The impact of personal health literacy and school health literacy environments on schoolteachers' health outcomes
BackgroundThe relationship between personal health literacy and health outcomes is clear, but the role of health literacy environments is often overlooked. This study examined associations between personal health literacy, school health literacy environments and health outcomes among schoolteachers....
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Frontiers Media S.A.
2025-05-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1570615/full |
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| author | Mingyang Yu Rongmei Liu Qiuping Zhao Junfang Wang Yuxi Bai Xiaomo Yang Shuaibin Liu Orkan Okan Bing Hua Nengguang Dai Suyan Xu Suyan Xu Shuaijun Guo Shuaijun Guo |
| author_facet | Mingyang Yu Rongmei Liu Qiuping Zhao Junfang Wang Yuxi Bai Xiaomo Yang Shuaibin Liu Orkan Okan Bing Hua Nengguang Dai Suyan Xu Suyan Xu Shuaijun Guo Shuaijun Guo |
| author_sort | Mingyang Yu |
| collection | DOAJ |
| description | BackgroundThe relationship between personal health literacy and health outcomes is clear, but the role of health literacy environments is often overlooked. This study examined associations between personal health literacy, school health literacy environments and health outcomes among schoolteachers.MethodsA cross-sectional study was conducted among 7,364 schoolteachers in Zhengzhou, China. Personal health literacy was measured by the Health Literacy Population Survey 2019–2021 (excellent/sufficient/problematic/inadequate) and school health literacy environments were measured by the Organisational Health Literacy of School Questionnaire (supportive/less supportive). Health outcomes included health status (poor/good), health-compromising behaviours (yes/no), health service use (yes/no), and healthcare cost (≥RMB 1,000/ <RMB 1,000).ResultsOver half of teachers had inadequate or problematic health literacy. Teachers with inadequate health literacy had higher odds of poor health status, health-compromising behaviour, health service use, and high healthcare cost than those with excellent health literacy. Similarly, teachers who perceived less supportive school health literacy environments had higher odds of poor health outcomes.ConclusionBoth personal health literacy and school health literacy environments are important to schoolteachers' health outcomes. Educational programs and organisational change are needed to improve personal health literacy and school environments to improve schoolteachers' health and wellbeing. |
| format | Article |
| id | doaj-art-8cf1d7d224484cb389eea6d94bec3de3 |
| institution | OA Journals |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-8cf1d7d224484cb389eea6d94bec3de32025-08-20T02:30:50ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-05-011310.3389/fpubh.2025.15706151570615The impact of personal health literacy and school health literacy environments on schoolteachers' health outcomesMingyang Yu0Rongmei Liu1Qiuping Zhao2Junfang Wang3Yuxi Bai4Xiaomo Yang5Shuaibin Liu6Orkan Okan7Bing Hua8Nengguang Dai9Suyan Xu10Suyan Xu11Shuaijun Guo12Shuaijun Guo13Hypertension Prevention and Treatment Centre of Henan Province, Fuwai Central China Cardiovascular Hospital, Zhengzhou, ChinaHypertension Prevention and Treatment Centre of Henan Province, Fuwai Central China Cardiovascular Hospital, Zhengzhou, ChinaHypertension Prevention and Treatment Centre of Henan Province, Fuwai Central China Cardiovascular Hospital, Zhengzhou, ChinaHypertension Prevention and Treatment Centre of Henan Province, Fuwai Central China Cardiovascular Hospital, Zhengzhou, ChinaHypertension Prevention and Treatment Centre of Henan Province, Fuwai Central China Cardiovascular Hospital, Zhengzhou, ChinaHypertension Prevention and Treatment Centre of Henan Province, Fuwai Central China Cardiovascular Hospital, Zhengzhou, ChinaCommunity Health Centre of Chaohe, Zhengzhou, ChinaSchool of Medicine and Health, Technical University of Munich, Munich, GermanyZhengzhou Community Health Association, Zhengzhou, ChinaGrassroots Health and Health Department, Health Commission of Henan Province, Zhengzhou, ChinaDepartment of Pharmacy, Fuwai Central China Cardiovascular Hospital, Zhengzhou, ChinaDepartment of Pharmacy, Henan Provincial People's Hospital, Zhengzhou, ChinaCentre for Community Child Health, Murdoch Children's Research Institute, Melbourne, VIC, AustraliaDepartment of Pediatrics, University of Melbourne, Melbourne, VIC, AustraliaBackgroundThe relationship between personal health literacy and health outcomes is clear, but the role of health literacy environments is often overlooked. This study examined associations between personal health literacy, school health literacy environments and health outcomes among schoolteachers.MethodsA cross-sectional study was conducted among 7,364 schoolteachers in Zhengzhou, China. Personal health literacy was measured by the Health Literacy Population Survey 2019–2021 (excellent/sufficient/problematic/inadequate) and school health literacy environments were measured by the Organisational Health Literacy of School Questionnaire (supportive/less supportive). Health outcomes included health status (poor/good), health-compromising behaviours (yes/no), health service use (yes/no), and healthcare cost (≥RMB 1,000/ <RMB 1,000).ResultsOver half of teachers had inadequate or problematic health literacy. Teachers with inadequate health literacy had higher odds of poor health status, health-compromising behaviour, health service use, and high healthcare cost than those with excellent health literacy. Similarly, teachers who perceived less supportive school health literacy environments had higher odds of poor health outcomes.ConclusionBoth personal health literacy and school health literacy environments are important to schoolteachers' health outcomes. Educational programs and organisational change are needed to improve personal health literacy and school environments to improve schoolteachers' health and wellbeing.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1570615/fullpersonal health literacyorganisational health literacyhealth outcomesteachersHLS19-Q12 |
| spellingShingle | Mingyang Yu Rongmei Liu Qiuping Zhao Junfang Wang Yuxi Bai Xiaomo Yang Shuaibin Liu Orkan Okan Bing Hua Nengguang Dai Suyan Xu Suyan Xu Shuaijun Guo Shuaijun Guo The impact of personal health literacy and school health literacy environments on schoolteachers' health outcomes Frontiers in Public Health personal health literacy organisational health literacy health outcomes teachers HLS19-Q12 |
| title | The impact of personal health literacy and school health literacy environments on schoolteachers' health outcomes |
| title_full | The impact of personal health literacy and school health literacy environments on schoolteachers' health outcomes |
| title_fullStr | The impact of personal health literacy and school health literacy environments on schoolteachers' health outcomes |
| title_full_unstemmed | The impact of personal health literacy and school health literacy environments on schoolteachers' health outcomes |
| title_short | The impact of personal health literacy and school health literacy environments on schoolteachers' health outcomes |
| title_sort | impact of personal health literacy and school health literacy environments on schoolteachers health outcomes |
| topic | personal health literacy organisational health literacy health outcomes teachers HLS19-Q12 |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1570615/full |
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