208e00a7b97492a962ee4d1e137f7a92025-08-23T11:53:04ZengWileyHealth Expectations1369-65131369-76252024-02-01271n/an/a10.1111/hex.13894Associations between GoSmart Channel, health literacy and health behaviours in adolescents: A population‐based studyJunjie Huang0Sze Chai Chan1Vera M. W. Keung2Calvin K. M. Cheung3Amelia S. C. Lo4Vincent T. C. Lau5Lancelot W. H. Mui6Albert Lee7Martin C. S. Wong8Centre for Health Education and Health Promotion, Faculty of Medicine The Chinese University of Hong Kong Hong Kong Hong Kong SARJockey Club School of Public Health and Primary Care The Chinese University of Hong Kong Hong Kong Hong Kong SARCentre for Health Education and Health Promotion, Faculty of Medicine The Chinese University of Hong Kong Hong Kong Hong Kong SARCentre for Health Education and Health Promotion, Faculty of Medicine The Chinese University of Hong Kong Hong Kong Hong Kong SARCentre for Health Education and Health Promotion, Faculty of Medicine The Chinese University of Hong Kong Hong Kong Hong Kong SARCentre for Health Education and Health Promotion, Faculty of Medicine The Chinese University of Hong Kong Hong Kong Hong Kong SARCentre for Health Education and Health Promotion, Faculty of Medicine The Chinese University of Hong Kong Hong Kong Hong Kong SARCentre for Health Education and Health Promotion, Faculty of Medicine The Chinese University of Hong Kong Hong Kong Hong Kong SARCentre for Health Education and Health Promotion, Faculty of Medicine The Chinese University of Hong Kong Hong Kong Hong Kong SARAbstract Background Health literacy is essential in the promotion of healthy lifestyle habits and chronic disease prevention. Objective To assess the health literacy level among Hong Kong adolescents; to evaluate the association between access of an online health information platform (GoSmart Channel) and health literacy level; and to examine the association between health literacy level and various unhealthy behaviours. Design This study recruited students from 10 local secondary schools in Hong Kong to assess the health literacy level among adolescents. Settings and Participants Participants were required to complete a self‐administered questionnaire on health behaviours and health literacy using the Health Literacy Measure for Adolescents (HELMA). Main Outcome Measure Data were analysed using descriptive statistics and multivariate regression modelling. Results A total of 777 responses were collected. Overall, most (74.4%) of the adolescents in Hong Kong have limited health literacy (HELMA score <66). The majority (63.7%) of adolescents relied on their parents for health information, while 11.4% of the respondents sought information from the GoSmart Channel. The intervention of GoSmart Channel was significantly associated with better health literacy in almost all aspects among adolescents. Desired levels of health literacy were significantly associated with better perceived health (adjusted odds ratio: 2.04, p = .001) and negatively associated with a range of unhealthy and risky behaviours including unhealthy dietary habits, poor hygienic measures and physical inactivity. Discussion and Conclusion This study highlights the importance of improving health literacy among Hong Kong adolescents and the potential of technology‐based interventions. The findings suggest the need for continued efforts to promote health literacy and healthy behaviours among adolescents, especially given the limited health literacy levels observed in the study. Patient or Public Contribution Members of the GoSmart.Net Built‐on Project patient and public involvement and engagement group advised about survey development.https://doi.org/10.1111/hex.13894adolescentshealth behaviourhealthy literacy
spellingShingle Junjie Huang
Sze Chai Chan
Vera M. W. Keung
Calvin K. M. Cheung
Amelia S. C. Lo
Vincent T. C. Lau
Lancelot W. H. Mui
Albert Lee
Martin C. S. Wong
Associations between GoSmart Channel, health literacy and health behaviours in adolescents: A population‐based study
Health Expectations
adolescents
health behaviour
healthy literacy
title Associations between GoSmart Channel, health literacy and health behaviours in adolescents: A population‐based study
title_full Associations between GoSmart Channel, health literacy and health behaviours in adolescents: A population‐based study
title_fullStr Associations between GoSmart Channel, health literacy and health behaviours in adolescents: A population‐based study
title_full_unstemmed Associations between GoSmart Channel, health literacy and health behaviours in adolescents: A population‐based study
title_short Associations between GoSmart Channel, health literacy and health behaviours in adolescents: A population‐based study
title_sort associations between gosmart channel health literacy and health behaviours in adolescents a population based study
topic adolescents
health behaviour
healthy literacy
url https://doi.org/10.1111/hex.13894
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