Volume 46 Issue 9
Sep.  2025
Turn off MathJax
Article Contents
ZHOU Qingyuan, YIN Zhihua, JIANG Jiajun. Research progress on adolescent health literacy assessment tools[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(9): 1355-1360. doi: 10.16835/j.cnki.1000-9817.2025282
Citation: ZHOU Qingyuan, YIN Zhihua, JIANG Jiajun. Research progress on adolescent health literacy assessment tools[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2025, 46(9): 1355-1360. doi: 10.16835/j.cnki.1000-9817.2025282

Research progress on adolescent health literacy assessment tools

doi: 10.16835/j.cnki.1000-9817.2025282
  • Received Date: 2025-07-04
  • Rev Recd Date: 2025-08-29
  • Available Online: 2025-10-10
  • Publish Date: 2025-09-25
  • Adolescent health literacy constitutes a fundamental, economical and effective strategy for addressing their health issues and fostering healthy behaviors, while assessing health literacy plays a pivotal role in evaluating adolescents' health literacy. The study systematically reviews existing adolescent health literacy assessment tools at both domestically and internationally, and analyzes them through three dimensions: structural components, applicability and scientific validity. It further examines emerging trends in the development of such tools, aiming to offer theoretical underpinnings and practical recommendations for their refinement, thereby more effectively addressing the evolving health needs of adolescents.
  • loading
  • [1]
    WHO. World health statistics 2024[EB/OL]. (2024-05-21)[2025-03-19]. https://iris.who.int/bitstream/handle/10665/376869/9789240094703-eng.pdf?sequence=1.
    [2]
    中国儿童中心, 苑立新. 中国儿童发展报告(2024)[M]. 北京: 社会科学文献出版社, 2024: 12-15.

    China National Children's Center, YUAN L X. Annual report of Chinese children'development (2024)[M]. Beijing: Social Sciences Academic Press, 2024: 12-15. (in Chinese)
    [3]
    中华人民共和国国家卫生健康委员会宣传司. 2024年全国居民健康素养水平达到31.87%[EB/OL]. (2025-01-10)[2025-03-19]. https://www.nhc.gov.cn/xcs/c100122/202501/18ecbeb9c42942bea9e0fced7a963299.shtml.
    [4]
    中华人民共和国教育部, 中华人民共和国发展改革委, 中华人民共和国财政部, 等. 关于全面加强和改进新时代学校卫生与健康教育工作的意见[EB/OL]. (2021-08-02)[2025-03-17]. https://www.gov.cn/zhengce/zhengceku/2021-09/03/content_5635117.htm.
    [5]
    LIU C, WANG D, LIU C, et al. What is the meaning of health literacy? A systematic review and qualitative synthesis[J]. Fam Med Community Health, 2020, 8(2): e000351. doi: 10.1136/fmch-2020-000351
    [6]
    JOSEPH P, FLEARY S A. "The way you interpret health": adolescent definitions and perceptions of health literacy[J]. J Sch Health, 2021, 91(8): 599-607. doi: 10.1111/josh.13050
    [7]
    侍崇艳, 沈鹤军, 陈艳, 等. 高中生健康素养水平及相关因素分析[J]. 中国学校卫生, 2024, 45(3): 353-357. doi: 10.16835/j.cnki.1000-9817.2024097

    SHI C Y, SHEN H J, CHEN Y, et al. Analysis of high school students' health literacy level and related factors[J]. Chin J Sch Health, 2024, 45(3): 353-357. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2024097
    [8]
    PRIHANTO J B, NURHAYATI F, WAHJUNI E S, et al. Health literacy and health behavior: associated factors in Surabaya high school students, Indonesia[J]. Int J Environ Res Public Health, 2021, 18(15): 8111. doi: 10.3390/ijerph18158111
    [9]
    CHU-KO F, CHONG M L, CHUNG C J, et al. Exploring the factors related to adolescent health literacy, health-promoting lifestyle profile, and health status[J]. BMC Public Health, 2021, 21(1): 2196. doi: 10.1186/s12889-021-12239-w
    [10]
    金凤, 刁华, 蒲杨, 等. 中小学生健康素养具备率的Meta分析[J]. 中国健康教育, 2022, 38(5): 387-392.

    JIN F, DIAO H, PU Y, et al. The health literacy level of primary and middle school students: a Meta-analysis[J]. Chin J Health Educ, 2022, 38(5): 387-392. (in Chinese)
    [11]
    LOER A M, DOMANSKA O M, KUHNERT R, et al. Online survey for the assessment of generic health literacy among adolescents in Germany (GeKoJu): study protocol[J]. Int J Environ Res Public Health, 2020, 17(5): 1518. doi: 10.3390/ijerph17051518
    [12]
    陶芳标. 提升学校集体健康素养全面推进健康学校建设[J]. 中国学校卫生, 2025, 46(1): 1-4, 8. doi: 10.16835/j.cnki.1000-9817.2025026

    TAO F B. Improving collective health literacy in schools and comprehensively promoting the construction of healthy schools[J]. Chin J Sch Health, 2025, 46(1): 1-4, 8. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2025026
    [13]
    CLAUSS-EHLERS C S, CARPIO M G, WEIST M D. Mental health literacy: a strategy for global adolescent mental health promotion[J]. Adolesc Psychiatry, 2020, 10(2): 73-83. doi: 10.2174/2210676610666200204104429
    [14]
    DAVIS T C, CROUCH M A, LONG S W, et al. Rapid assessment of literacy levels of adult primary care patients[J]. Fam Med, 1991, 23(6): 433-435.
    [15]
    CHISOLM D J, BUCHANAN L. Measuring adolescent functional health literacy: a pilot validation of the Test of Functional Health Literacy in Adults[J]. J Adolesc Health, 2007, 41(3): 312-314. doi: 10.1016/j.jadohealth.2007.04.015
    [16]
    WARSH J, CHARI R, BADACZEWSKI A, et al. Can the Newest Vital Sign be used to assess health literacy in children and adolescents?[J]. Clin Pediatr, 2014, 53(2): 141-144. doi: 10.1177/0009922813504025
    [17]
    DAVIS T C, WOLF M S, ARNOLD C L, et al. Development and validation of the Rapid Estimate of Adolescent Literacy in Medicine (REA-LM-Teen): a tool to screen adolescents for below-grade reading in health care settings[J]. Pediatrics, 2006, 118(6): e1707-e1714. doi: 10.1542/peds.2006-1139
    [18]
    刘蕤, 贺珊. 国外健康素养测评工具系统综述[J]. 现代情报, 2020, 40(11): 154-166, 177.

    LIU R, HE S. Foreign studies on the assessment tools for health literacy: a systematic review[J]. J Mod Inf, 2020, 40(11): 154-166, 177. (in Chinese)
    [19]
    MANGANELLO J A, COLVIN K F, CHISOLM D J, et al. Validation of the Rapid Estimate for Adolescent Literacy in Medicine Short Form (REALM-TeenS)[J]. Pediatrics, 2017, 139(5): e20163286. doi: 10.1542/peds.2016-3286
    [20]
    SANTOS O, STEFANOVSKA-PETKOVSKA M, VIRGOLINO A, et al. Functional health literacy: psychometric properties of the Newest Vital Sign for Portuguese Adolescents (NVS-PTeen)[J]. Nutrients, 2021, 13(3): 790. doi: 10.3390/nu13030790
    [21]
    MANGANELLO J A, DEVELLIS R F, DAVIS T C, et al. Development of the Health Literacy Assessment Scale for Adolescents (HAS-A)[J]. J Commun Healthc, 2015, 8(3): 172-184. doi: 10.1179/1753807615Y.0000000016
    [22]
    FLEARY S A, FREUND K M, NIGG C R. Development and validation of Assessments of Adolescent Health Literacy: a Rasch measurement model approach[J]. BMC Public Health, 2022, 22(1): 585. doi: 10.1186/s12889-022-12924-4
    [23]
    PAAKKARI O, TORPPA M, KANNAS L, et al. Subjective health literacy: development of a brief instrument for school-aged children[J]. Scand J Public Health, 2016, 44(8): 751-757. doi: 10.1177/1403494816669639
    [24]
    GHANBARI S, RAMEZANKHANI A, MONTAZERI A, et al. Health Literacy Measure for Adolescents (HELMA): development and psychometric properties[J]. PLoS One, 2016, 11(2): e0149202. doi: 10.1371/journal.pone.0149202
    [25]
    DOMANSKA O M, BOLLWEG T M, LOER A K, et al. Development and psychometric properties of a questionnaire assessing self-reported generic health literacy in adolescence[J]. Int J Environ Res Public Health, 2020, 17(8): 2860. doi: 10.3390/ijerph17082860
    [26]
    NAIGAGA D A, KAVANAGH J, SPILLANE A, et al. Using co-design to develop the Adolescent Health Literacy Questionnaire for adolescents in Ireland[J]. Health Promot Int, 2024, 39(1): daae009. doi: 10.1093/heapro/daae009
    [27]
    CHANG L C, HSIEH P L, LIU C H. Psychometric evaluation of the Chinese version of Short-form Test of Functional Health Literacy in Adolescents[J]. J Clin Nurs, 2012, 21(17/18): 2429-2437.
    [28]
    王焕倩, 陈新月, 昝子晴, 等. 汉化版最新关键指标量表(NVS)在青少年健康素养测量中的信效度[J]. 中国健康教育, 2022, 38(1): 14-17.

    WANG H Q, CHEN X Y, ZAN Z Q, et al. Reliability and validity of Chinese version of NVS Scale among adolescents[J]. Chin J Health Educ, 2022, 38(1): 14-17. (in Chinese)
    [29]
    CHOU A K, LIAO C H, CHEN D R. Measuring adolescent health literacy in Taiwan: validation of the Health Literacy Assessment Scale for Adolescents[J]. BMC Public Health, 2023, 23(1): 2409. doi: 10.1186/s12889-023-17167-5
    [30]
    中华人民共和国教育部关于印发《中小学健康教育指导纲要》的通知[EB/OL]. (2008-12-01)[2025-03-19]. https://www.gov.cn/gongbao/content/2009/content_1310690.htm.
    [31]
    中华人民共和国国家卫生和计划生育委员会宣传司, 中国健康教育中心. 2012年中国居民健康素养监测报告[EB/OL]. (2013-11-21)[2025-09-16]. https://www.nhc.gov.cn/ewebeditor/uploadfile/2014/12/20141216160546459.pdf.
    [32]
    中国体育科学学会. 身体素养评价指标体系第2部分青少年: T/CSSS 004.2—2023[S]. 2023-09-30.

    China Sport Science Society. Index systems for physical literacy evaluation Part 2 Adolescents: T/CSSS 004.2-2023[S]. 2023-09-30. (in Chinese)
    [33]
    王舟, 高婷叶, 周洁, 等. 青少年健康素养评价工具研究现状及展望[J]. 中国学校卫生, 2022, 43(12): 1911-1914, 1920. doi: 10.16835/j.cnki.1000-9817.2022.12.036

    WANG Z, GAO T Y, ZHOU J, et al. Research progress and future directions of adolescent health literacy evaluation tools[J]. Chin J Sch Health, 2022, 43(12): 1911-1914, 1920. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.12.036
    [34]
    张诗晨, 万宇辉, 陶舒曼, 等. 中国青少年互动性健康素养问卷的信度和结构效度评价[J]. 中国学校卫生, 2014, 35(3): 332-336. https://www.cjsh.org.cn/article/id/zgxxws201403004

    ZHANG S C, WAN Y H, TAO S M, et al. Reliability and construct validity of the Chinese Adolescent Interactive Health Literacy Questionnaire[J]. Chin J Sch Health, 2014, 35(3): 332-336. (in Chinese) https://www.cjsh.org.cn/article/id/zgxxws201403004
    [35]
    魏保建. 青少年健康素养工具的开发及其影响因素分析[D]. 延吉: 延边大学, 2015.

    WEI B J. Research on the development of adolescent health literacy's tool and its influencing factors of adolescents[D]. Yanji: Yanbian University, 2015. (in Chinese)
    [36]
    王翎懿, 王宏, 程绪婷, 等. 初中生健康素养量表的编制与信效度分析[J]. 现代预防医学, 2016, 43(23): 4296-4300, 4305.

    WANG L Y, WANG H, CHENG X T, et al. Development of Health Literacy Scale for Middle School Students and its reliability and validity analyze[J]. Mod Prev Med, 2016, 43(23): 4296-4300, 4305. (in Chinese)
    [37]
    昝子晴. 中国初中生健康素养测评工具的开发研究[D]. 北京: 北京协和医学院, 2023.

    ZAN Z Q. Development and validation health literacy assessment tools for Chinese middle school students[D]. Beijing: Peking Union Medical College, 2023. (in Chinese)
    [38]
    郭世豪, 朱璠, 朱桂因, 等. 中国高中生健康素养评价量表的初步编制[J]. 中国学校卫生, 2025, 46(5): 676-680. doi: 10.16835/j.cnki.1000-9817.2025145

    GUO S H, ZHU F, ZHU G Y, et al. Preliminary development of Health Literacy Evaluation Scale for Chinese High School Students[J]. Chin J Sch Health, 2025, 46(5): 676-680. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2025145
    [39]
    中华人民共和国教育部关于印发《生命安全与健康教育进中小学课程教材指南》的通知[EB/OL]. (2021-11-02)[2025-09-16]. https://hudong.moe.gov.cn/srcsite/A26/s8001/202111/t20211115_579815.html.
    [40]
    余小鸣, 张芯, 郭帅军, 等. 构建中小学生健康素养评价体系及工具的探索性研究[J]. 中国健康教育, 2017, 33(7): 581-586.

    YU X M, ZHANG X, GUO S J, et al. Development of framework and instrument for assessing health literacy of school students[J]. Chin J Health Educ, 2017, 33(7): 581-586. (in Chinese)
    [41]
    康玫, 高俊岭, 顾沈兵, 等. 中学生健康素养量表的编制及其信度效度评价[J]. 中国健康教育, 2015, 31(10): 915-918, 924.

    KANG M, GAO J L, GU S B, et al. Development and validation of Health Literacy Scale for Middle School Students[J]. Chin J Health Educ, 2015, 31(10): 915-918, 924. (in Chinese)
    [42]
    贾绪计, 徐文娟, 王庆瑾, 等. 学生核心素养框架下中学生健康素养的测量、发展特点与群体类型[J]. 北京师范大学学报(社会科学版), 2022(5): 10-18.

    JIA X J, XU W J, WANG Q J, et al. The measurement, development characteristics and group types of secondary school students' health literacy in the framework of core competency[J]. J Beijing Norm Univ (Soc Sci), 2022(5): 10-18. (in Chinese)
    [43]
    李丹琳, 胡婕, 黄雪雪, 等. 《青少年心理健康素养评定量表》编制及在医学生中的应用[J]. 中国学校卫生, 2021, 42(7): 1038-1041. doi: 10.16835/j.cnki.1000-9817.2021.07.018

    LI D L, HU J, HUANG X X, et al. Development and application of the Adolescent Mental Health Literacy Assessment Questionnaire among medical under-graduates[J]. Chin J Sch Health, 2021, 42(7): 1038-1041. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2021.07.018
    [44]
    李远骋, 朱璠, 郭雪儿, 等. 中国中学生传染病预防健康素养评价量表的初步编制[J]. 中国学校卫生, 2022, 43(4): 526-529, 535. doi: 10.16835/j.cnki.1000-9817.2022.04.011

    LI Y C, ZHU F, GUO X E, et al. Development of Infectious Disease-Prevention Health Literacy Scale for Chinese Middle School Students[J]. Chin J Sch Health, 2022, 43(4): 526-529, 535. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.04.011
    [45]
    昝子晴, 刘丽珠, 李梦宇, 等. 基于CTT和Rasch模型分析的初中生运动健康素养评价工具研究[J/OL]. 中国全科医学, 2025: 1-9. (2025-03-18). https://kns.cnki.net/kcms/detail/13.1222.R.20250318.0851.002.html.

    ZAN Z Q, LIU L Z, LI M Y, et al. Development, reliability and validity of the sports health literacy assessment instrument for middle school students based on CTT and Rasch model[J/OL]. Chin Gen Pract, 2025: 1-9. (2025-03-18). https://kns.cnki.net/kcms/detail/13.1222.R.20250318.0851.002.html. (in Chinese)
    [46]
    贾碧波, 汪培, 朱桂因, 等. 儿童青少年健康素养研究现状与进展[J]. 中国学校卫生, 2023, 44(4): 622-626. doi: 10.16835/j.cnki.1000-9817.2023.04.033

    JIA B B, WANG P, ZHU G Y, et al. Research status and progress of health literacy for children and adolescents[J]. Chin J Sch Health, 2023, 44(4): 622-626. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2023.04.033
    [47]
    洪闯, 李中明. 国内外数字健康素养研究综述[J/OL]. 图书馆建设, 2024: 1-14[2025-09-22]. https://link.cnki.net/urlid/23.1331.g2.20241202.1111.002.

    HONG C, LI Z M. A global literature review on digital health literacy[J/OL]. Libr Dev, 2024: 1-14[2025-09-22]. https://link.cnki.net/urlid/23.1331.g2.20241202.1111.002. (in Chinese)
    [48]
    白媛媛, 王焕倩, 昝子晴, 等. 儿童青少年健康素养评估工具的研究进展[J]. 中国健康教育, 2021, 37(9): 838-841.

    BAI Y Y, WANG H Q, ZAN Z Q, et al. Review of health literacy and its evaluation methods for children and adolescents[J]. Chin J Health Educ, 2021, 37(9): 838-841. (in Chinese)
    [49]
    郭嘉悦, 昝子晴, 刘丽珠, 等. 儿童青少年健康素养内涵及测评工具研究进展[J]. 中国健康教育, 2024, 40(10): 865-869, 883.

    GUO J Y, ZAN Z Q, LIU L Z, et al. Progress on the connotation of children and adolescents' health literacy and assessment tools[J]. Chin J Health Educ, 2024, 40(10): 865-869, 883. (in Chinese)
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(1)

    Article Metrics

    Article views (61) PDF downloads(14) Cited by()
    Proportional views

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return