Evidence map›Paper›PMID 29096408›Full record

ArticleThe Journal of school health2017

Associations Between Health Literacy and Health Behaviors Among Urban High School Students.

Aesoon Park, Tanya L Eckert, Michelle J Zaso, Lori A J Scott-Sheldon, Peter A Vanable, Kate B Carey, Craig K Ewart, Michael P Carey

Open access · greenAbstract read
In one paragraph

Article in The Journal of school health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
10.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 115 citations in OpenAlex.

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  15. Health Literacy Among Sexual and Gender-Diverse Adolescents in New York City.Health education & behavior : the official publication of the Society for Public Health Education · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Aesoon ParkDepartment of Psychology, Syracuse University, 430 Huntington Hall, Syracuse, NY 13244.
Tanya L EckertDepartment of Psychology, Syracuse University, 430 Huntington Hall, Syracuse, NY 13244.
Michelle J ZasoDepartment of Psychology, Syracuse University, 430 Huntington Hall, Syracuse, NY 13244.
Lori A J Scott-SheldonCenters for Behavioral and Preventive Medicine, The Miriam Hospital, Psychiatry and Human Behavior, Alpert Medical School, Brown University.
Peter A VanableSyracuse University, Graduate School, 304 Lyman Hall, Syracuse, NY 13244-1200.
Kate B CareyCenter for Alcohol and Addiction Studies, Brown University School of Public Health, Box G-S121-5, Providence, RI 02912.
Craig K EwartDepartment of Psychology, Syracuse University, 430 Huntington Hall, Syracuse, NY 13244.
Michael P CareyCenters for Behavioral and Preventive Medicine, The Miriam Hospital, Professor of Behavioral and Social Sciences, School of Public Health, Alpert Medical School of Brown University, 164 Summit Avenue, Providence, RI 02906.
Syracuse University · USBrown University · USMiriam Hospital · US

Funding

Person-environment interplay in alcohol use and consequences among Black youthR15AA022496 · NIAAA · SYRACUSE UNIVERSITY · PI PARK, AESOON · 2014 to 2014
$395k
NIAAA NIH HHS R15 AA022496
6 · The paper itself

Abstract

backgroundHealth literacy is crucial to develop health-related knowledge, adopt healthy lifestyles, and benefit from health care services. However, research on the association between health literacy and adolescent health outcomes, particularly on their prospective associations, is rare. We assessed health literacy using 3 validated measures, and examined cross-sectional and prospective associations between health literacy and adolescent health behaviors and outcomes.

methodsWe conducted a short-term prospective study of 250 adolescents (mean age = 14 years; 57% female; 48% African American) who were entering or in the ninth grade in an urban school district. Health literacy was assessed by individual interviews at baseline, and health-related behaviors and outcomes were assessed by a paper-and-pencil survey at baseline and at a 6-month follow-up.

resultsNearly half of the sample was reading at least 2 grades below expected levels. Lower baseline health literacy was associated with a lower self-rating of general health, unhealthier diet, heavier weight, and greater engagement in problem behaviors and sexual behaviors at baseline. Lower baseline health literacy also was associated with a greater increase in substance use over time.

conclusionsResults point to the pressing need to improve health literacy in urban high school students.

Indexed as

Health BehaviorHealth Knowledge, Attitudes, PracticeHealth LiteracyAdolescentAdolescent BehaviorCross-Sectional StudiesFemaleHumansMaleProspective StudiesSocioeconomic FactorsSurveys and QuestionnairesUrban Populationchild and adolescent healthhealth behaviorshealth communicationhealth literacyprospective studiesrisk behaviors

Identifiers

PMID29096408
PMCPMC5669371
OpenAlexW2766750658

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.