Adolescents' health literacy, health protective measures, and health-related quality of life during the Covid-19 pandemic.

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  • Additional Information
    • Source:
      Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
    • Publication Information:
      Original Publication: San Francisco, CA : Public Library of Science
    • Subject Terms:
      Hand Disinfection* ; Health Knowledge, Attitudes, Practice* ; Health Literacy* ; Quality of Life*; Coronavirus Infections/*epidemiology ; Pneumonia, Viral/*epidemiology; Adolescent ; Betacoronavirus ; COVID-19 ; Cross-Sectional Studies ; Female ; Humans ; Male ; Norway ; Pandemics ; SARS-CoV-2 ; Social Isolation ; Surveys and Questionnaires ; Television ; Young Adult
    • Abstract:
      Purpose: First, to describe adolescents' health information sources and knowledge, health literacy (HL), health protective measures, and health-related quality of life (HRQoL) during the initial phase of the Covid-19 pandemic in Norway. Second, to investigate the association between HL and the knowledge and behavior relevant for preventing spread of the virus. Third, to explore variables associated with HRQoL in a pandemic environment.
      Methods: This cross-sectional study includes survey data from 2,205 Norwegian adolescents 16-19 years of age. The participants reported on their health information sources, HL, handwashing knowledge and behavior, number of social interactions, and HRQoL. Associations between study variables and specified outcomes were explored using multiple linear and logistic regression analyses.
      Results: Television (TV) and family were indicated to be the main sources for pandemic-related health information. Handwashing, physical distancing, and limiting the number of social contacts were the most frequently reported measures. HL and handwashing knowledge and HL and handwashing behavior were significantly associated. For each unit increase on the HL scale, the participants were 5% more likely to socialize less with friends in comparison to normal. The mean HRQoL was very poor compared to European norms. Being quarantined or isolated and having confirmed or suspected Covid-19 were significantly negatively associated with HRQoL, but seeing less friends than normal was not associated. HL was significantly positively associated with HRQoL, albeit of minor clinical importance.
      Conclusion: Adolescents follow the health authorities' guidelines and appear highly literate. However, high fidelity requires great sacrifice because the required measures seem to collide with certain aspects that are important for the adolescents' HRQoL.
      Competing Interests: The authors have declared that no competing interests exist.
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    • Publication Date:
      Date Created: 20200829 Date Completed: 20200904 Latest Revision: 20240329
    • Publication Date:
      20240329
    • Accession Number:
      PMC7454983
    • Accession Number:
      10.1371/journal.pone.0238161
    • Accession Number:
      32857806