ArticleBMJ open2022
Health literacy as a key to improving weight status among Palestinian adolescents living in chronic conflict conditions: 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 8 papers.
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Who cites it
8 citing papers in PubMed, 12 citations in OpenAlex.
- Content and statistical validation of the FNPA survey in Modern Standard Arabic (MSA) for use with Palestinian populations in the West Bank.BMC public health · 2026Article
- Self-Care behaviors and their association with self-efficacy and health literacy among adolescents with type 1 diabetes mellitus in palestine: a cross-sectional study.BMC psychology · 2025Article
- Association between health literacy and body mass index among Iranian high school students.Scientific reports · 2025Article
- Health literacy and obesity: A systematic scoping review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Article
- Impact of health literacy, social support, and socioeconomic position on the serum uric acid level in asymptomatic hyperuricaemia patients in China: a structural equation model.BMC public health · 2024Article
- Enhancing nutritional knowledge and self-regulation among adolescents: efficacy of a multifaceted food literacy intervention.Frontiers in psychology · 2024Article
- Health literacy among adolescents and young adults in the Eastern Mediterranean region: a scoping review.BMJ open · 2023Article
- Analysis of the nutritional status in the Palestinian territory: a review study.Frontiers in nutrition · 2023Review
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Authors and funding
7 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine the moderating role of health literacy in the association between direct exposure to violence and weight status among Palestinian adolescents.
designA household cross-sectional study conducted in 2017.
settingA Palestinian district of the West Bank.
participantsPalestinian adolescents aged 11-16 years.
resultsAfter excluding underweight adolescents from the 1200 who were initially recruited, the data of 1173 adolescents were analysed. A high proportion (62%) of adolescents were directly exposed to violence. The prevalence of obesity and overweight was 6.5% and 17.1%, respectively. The odds of obesity and overweight were 2.8 and 1.8 times higher among adolescents who were not exposed to domestic and school violence when they had low health literacy in the communication subscale. The odds of obesity were 62% and 57% lower among adolescents with high functional health literacy when exposed to domestic and school violence and to any form of violence, respectively. Among adolescents who were not exposed to any form of violence, those who had high health literacy in the communication subscale were 72% less likely to be obese compared with those who had low health literacy.
conclusionsHealth literacy moderated the association between direct exposure to violence and weight status. When health literacy levels were higher, lower obesity rates were observed among adolescents who were directly exposed to any form of violence or exposed either to political violence only or domestic and school violence only. The results warrant further investigation of the role of health literacy in adolescent health. It is recommended that policy-makers integrate the health literacy concept into both education and health systems.
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