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Open Access 01-12-2024 | Research

Health literacy in the context of child health promotion: a scoping review of conceptualizations and descriptions

Authors: Wieke Van Boxtel, Katarina Jerković-Ćosić, Linda J. Schoonmade, Mai J. M. Chinapaw

Published in: BMC Public Health | Issue 1/2024

Abstract

Background

Increasing health literacy (HL) in children could be an opportunity for a more health literate future generation. The aim of this scoping review is to provide an overview of how HL is conceptualized and described in the context of health promotion in 9–12-year-old children.

Methods

A systematic and comprehensive search for ‘health literacy’ and ‘children’ and ‘measure’ was performed in accordance with PRISMA ScR in PubMed, Embase.com and via Ebsco in CINAHL, APA PsycInfo and ERIC. Two reviewers independently screened titles and abstracts and evaluated full-text publications regarding eligibility. Data was extracted systematically, and the extracted descriptions of HL were analyzed qualitatively using deductive analysis based on previously published HL definitions.

Results

The search provided 5,401 original titles, of which 26 eligible publications were included. We found a wide variation of descriptions of learning outcomes as well as competencies for HL. Most HL descriptions could be linked to commonly used definitions of HL in the literature, and some combined several HL dimensions. The descriptions varied between HL dimensions and were not always relevant to health promotion. The educational setting plays a prominent role in HL regarding health promotion.

Conclusion

The description of HL is truly diverse and complex encompassing a wide range of topics. We recommend adopting a comprehensive and integrated approach to describe HL dimensions, particularly in the context of health promotion for children. By considering the diverse dimensions of HL and its integration within educational programs, children can learn HL skills and competencies from an early age.

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Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan JM. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 2012;12(1):80. https://doi.org/10.1186/1471-2458-12-80CrossRefPubMedPubMedCentral

McDaid D. Investing in health literacy: what do we know about the co-benefits to the education sector of actions targeted at children and young people? World Health Organ Reg Office Europe Eur Observatory Health Syst Policies 2016.

World Health Organization. Shanghai declaration on promoting health in the 2030 agenda for Sustainable Development. World Health Organ. 2017;32(1):1–4. https://doi.org/10.1093/heapro/daw103CrossRef

The Netherlands Scientific Council of government policy: Weten is nog geen doen: Een realistisch perspectief op redzaamheid. 2017, (97).

Commission on Social Determinants of Health. Closing the gap in a generation: health equity through action on the social determinants of health: final report: executive summary. World Health Organ. 2008;ISBN:9789–241563703.

Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Pub Health. 2015;25(6):1053–8. https://doi.org/10.1093/eurpub/ckv043CrossRef

Bröder J, Okan O, Bauer U, Bruland D, Schlupp S, Bollweg TM, et al. Health literacy in childhood and youth: a systematic review of definitions and models. BMC Public Health. 2017;17(1):1–25. https://doi.org/10.1186/s12889-017-4267-yCrossRef

Borzekowski DLG. Considering children and health literacy: a theoretical approach. Pediatrics. 2009;124(Suppl 3):282. https://doi.org/10.1542/peds.2009-1162dCrossRef

Velardo S, Drummond M. Emphasizing the child in child health literacy research. J Child Health Care. 2017;21(1):5–13. https://doi.org/10.1177/1367493516643423CrossRefPubMed

10.

Truman E, Lane D, Elliott C. Defining food literacy: a scoping review. Appetite. 2017;116:365–71. https://doi.org/10.1016/j.appet.2017.05.007CrossRefPubMed

11.

Edwards LC, Bryant AS, Keegan RJ, Morgan K, Jones AM. Definitions, foundations and associations of physical literacy: a systematic review. Sports Med. 2017;47(1):113–26. https://doi.org/10.1007/s40279-016-0560-7CrossRefPubMed

12.

Jorm AF. The concept of mental health literacy. International Handbook of Health Literacy. Edited by Anonymous Policy Press; 2019. pp. 53–66.

13.

Fransen MP. Diabetes self-management in patients with low health literacy: ordering findings from literature in a health literacy framework. Patient Educ Couns. 2012;88(1):44–53.CrossRefPubMed

14.

Levin-Zamir D, Bertschi I. Media Health Literacy, eHealth literacy, and the role of the Social Environment in Context. Int J Environ Res Public Health. 2018;15(8). https://doi.org/10.3390/ijerph15081643

15.

Nutbeam D. Health Literacy as a Public Health goal: a Challenge for Contemporary Health Education and Communication Strategies into the 21st Century. Health Promot Int. 2000;15(3):259–67. https://doi.org/10.1093/heapro/15.3.259CrossRef

16.

Paakkari L, Paakkari O. Health literacy as a learning outcome in schools. Health Educ. 2012;112(2):133–52. https://doi.org/10.1108/09654281211203411CrossRef

17.

Guo S, Armstrong R, Waters E, Sathish T, Alif SM, Browne GR, et al. Quality of health literacy instruments used in children and adolescents: a systematic review. BMJ Open. 2018;8(6):e020080. https://doi.org/10.1136/bmjopen-2017-020080CrossRefPubMedPubMedCentral

18.

Otten C, Kemp N, Spencer M, Nash R. Supporting children’s health literacy development: a systematised review of the literature. Int J Educational Res. 2022;115:102046. https://doi.org/10.1016/j.ijer.2022.102046CrossRef

19.

Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467–73.CrossRefPubMed

20.

Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H. Chapter 11: Scoping Reviews (2020 version) In: Aromataris E, Munn Z, editors. JBI Manual for Evidence Synthesis, JBI, 2020. [Internet]. Available from: https://synthesismanual.jbi.global. Accessed on 18-07-2022.

21.

O’Brien B, Harris I, Beckman T, Reed D, Cook D. Standards for reporting qualitative research: a synthesis of recommendations. Acad Med. 2014;89(9):1245–51. https://doi.org/10.1097/ACM.0000000000000388CrossRefPubMed

22.

Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Reviews. 2016;5(1):210. https://doi.org/10.1186/s13643-016-0384-4CrossRef

23.

Van den Brand SAGE, van de Schoot R. A Systematic Review on the Implementation of AI-aided Systematic Reviews in Clinical Guideline Development. 2021, https://doi.org/10.17605/OSF.IO/ZSM9B

24.

Arvanitis M, Davis MM, Wolf MS. Topical review: proposing a developmentally informed research agenda for the study of health literacy in children. J Pediatr Psychol. 2020;45(3):266–70. https://doi.org/10.1093/jpepsy/jsz086CrossRefPubMed

25.

Sawyer SM, Azzopardi PS, Wickremarathne D, Patton GC. The age of adolescence. Lancet Child Adolesc Health. 2018;2(3):223–8. https://doi.org/10.1016/S2352-4642(18)30022-1CrossRefPubMed

26.

Bhagat K, Howard DE, Aldoory L. The Relationship between Health Literacy and Health conceptualizations:an exploratory study of Elementary School-aged children. Health Commun. 2018;33(2):131–8. https://doi.org/10.1080/10410236.2016.1250188CrossRefPubMed

27.

Boberova Z, Paakkari L, Ropovik I, Liba J. Democratic school health education in a post-communist country. Health Educ. 2017;117(5):469–84. https://doi.org/10.1108/HE-10-2016-0050CrossRef

28.

Bollweg TM, Okan O. Measuring children’s health literacy: Current approaches and challenges. In International handbook of health literacy: Research, practice and policy across the life-span Edited by Okan O, Bauer U, Levin-Zamir D, Pinheiro P, Sørensen K. Bristol: Policy Press; 2019:83–97.

29.

Bollweg TM, Okan O, Pinheiro P, Bröder J, Bruland D, Freţian AM, et al. Adapting the European Health Literacy Survey for Fourth-Grade students in Germany: Questionnaire Development and qualitative Pretest. Health Lit Res Pract. 2020;4(2):e119–28. https://doi.org/10.3928/24748307-20200326-01CrossRefPubMedPubMedCentral

30.

Bollweg TM, Okan O, Freţian AM, Bröder J, Domanska OM, Jordan S, et al. Adapting the European Health Literacy Survey Questionnaire for Fourth-Grade students in Germany: validation and psychometric analysis. Health Lit Res Pract. 2020;4(3):e144–59. https://doi.org/10.3928/24748307-20200428-01CrossRefPubMedPubMedCentral

31.

Brey RA, Clark SE, Wantz MS. Enhancing Health Literacy through Accessing Health Information, products, and services: an Exercise for children and adolescents. J Sch Health. 2007;77(9):640–4. https://doi.org/10.1111/j.1746-1561.2007.00245.xCrossRefPubMed

32.

Brown SL, Teufel JA, Birch DA. Early Adolescents Perceptions of Health and Health Literacy. J Sch Health. 2007;77(1):7–15. https://doi.org/10.1111/j.1746-1561.2007.00156.xCrossRefPubMed

33.

California Department of Education, Curriculum Development and Supplemental Materials Commission.: Health Framework for California Public Schools, Kindergarten through Grade twelve. Calif Department Educ 2003, 1–250.

34.

de Buhr E, Ewers M, Tannen A. Potentials of School Nursing for Strengthening the Health Literacy of Children, parents and teachers. Int J Environ Res Public Health. 2020;17(7):2577. https://doi.org/10.3390/ijerph17072577CrossRefPubMedPubMedCentral

35.

Diamond C, Saintonge S, August P, Azrack A. The development of Building Wellness™, a Youth Health Literacy Program. J Health Communication. 2011;16(sup3):103–18. https://doi.org/10.1080/10810730.2011.604385CrossRefPubMed

36.

Driessnack M, Chung S, Perkhounkova E, Hein M. Using the Newest Vital Sign To Assess Health Literacy in children. J Pediatr Health care. 2014;28(2):165–71. https://doi.org/10.1016/j.pedhc.2013.05.005CrossRefPubMed

37.

Franze M, Fendrich K, Schmidt CO, Fahland RA, Thyrian JR, Plachta-Danielzik S, et al. Implementation and evaluation of the population-based programme health literacy in school-aged children (GeKoKidS). J Public Health. 2011;19(4):339–47. https://doi.org/10.1007/s10389-011-0421-7CrossRef

38.

Fretian A, Bollweg TM, Okan O, Pinheiro P, Bauer U. Exploring Associated Factors of Subjective Health Literacy in school-aged children. Int J Environ Res Public Health. 2020;17(5):1720. https://doi.org/10.3390/ijerph17051720CrossRefPubMedPubMedCentral

39.

Guo S, Yu X, Davis E, Armstrong R, Riggs E, Naccarella L. Adolescent Health Literacy in Beijing and Melbourne: a cross-cultural comparison. Int J Environ Res Public Health. 2020;17(4):1242. https://doi.org/10.3390/ijerph17041242CrossRefPubMedPubMedCentral

40.

Hahnraths MTH, Heijmans M, Bollweg TM, Okan O, Willeboordse M, Rademakers J. Measuring and exploring children’s health literacy in the Netherlands: translation and adaptation of the HLS-Child-Q15. Int J Environ Res Public Health. 2021;18(10):5244. https://doi.org/10.3390/ijerph18105244CrossRefPubMedPubMedCentral

41.

Haynes C. Health Information @ Preuss (HIP): integrating online health information into the curricula of a middle school. J Hosp Librariansh. 2004;4(2):1–8. https://doi.org/10.1300/J186v04n02_01

42.

Howe CJ, Van Scoyoc C, Alexander GK, Stevenson JL. Poor performance of Children Age 7 to 13 years on the Newest Vital sign. Health Lit Res Pract. 2018;2(4):175. https://doi.org/10.3928/24748307-20180830-01CrossRef

43.

Knisel E, Rupprich H, Wunram A, Bremer M, Desaive C. Promotion of Elementary School students’ health literacy. Int J Environ Res Public Health. 2020;17(24):9560. https://doi.org/10.3390/ijerph17249560CrossRefPubMedPubMedCentral

44.

Kostenius C, Bergmark U, Hertting K. Health literacy in an age of technology - schoolchildren’s experiences and ideas. Int J Health Promotion Educ 2017, 55(5–6):234–42. https://doi.org/10.1080/14635240.2017.1369891

45.

Liao L, Liu C, Cheng C, Chang T. Defining Taiwanese children’s health literacy abilities from a health promotion perspective. Global Health Promotion. 2017;24(4):69–80. https://doi.org/10.1177/1757975915626114CrossRefPubMed

46.

Liu C, Liao L, Cheng CJ, Chang T. Development and validation of the Taiwan children’s health literacy test. Global Health Promotion. 2016;25(2):34–46. https://doi.org/10.1177/1757975916656365CrossRefPubMed

47.

Paakkari O, Paakkari L. Health literacy and the school curriculum: the example of Finland. International handbook of health literacy: Research, practice and policy across the life-span. Edited by Anonymous Bristol: Policy Press; 2019. pp. 521–34.CrossRef

48.

Schmidt CO, Fahland RA, Franze M, Splieth C, Thyrian JR, Plachta-Danielzik S, et al. Health-related behaviour, knowledge, attitudes, communication and social status in school children in Eastern Germany. Health Educ Res. 2010;25(4):542–51. https://doi.org/10.1093/her/cyq011CrossRefPubMed

49.

South Dakota State Department of Education and Cultural Affairs.: South Dakota Health Education standards: a Resource Guide for Achieving Health literacy. South Dak State Department Educ Cult Affairs 2000.

50.

Yu X, Yang T, Wang S, Zhang X. Study on student health literacy gained through health education in elementary and middle schools in China. Health Educ J. 2012;71(4):452–60. https://doi.org/10.1177/0017896911430548CrossRef

51.

Okan O, Lopes E, Bollweg TM, Bröder J, Messer M, Bruland D, et al. Generic health literacy measurement instruments for children and adolescents: a systematic review of the literature. BMC Public Health. 2018;18(1):166. https://doi.org/10.1186/s12889-018-5054-0CrossRefPubMedPubMedCentral

52.

Malloy-Weir LJ, Charles C, Gafni A, Entwistle V. A review of health literacy: definitions, interpretations, and implications for policy initiatives. J Public Health Pol. 2016;37(3):334–52. https://doi.org/10.1057/jphp.2016.18CrossRef

53.

U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion.: National Action Plan to improve health literacy. U S Department Health Hum Serv Office Disease Prev Health Promotion 2010.

54.

Okan O, Kirchhoff S, Bauer U. Health Literate Schools (HeLit-Schools): Organizational Health Literacy in the School setting. Eur J Public Health. 2021;31(Supplement3):iii56. https://doi.org/10.1093/eurpub/ckab164.145CrossRef

55.

Kirchhoff S, Schulenkorf T, Okan O. Organizational health literacy in the school setting. Public Health Forum. 2022;30(2):108–11. https://doi.org/10.1515/pubhef-2022-0024CrossRef

56.

Darlington E, Bada E, Masson J, Marina Santos R. European Standards and Indicatorsfor Health Promoting Schools. Schools for Health in Europe 2021, ISBN: 978-87-94161-13-8.

57.

World Health Organization, the United Nations Educational, Scientific and Cultural Organization.: Report of the first virtual meeting of the External Advisory Group (EAG) for the development of global standards for health promoting schools and their implementation guidance. 2020.

58.

Buijs SLL, Keshavarz Mohammadi G, Lee N. A: Health-Promoting Schools. In Handbook of Settings-Based Health Promotion Edited by Kokko S, Baybutt M. Cham: Springer International Publishing; 2022:105–117.

59.

National Academies of Sciences, Engineering, and, Medicine DHM, Education. Division of behavioral and Social Sciences and, Board on Children Y, and families, Youth, Committee on Applying Lessons of Optimal Adolescent Health to improve behavioral outcomes for. In: Kahn NF, Graham R, editors. Promoting positive adolescent Health behaviors and outcomes. Washington, D.C: National Academies Press; 2020. Available via:. https://www.nap.edu/25552

Title: Health literacy in the context of child health promotion: a scoping review of conceptualizations and descriptions
Authors: Wieke Van Boxtel
Katarina Jerković-Ćosić
Linda J. Schoonmade
Mai J. M. Chinapaw
Publication date: 01-12-2024
Publisher: BioMed Central
Published in: BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-024-17955-7

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Health literacy in the context of child health promotion: a scoping review of conceptualizations and descriptions

Abstract

Background

Methods

Results

Conclusion

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Abstract

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