Exploring health perceptions and priorities of South African youth: Understanding what matters for health literacy interventions | ||
| Journal of Health Literacy | ||
| مقاله 1، دوره 8، شماره 4 - شماره پیاپی 32، فروردین 2024، صفحه 9-26 اصل مقاله (6.44 M) | ||
| نوع مقاله: Original Article | ||
| شناسه دیجیتال (DOI): 10.22038/jhl.2023.71473.1405 | ||
| نویسندگان | ||
| Lisa J Ware* 1؛ Khuthala Mabetha1؛ Mark Hanson2؛ Keith M Godfrey3؛ Kathryn Woods-Townsend4؛ Shane A Norris5 | ||
| 1SA MRC-Wits Developmental Pathways for Health Research Unit, Department of Paediatrics, Faculty of Health Sciences, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa. | ||
| 2NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, UK. | ||
| 3NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, UK; MRC Lifecourse Epidemiology Centre, University of Southampton, UK. | ||
| 4NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, UK; School of Healthcare Enterprise and Innovation, University of Southampton, UK. | ||
| 5School of Health and Human Development, University of Southampton, Southampton, UK; SA MRC-Wits Developmental Pathways for Health Research Unit, Department of Paediatrics, Faculty of Health Sciences, School of Clinical Medicine, University | ||
| چکیده | ||
| Background and Objective: Health literacy is a key factor underpinning health behaviours and effective use of health information. Optimising health literacy in adolescents and young adults (AYA) is critical as they transition from childhood to adulthood, changing health-related behaviours alongside physical, emotional, and cognitive change. In South African AYA, with unplanned pregnancy common, poor health literacy may impact multiple generations. Our aim was to explore health perceptions and priorities of South African AYA to inform contextually relevant health literacy intervention design. Materials and Methods: Through purposive sampling of youth registered at a youth development centre in Soweto, South Africa, AYA (n=39, 18-25y) were recruited to form an advisory Youth Health Council (YHC). Health literacy was assessed with the Health Literacy Test for Limited Literacy populations (HELT-LL). Focus group discussions were recorded for inductive thematic analysis to inform AYA health literacy needs. Results: Most AYA (85%) had suboptimal health literacy. Analysis showed that AYA perceived ‘health’ as a complex mix of indicators (physical, emotional, mental, spiritual) that formed a holistic view of health. However, lack of funds and factors inherent in their local environment (food systems, family hierarchy, crime, vandalism, limited healthcare services) frequently challenged beneficial health behaviours. Stress was a common feature in the lives of AYA associated with multiple health domains. Conclusions: Stress-focused health literacy interventions are needed for youth in challenging environments. Understanding the complex constructions and the core tenets of health that young people hold can inform contextually relevant intervention co-creation for improved health literacy as youth transition into adulthood. | ||
| کلیدواژهها | ||
| Health engagement؛ health promotion؛ health literacy؛ young adults؛ South Africa؛ Participatory research | ||
| مراجع | ||
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