Submitted: 28 Jul 2022
Revision: 29 Nov 2022
Accepted: 12 Jan 2023
ePublished: 30 Mar 2023
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J Educ Community Health. 2023;10(1): 49-57.
doi: 10.34172/jech.2023.1982

Scopus ID: 85162256922
  Abstract View: 796
  PDF Download: 454

Health Literacy

Systematic Review Articles

Systematic Review of Health Literacy and Health Promotion in School-Aged Adolescents

Shanti Prasad Khanal 1* ORCID logo, Chitra Bahadur Budhathoki 1, Orkan Okan 2, Edwin van Teijlingen 3, Mohan Kumar Sharma 4, Jib Acharya 5, Cate Wood 6

1 Faculty of Education, Tribhuvan University, Nepal
2 Technical University Munich, Department of Sport and Health Sciences, Munich, Germany
3 Bournemouth University, United Kingdom
4 Graduate School of Education, Tribhuvan University, Nepal
5 ANC Premium Services Ltd/Bournemouth University, United Kingdom
6 Department of Nursing, Faculty of Health & Life Sciences, Oxford Brooks University, United Kingdom
*Corresponding Author: Corresponding author: Shanti Prasad Khanal, Emails: skhanal_2008@ yahoo.com, , Email: Shanti.Khanal@cded.tu.edu.np


Background: The literature has identified gaps in adolescent health literacy (AHL) measurements, as well as how the health literacy (HL) level is related to health promotion (HP) aspects. This study aimed to examine the tools used to measure HL and determine its relation with HP among adolescents.

Methods: Three online databases (HINARI, PubMed, and DOAJ) were searched to conduct a systematic assessment of papers published between January 1, 2016, and January 1, 2021. In this review, 373 articles were identified from these databases. After removing duplicates and screening titles and abstracts of articles, 49 full texts were selected for full-text reading. After comprehensive reading, 23 papers were appraised for qualitative synthesis.

Results: Of the 23 reviewed papers, 21 focused on assessing AHL measures, and 15 addressed the association between AHL and HP. Seven studies used the HL School-Aged Children instrument. The findings suggested that the methodological and conceptual underpinnings of HL measures are insufficient. Furthermore, HL acts as an independent and positive mediator for many facets of HP.

Conclusion: This review offers a warning to practitioners and educationists interested in measuring HL as the number of measurement tools is quite huge with different tools applying different scales.

Please cite this article as follows: Khanal SP, Budhathoki CB, Okan O, van Teijlingen E, Sharma MK, Acharya J, et al. Systematic review of health literacy and health promotion in school-aged adolescents. J Educ Community Health. 2023; 10(1):49-57. doi:10.34172/jech.2023.1982
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