Evidence map›Paper›PMID 34639245›Full record

ArticleInternational journal of environmental research and public health2021

Health Literacy Levels among Italian Students: Monitoring and Promotion at School.

Veronica Velasco, Andrea Gragnano, Gruppo Regionale Hbsc Lombardia, Luca Piero Vecchio

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Article
  2. Adolescent Mental Health and Health-Related Behaviors Across Language-Based School Systems in South Tyrol, Italy.European journal of investigation in health, psychology and education · 2026
    Article
  3. Article
  4. Article
  5. Review
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  7. Article
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  10. Article
  11. Health Literacy Levels of Patients With Juvenile Idiopathic Arthritis and Their Parents.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Adolescents' Nutrition: The Role of Health Literacy, Family and Socio-Demographic Variables.International journal of environmental research and public health · 2022
    Article
  17. Article
  18. Article
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

4 authors.

Veronica VelascoPsychology Department, Milano-Bicocca University, 20126 Milan, Italy.ORCID 0000-0003-1890-5564
Andrea GragnanoPsychology Department, Milano-Bicocca University, 20126 Milan, Italy.ORCID 0000-0001-8555-1749
Gruppo Regionale Hbsc LombardiaRegione Lombardia, DG Welfare, 20124 Milan, Italy.
Luca Piero VecchioPsychology Department, Milano-Bicocca University, 20126 Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health literacy was identified as an important determinant of health, particularly for adolescents. However, more efforts are needed to monitor this construct and provide inputs for policy development. This study aims to: (a) Assess the validity and reliability of the Italian version of the Health Literacy for School-Aged Children (HLSAC-I); (b) Identify the health literacy levels among Italian students and compare them with other countries' levels; and (c) Identify the associations between health literacy and multiple social determinants (social stratifiers, family, and school connectedness). Data came from the Health Behaviour School-Aged Children survey, carried out in the Lombardy region in northern Italy in 2018. A representative sample of 2,287 13- and 15-year-old Lombardian students was involved. The results support the validity and reliability of the HLSAC-I. A total of 18.7% of the sample reported low levels, and only 6.8% reported high levels. Italian students reported the lowest levels of health literacy compared with other countries. School connectedness and educational approach are the most relevant associated factors. This study confirms a school's role in reducing inequalities and promoting health. It highlights the importance of monitoring health literacy and implementing health promotion policies at school through a whole-school approach.

Indexed as

Health LiteracyAdolescentChildHealth PromotionHumansItalyReproducibility of ResultsSchoolsStudentsSurveys and Questionnairesadolescentfamily supporthealth literacyhealth promotionmeasurementschool-aged childrenschool healthschool support

Identifiers

PMID34639245
PMCPMC8507908

What OpenQuestion holds

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LicenceCC BY
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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.