ArticlePloS one2019
Association of health literacy and sleep problems with mental health of Chinese students in combined junior and senior high school.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 50 citations in OpenAlex.
- Association Between Sleep Debt and Mental Well-Being in School-Aged Children and Adolescents in China: A Multi-Province, Cross-Sectional, Observational Study.Healthcare (Basel, Switzerland) · 2026Article
- Effectiveness of a mental health literacy intervention for high school adolescents: a before-and-after study in a school-based setting in France.European child & adolescent psychiatry · 2026Article
- Exploring the factors associated with health literacy among adolescents in Hong Kong.Scientific reports · 2026Article
- Prevalence and determinants of anxiety, depression, and suicidal ideation among adolescents of Parbat District: A cross-sectional study.PLOS mental health · 2026Article
- A Gamified Digital Mental Health Intervention Across Six Sub-Saharan African Countries: A Cross-Sectional Evaluation of a Large-Scale Implementation.International journal of environmental research and public health · 2025Article
- Exploring anxiety and sleep disorders among Edna Adan university students in Somaliland: associated stressors and insights.BMC psychology · 2025Article
- Health literacy and its relationship with mental health and quality of life in freshmen students.BMC public health · 2025Article
- Relationship of parenting styles on depression, anxiety, stress and self-esteem of adolescents.PloS one · 2025Article
- Using the Person-Based Approach to Co-Create and Optimize an App-Based Intervention to Support Better Sleep for Adolescents in the United Kingdom: Mixed Methods Study.JMIR human factors · 2024Article
- Health literacy and mental health: a national cross-sectional inquiry.Scientific reports · 2024Article
- A bibliometric analysis of mental health among high school students.Frontiers in psychiatry · 2024Article
- Article
- Sleep hygiene behaviours mediate the association between health/e-health literacy and mental wellbeing.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Gender difference in the associations between health literacy and problematic mobile phone use in Chinese middle school students.BMC public health · 2023Article
- Association of weekend catch-up sleep ratio and subjective sleep quality with depressive symptoms and suicidal ideation among Korean adolescents.Scientific reports · 2022Article
- Article
- Depression, anxiety and stress among high school students: A cross-sectional study in an urban municipality of Kathmandu, Nepal.PLOS global public health · 2022Article
- Mediating Effect of Sleep Disorder Between Low Mental Health Literacy and Depressive Symptoms Among Medical Students: The Roles of Gender and Grade.Frontiers in psychiatry · 2022Article
- Exploring the factors related to adolescent health literacy, health-promoting lifestyle profile, and health status.BMC public health · 2021Article
- Sleep problems among Chinese adolescents and young adults during the coronavirus-2019 pandemic.Sleep medicine · 2020Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe aim of this study was to examine the association between health literacy (HL) and sleep problems with mental health of Chinese students in combined junior and senior high school.
methodsA cross-sectional study was conducted among seven hundred and seventy-five students from a combined junior and senior high school in Shenyang on December 16, 2016. HL, sleep problems, anxiety symptoms and depressive symptoms were measured by self-reported validated instruments. Multiple logistic regression models were used to examine the association of HL and sleep problems with mental health problems.
resultsThe prevalence of anxiety symptoms and depressive symptoms was 24.6% and 45.2%, respectively. Low HL was significantly associated with anxiety symptoms (OR = 2.457, 95%CI: 1.493-4.045) and depressive symptoms (OR = 5.164, 95%CI: 3.233-8.250). Sleep problems were significantly positively correlated with anxiety symptoms (OR = 4.237, 95%CI: 2.831-6.341) and depressive symptoms (OR = 3.170, 95%CI: 2.084-4.823). The students who had sleep problems with low HL had the highest risks of anxiety symptoms (OR = 11.440, 95%CI: 5.564-23.520) and depressive symptoms (OR = 19.470, 95%CI: 8.143-46.558).
conclusionOur findings suggest that Chinese students in combined junior and senior high school who had sleep problems with low HL are at risk of exhibiting anxiety symptoms and depressive symptoms. Intervention programs of mental health problems should enhance HL level and improve sleep quality.
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