ArticlePublic health in practice (Oxford, England)2026
Unraveling the link: Socioeconomic status and health literacy among students in primary schools in the South Macroregion of Poland.
Article in Public health in practice (Oxford, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: Health literacy (HL) is a valuable competence with links to both individual and collective well-being. As of 2016, the WHO recognises HL as a key determinant of health and identifies the need to build and develop health competencies, particularly among children and young people as one of the ways to reduce social inequalities. The objective of our cross-sectional study is to investigate the relationship between family social capital and critical thinking about health among primary school students aged 11 to 15 from the south of Poland and to identify the individual, family-related, and school-related determinants of their health literacy. There are a lot of studies on HL also studies that show HL of children and adolescents. However, our research focuses on investigation on critical thinking about health as the ability to critically evaluate health practices seems to be a key skill in postpandemic world. Study design: School-based cross-sectional survey conducted in 2023 among 303 primary school students (grades 6-8) in southern Poland. Methods: We used the Polish version of validated Claims Evaluation Tool (CET) from the Informed Health Choices project, incorporating socioeconomic indicators and Health Literacy for School-Age Children (HLSAC-10) from HBSC Network test validated in Poland. The questions were translated into Polish, culturally adapted, and validated. The claims were selected due to their adequacy and reliability. Results: Initial findings from CET survey suggest a correlation, with varying strength, between health literacy scores and parental education, individual living space ownership, leisure activities (e.g., holiday affordability), and participation in extra-curricular activities. These results underscore the influence of socioeconomic status on health-related decisions and coping mechanisms, which are of particular relevance in the current infodemic. Conclusions: We conclude that health disparities arise from differences in social status, emphasizing the importance of health literacy in mitigating such disparities and shaping overall health outcomes.
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