ArticleBMJ open2022
Do health literacy levels of nursing students change throughout the study programme? A cross-sectional study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 13 citations in OpenAlex.
- Longitudinal Trajectories of Health Literacy Throughout Nursing Education: A 4-Year Prospective Study.Nursing open · 2026Article
- Effectiveness of a scenario-based interactive E-book in enhancing nursing students' health literacy: a quasi-experimental study.BMC nursing · 2026Article
- Innovations in Nursing Education, Practice and Research: Emphasising Health Literacy.Nursing reports (Pavia, Italy) · 2026Article
- Understanding Health Literacy and eHealth Literacy in Nursing Students: A Cross-Sectional Cluster Analysis.Nursing reports (Pavia, Italy) · 2026Article
- Sociodemographic Determinants of Health Literacy Among University Students of Health Sciences in Kosovo.Zdravstveno varstvo · 2025Article
- The Relationship Between E-Health Literacy, Health Anxiety, Cyberchondria, and Death Anxiety in University Students That Study in Health Related Department.Journal of multidisciplinary healthcare · 2025Article
- Article
- Navigating Health Literacy and Practices: A Cross-Sectional Study on Nursing Undergraduates in Riyadh, Saudi Arabia.Medical science monitor : international medical journal of experimental and clinical research · 2023Article
- Factors related with nursing students' health literacy: a cross sectional study.Frontiers in public health · 2023Article
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Authors and funding
2 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe aim of this research was to analyse if the level of health literacy (HL) of nursing students changes throughout the study programme.
designA cross-sectional study with anonymous self-reporting was conducted. PARTICIPANTS/
setting329 public university nursing students in Seville, Spain; 243 of the first year and 86 of the fourth.
interventionsThe short Spanish version of the Health Literacy Survey Questionnaire-European Union was used to evaluate HL. PRIMARY AND SECONDARY OUTCOME MEASURES: The proportions of the limited level of HL were compared between academic years and the crude and corrected OR were calculated with the Mantel-Haenszel test to evaluate the effect of confusion of the sex variable on the HL level and academic year relationship. A logistic regression model with step-by-step analysis was run, including the independent variables sex, age, marital status, academic year and HL level (limited/sufficient) as the dependent variable.
results62.1% of the participants of the first year versus 47.7% of the fourth year had a limited literacy level for a crude OR of 1.5 (95% CI 1.10 to 2.21; p=0.014) and a corrected by sex OR of 1.8 (95% CI 1.10 to 2.96; p=0.026). Only the strata in women had a statistically significant relationship. The logistic regression model ratified that the HL was a function exclusive to the academic year.
conclusionThe HL level of nursing students increases from the first to the fourth academic year, even when controlling for sex. Although the HL level in the fourth academic year was greater than that of the first, both groups had inadequate HL levels. It is hence recommended to implement intervention strategies, which reinforce in the curriculum the knowledge and experiences related with health communication and education to ensure that future professionals improve their HL. Achieving adequate HL is crucial to be able to provide care to patients, their families and the community.
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