Determining the healthy lifestyle behaviors and e-health literacy levels in adolescents

Eyimaya, Aslihan Öztürk; Özdemir, Funda; Tezel, Ayfer; Apay, Serap Ejder

doi:10.1590/S1980-220X2020021603742

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Sumário

ORIGINAL ARTICLE • Rev. esc. enferm. USP 55 • 2021 • https://doi.org/10.1590/S1980-220X2020021603742 copy

Determining the healthy lifestyle behaviors and e-health literacy levels in adolescents

Determinando os comportamentos de estilo de vida saudáveis e os níveis de letramento e-Saúde em adolescentes

La determinación de los hábitos de vida y el nivel de alfabetización e-Salud en adolescentes

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective

The aim of this study is to determine the healthy lifestyle behaviors and e-health literacy levels of adolescents.

Method

A descriptive research design was used in this study. It was conducted with a total of 390 students in the Faculty of Health Sciences. The data were collected using a personal information form, the Healthy Lifestyle Behaviors Scale II and the e-Health Literacy Scale for Adolescents. For data analysis, descriptive analyses, t-test, variance, Kruskal-Wallis, the Mann-Whitney U and Pearson Correlation tests were used. Necessary approvals were obtained to conduct this study.

Results

The present study found that the e-Health Literacy Scale mean score of adolescents was 27.51 and their HLBS-II mean score was 129.01. A positive significant relationship was found between the e-health literacy and healthy lifestyle behavior in adolescents.

Conclusion

This study emphasizes the importance of e-health literacy in developing nursing procedures designed to increase the healthy lifestyle behaviors of adolescents.

Adolescent; Healthy Lifestyle; Health Literacy; Nursing

Descriptive Characteristics	Number	Percentage
Gender
Female	329	84.4
Male	61	15.6
Economic status
Income less than expense	93	23.8
Income equivalent to expense	246	63.1
Income more than expense	51	13.1
Social security
Yes	327	83.8
No	63	16.2
Place where the participants have spent the majority of their lives
City	238	61.0
District	110	28.2
Village	42	10.8
Mother’s educational level
Illiterate	26	6.7
Literate	22	5.6
Primary school	170	43.6
Secondary school	69	17.7
High school	64	16.4
University	39	10.0
Father’s educational level
Illiterate	5	1.3
Literate	16	4.1
Primary school	112	28.7
Secondary school	68	17.4
High school	104	26.7
University	85	21.8
Family Type
Nuclear	336	86.2
Extended	54	13.8

Scales	X ± SD	Possible Lower Values-Upper Values	Marked Lower Values-Upper Values
e-Health Literacy Scale for Adolescents:	27.51 ± 4.69	8-40	8-40
HLBS II	129.01 ± 17.42	52-208	66-200
Health responsibility	20.15 ± 4.33	9-36	9-36
Physical activity	17.22 ± 4.60	8-32	8-32
Nutrition	19.63 ± 3.57	9-36	10-32
Spiritual development	26.67 ± 4.19	9-36	11-36
Interpersonal support	26.10 ± 4.28	9-36	13-36
Stress management	19.23 ± 3.56	8-32	10-32

Descriptive Characteristics	Number	e-Health Literacy Scale for Adolescents X ± SD	Test and p-value	HLBS-II X ± SD	Test and p-value
Gender
Female	329	27.37 ± 4.61	t = -1.44 p = 0.15	129.24 ± 16.75	t = 0.61 p = 0.53
Male	61	28.31 ± 5.04	t = -1.44 p = 0.15	127.75 ± 20.81	t = 0.61 p = 0.53
Economic status
Income less than expense	93	26.61 ± 4.94	F = 2.30 p = 0.10	125.79 ± 18.09	F = 2.09 p = 0.12
Income equivalent to expense	246	27.82 ± 4.58		130.00 ± 17.16
Income more than expense	51	27.70 ± 4.61		130.11 ± 17.10
Social security
Yes	327	27.72 ± 4.72	t = 1.96 p = 0.50	129.44 ± 17.25	t = 1.09 p = 0.27
No	63	26.46 ± 4.42	t = 1.96 p = 0.50	126.80 ± 18.27	t = 1.09 p = 0.27
Place where the participants have spent the majority of their lives
City	238	26.30 ± 4.48	F = 2.42 p = 0.09	125.07 ± 17.27	F = 1.48 p = 0.22
District	110	28.14 ± 4.50		128.46 ± 19.00
Village	42	27.44 ± 4.78		129.96 ± 16.64
Mother’s educational level
Illiterate	26	25.15 ± 5.23	KW = 16.82 p = 0.005	129.42 ± 21.58	KW = 4.82 p = 0.43
Literate	22	25.59 ± 4.45		125.00 ± 16.40
Primary school	170	27.38 ± 4.47		127.58 ± 17.38
Secondary school	69	28.91 ± 4.36		131.13 ± 18.69
High school	64	27.82 ± 4.97		129.81 ± 14.66
University	39	27.76 ± 4.73		132.17 ± 17.04
Father’s educational level
Illiterate	5	25.80 ± 4.71	KW = 18.25 p = 0.003	125.00 ± 17.42	KW = 7.73 p = 0.17
Literate	16	26.75 ± 4.44		126.31 ± 16.12
Primary school	112	26.27 ± 4.65		126.30 ± 20.05
Secondary school	68	28.29 ± 4.83		130.95 ± 16.83
High school	104	28.66 ± 4.42		131.02 ± 15.93
University	85	27.37 ± 4.64		129.31 ± 16.02
Family Type
Nuclear	336	27.80 ± 4.63	MW-U = 6640.50 p = 0.002	128.95 ± 17.54	MW-U = 8,615.50 p = 0.55
Extended	54	25.70 ± 4.66	MW-U = 6640.50 p = 0.002	129.38 ± 16.81	MW-U = 8,615.50 p = 0.55

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Aslihan Öztürk Eyimaya Ankara University, Faculty of Nursing, Department of Nursing Şükrüye Mah. Plevne Cad. Aktaş Kavşağı No: 5 PK 06340 Altındağ, Ankara, Turkey asliozturk@ankara.edu.tr