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dc.contributor.authorSummanen, Anna-Mari
dc.contributor.authorRautopuro, Juhani
dc.contributor.authorKannas, Lasse K.
dc.contributor.authorPaakkari, Leena T.
dc.date.accessioned2021-06-15T06:00:52Z
dc.date.available2021-06-15T06:00:52Z
dc.date.issued2021
dc.identifier.citationSummanen, A.-M., Rautopuro, J., Kannas, L. K., & Paakkari, L. T. (2021). Objective health literacy skills among ninth graders in Finland : outcomes from a national learning assessment. <i>Scandinavian Journal of Public Health</i>, <i>50</i>(5), 646-653. <a href="https://doi.org/10.1177/14034948211019798" target="_blank">https://doi.org/10.1177/14034948211019798</a>
dc.identifier.otherCONVID_97825241
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/76516
dc.description.abstractBackground: Health literacy (HL) is an important determinant for maintaining and improving health throughout the lifespan. This underlines the need to monitor HL, including among adolescents, and to understand the factors explaining HL, with a view to decreasing differences in HL. The aim of this study was to objectively measure HL, and the relationship between HL and socio-demographic factors (gender, language of instruction, pupils’ educational aspirations, parents’ educational background and pupils’ school achievement) among pupils (n = 3652) at the end of basic education in Finland. Methods: A nationally representative assessment, which included 55 items on HL, was conducted as a traditional paper-and-pencil test in schools. The data were analysed via descriptive statistics and a two-level hierarchical linear model to determine how the socio-demographic factors affected HL. Results: The pupils’ average score on the HL test items was 58.9%, indicating a satisfactory HL level. A two-level hierarchical linear model showed that the variables (gender, language of instruction, pupils’ educational aspirations, parents’ educational background and pupils’ school achievement) predicting the HL level had statistically significant effects. Conclusions: Among ninth graders (15–16 years old), almost one third of the boys and 8% of the girls exhibited an unsatisfactory HL level. The study also confirmed the importance of school-related factors in explaining HL differences. Since low HL has been linked to several unfavourable health indicators and has been viewed as an underestimated problem in times of pandemic and other health crises, the findings suggest that the HL level of Finnish ninth graders is a clear public-health issue.en
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherSAGE Publications
dc.relation.ispartofseriesScandinavian Journal of Public Health
dc.rightsCC BY 4.0
dc.subject.otherterveyden lukutaito
dc.subject.otherhealth literacy
dc.subject.otherpupils
dc.subject.otherschool
dc.subject.otherobjective health literacy
dc.subject.othercurriculum
dc.titleObjective health literacy skills among ninth graders in Finland : outcomes from a national learning assessment
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202106153718
dc.contributor.laitosKoulutuksen tutkimuslaitosfi
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFinnish Institute for Educational Researchen
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineTerveyskasvatusfi
dc.contributor.oppiaineHealth Promotion and Health Educationen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.description.reviewstatuspeerReviewed
dc.format.pagerange646-653
dc.relation.issn1403-4948
dc.relation.numberinseries5
dc.relation.volume50
dc.type.versionpublishedVersion
dc.rights.copyright© Author(s) 2021
dc.rights.accesslevelopenAccessfi
dc.subject.ysoterveyskasvatus
dc.subject.ysonuoret
dc.subject.ysososiodemografiset tekijät
dc.subject.ysoterveysosaaminen
dc.subject.ysoterveyskäyttäytyminen
dc.subject.ysoopetussuunnitelmat
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p12733
jyx.subject.urihttp://www.yso.fi/onto/yso/p11617
jyx.subject.urihttp://www.yso.fi/onto/yso/p26361
jyx.subject.urihttp://www.yso.fi/onto/yso/p26366
jyx.subject.urihttp://www.yso.fi/onto/yso/p11100
jyx.subject.urihttp://www.yso.fi/onto/yso/p5140
dc.rights.urlhttps://creativecommons.org/licenses/by/4.0/
dc.relation.doi10.1177/14034948211019798
jyx.fundinginformationThe author(s) received no financial support for the research, authorship, and/or publication of this article.


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