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Adolescents' Health Literacy and Decision-making

A Qualitative Study

Bibliographic Data

ID15330892
AuthorsSasha A Fleary (0000-0001-9237-2407, Sasha A. Fleary, Evans Family Assistant Professor, Tufts University, Eliot-Pearson Department of Child Study and Human Development, Medford MA;, Email: [email protected], corresponding author), Patrece L Joseph (0000-0002-7386-3304, Tufts University)
Year2020
Volume44
Issue4
Pages392-408
Publication date2020-06-19
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Health Behavior (JOURNAL)
Journal identifiersISSN: 1087-3244 • E-ISSN: 1945-7359
PublisherPNG Publications (PUBLISHER • US)
DOI10.5993/ajhb.44.4.3
PMID32553022
OpenAlexW3036442189
LanguageEN
Citations received17

Objective: Adolescents assume increased responsibility for their health, particularly regarding health decision-making for lifestyle behaviors. Prior research suggests a relationship between health literacy (HL) and health behaviors in adolescents. Yet, the specific role of HL in adolescents' health decision-making is unclear. This study qualitatively explored adolescents' use of HL in their health decision-making. Methods: Six focus groups with adolescents (N = 37, M age = 16.49, 86% girls) were conducted. Adolescents' responses to questions about their HL use were coded using thematic analysis. Results: Adolescents identified passive and active HL engagement and several individual (eg, future orientation, risk perception) and environmental (eg, access to resources/information, media) factors that influenced their use of HL in health decision-making. Feedback from others, subjective health, and ability to navigate multiple sources of information also determined adolescents' confidence in their HL skills. Conclusions: Our results support expanding the types of HL studied/measured in adolescents and provide insight on how HL can be leveraged to improve adolescents' health decision-making. Though there was no guiding theory for this study, results support using the Information-Motivation-Behavior Skills model to assess the HL/health decision-making relationship in adolescence

Adolescent health · Developmental psychology · Focus group · Health belief model · Health care · Health education · Health literacy · Perception · Public health · Qualitative research · Thematic analysis · Applied Psychology · Health Literacy and Information Accessibility · Medicine · Nursing · Psychology · School Health and Nursing Education · Smoking Behavior and Cessation

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    Open Access•Michelle Barrette, Michelle Y Barrette et al.•Health Promotion International•2025

  • Adolescent health literacy

    Open Access•Sasha A Fleary, Somya Rastogi et al.•Health Promotion International•2024

  • Subjective health literacy skills among Greek secondary school students

    Open Access•Eleni Bechraki, Filippos Kontogiannis et al.•Health Promotion International•2024

  • Co-designing for adolescent oral health

    Open Access•Arefe Jasbi, Marikken Høiseth•CoDesign•2026

  • Health literacy and prevention behavior for preventing premature pregnancy among ethnic students in Northern Thailand

    Open Access•Soontaree Suratana, Paitoon Yodkard et al.•Frontiers in Public Health•2026

  • Health information orientation and health literacy as determinants of health promotion behaviors in adolescents

    Open Access•Mi-Ae You, Mi‐Ae You et al.•Frontiers in Public Health•2025

  • Designing Health Interventions to Meet the Needs and Experiences of Minoritized Adolescents

    Open Access•Patrece L Joseph, Sasha A Fleary•Health Education & Behavior•2025

  • Epidemic risk perception, interactive health literacy and adolescent self-transcendence

    Open Access•Hongyi Lin, Qinmin Hu et al.•Current Psychology•2026

  • Social Influences Across Vaping Trajectories of Female Tertiary Students

    Open Access•Ella Sims, Gabriella Sims et al.•Drug and Alcohol Review•2026

  • Health literacy and health behaviors in parent-adolescent dyads

    Sasha A Fleary, Patrece L Joseph•Psychology & Health•2024

  • A Study on How Libraries Operate as Health Spaces in the United States

    Open Access•Sasha A Fleary, Patrece L Joseph et al.•Journal of Community Health•2025

  • Intersectional Dynamics of Race, Ethnicity, and Immigration

    Open Access•Carolina Gonçalves, Ellen E Pinderhughes•Human Development•2025

  • Adolescent–provider relationship and perception of protection of health data

    Open Access•Nour Issa, Maysaa Nemer et al.•International Journal of…•2024

  • Ending the Epidemic

    Open Access•Lance C Keene, Lance Keene et al.•International Journal of…•2021

  • Development and validation of assessments of adolescent health literacy

    Open Access•Sasha A Fleary, Karen M Freund et al.•BMC Public Health•2022

  • Assessing the health literacy needs of school adolescents in Birendranagar Municipality, Surkhet, Nepal

    Open Access•Shanti P Khanal, S Khanal et al.•BMC Public Health•2026

Unique citing works17
Citations per year3,4
Citation span2021 - 2026 (6)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 17

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