Evidence map›Paper›PMID 40208189›Full record

ArticleHealth promotion international2025

Examining the health literacy and health behaviours of children aged 8-11 in Wales, UK.

Emily Marchant, Emily Lowthian, Michaela James, Nia Davies, Tom Crick

Abstract read
In one paragraph

Article in Health promotion international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

5 authors.

Emily MarchantDepartment of Education and Childhood Studies, Swansea University, Swansea, SA2 8PP, United Kingdom.ORCID 0000-0002-9701-5991
Emily LowthianDepartment of Education and Childhood Studies, Swansea University, Swansea, SA2 8PP, United Kingdom.ORCID 0000-0001-9362-0046
Michaela JamesNational Centre for Population Health and Wellbeing Research, Swansea University Medical School, Swansea University, Swansea, SA2 8PP, United Kingdom.
Nia DaviesFaculty of Humanities and Social Sciences, Swansea University, Swansea, SA2 8PP, United Kingdom.
Tom CrickDepartment of Education and Childhood Studies, Swansea University, Swansea, SA2 8PP, United Kingdom.

Funding

Swansea University Faculty of Humanities and Social Sciences Seedcorn Fund
6 · The paper itself

Abstract

Childhood is a period of significant formative development where knowledge, skills, and capacities for adequate health literacy are acquired, particularly within school settings. The new Curriculum for Wales (CfW), phasing in from September 2022 for learners aged 3-16 years, places statutory focus on health and well-being and school-level curriculum design, providing unprecedented opportunities to empower children as agents in making health-enhancing decisions. Designing, tracking, and evaluating impacts of the CfW on children's health literacy requires scalable monitoring tools; however, research efforts have focused on adolescent populations. This national-scale scoping and pilot study, the first to explore children's health literacy in Wales, piloted the Health Literacy for School-Aged Children (HLSAC-5) within the existing nationwide Health and Attainment of Pupils in Primary EducatioN (HAPPEN-Wales) health and well-being survey to examine the health literacy of children aged 8-11 (n = 2607) and explore associations between health literacy and health behaviours. Children's health literacy was categorized as low (22.6%), moderate (50.4%), and high (27.0%). Multinomial logistic regression analyses suggest high health literacy compared to low health literacy was associated with higher sleep [relative risk ratio (RRR): 1.08, 95% CI 1.01-1.15], higher weekly physical activity (RRR: 1.13, 95% CI 1.03-1.25), fewer sedentary days per week (RRR: 0.89, 95% CI 0.81-0.99), and higher health-related well-being (RRR: 1.35, 95% CI 1.27-1.44). This study offers a sustainable measure of pre-adolescent children's health literacy and health behaviours and tracking of CfW impacts. This enables efforts to be tailored to person-centred (understanding children's health literacy needs), place-based (examining specific organizational health literacy context within schools and CfW design), and policy-focused approaches (re-energizing health literacy within current/emerging policies in Wales including the CfW).

Indexed as

Health BehaviorHealth LiteracyChildExerciseFemaleHumansMalePilot ProjectsWalescurriculumcurriculum for waleseducationhealth behaviourshealth literacyhealth monitoringschools

Identifiers

PMID40208189
PMCPMC11983690

What OpenQuestion holds

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LicenceCC BY
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.