A cross-lagged analysis on the relationship between physical health education and health literacy among junior high school students
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摘要:
目的 了解体育健康教育与青少年健康素养的因果关系,为提升体育健康教育和青少年健康素养水平提供纵向实证研究依据。 方法 采用整群抽样法选取湖北省襄阳市、辽宁省大连市和吉林省辽源市4所初中学校七年级的24个班学生为研究对象,采用间隔18周的纵向追踪设计对696名初中生进行2次问卷调查。测量工具采用修订后的学校体育健康教育量表以及初中生健康素养量表。 结果 第1次测量(T1)运动督导可以正向预测第2次测量(T2)健康素养(β=0.18),T1健康素养也能够正向预测T2运动督导(β=0.18)(P值均 < 0.01);T1健康教育可以正向预测T2健康素养(β=0.57,P < 0.01),T1健康素养不能正向预测T2健康教育(β=0.03,P>0.05);T1体育教学可以正向预测T2健康素养(β=0.39),T1健康素养也能够正向预测T2体育教学(β=0.10)(P值均 < 0.05)。体育健康教育的3个维度对健康素养的3个维度均具有正向预测作用(P值均 < 0.05)。 结论 体育健康教育3个维度中,健康教育是影响初中生健康素养的主要因素,两变量之间存在纵向因果关系。运动督导、体育教学与青少年健康素养互为因果,存在双向正向影响关系。 Abstract:Objective The cross-lagged analysis model is used to analyze the causal relationship between physical health education and adolescent health literacy, so as to provide empirical references for physical health education and adolescent health literacy improvement in China. Methods Cluster sampling method was used to select 24 classes of grade 7 students from four junior high schools in Xiangyang City, Hubei Province, Dalian City, Liaoning Province and Liaoyuan City, Jilin Province.The longitudinal follow-up design with an interval of 18 weeks was administered among 696 junior middle school students. The Revised School Physical Health Education Scale and Junior Middle School Students' Health Literacy Scale were used. Results T1 exercise supervision could significantly and positively predict T2 health literacy(β=0.18), T1 health literacy could also significantly and positively predict T2 exercise supervision(β=0.18)(P < 0.01). T1 health education could significantly and positively predict T2 health literacy(β=0.57, P < 0.01), T1 health literacy could not significantly and positively predict T2 health education(β=0.03, P>0.05). T1 physical education teaching could significantly and positively predict T2 health literacy(β=0.39), T1 health literacy could also positively and significantly predict T2 physical education teaching(β=0.10)(P < 0.05). The three dimensions of physical health education had positive predictive effect on the three dimensions of health literacy(P < 0.05). Conclusion In the process of physical health education, health education is the main factor affecting teenagers' health literacy, with a vertical causal relationship between the two variables. There is a bi-directional positive relationship between sports supervision, physical education teaching and adolescent health literacy. -
Key words:
- Sports /
- Health education /
- Regression analysis /
- Adolescent
1) 利益冲突声明 所有作者声明无利益冲突。 -
表 1 不同时间点体育健康教育与健康素养的相关分析(r值,n=696)
Table 1. Correlation analysis between physical health education and health literacy at different times(r, n=696)
变量 健康教育T1 体育教学T1 运动督导T1 健康教育T2 体育教学T2 运动督导T2 功能性健康素养T1 互动性健康素养T1 批判性健康素养T1 功能性健康素养T2 互动性健康素养T2 批判性健康素养T2 总健康素养T1 体育教学T1 0.56** 运动督导T1 0.40** 0.37** 健康教育T2 0.24** 0.24** 0.23** 体育教学T2 0.27** 0.27** 0.29** 0.60** 运动督导T2 0.30** 0.20** 0.10* 0.21** 0.13** 功能性健康素养T1 0.60** 0.42** 0.70** 0.17** 0.11** 0.14** 互动性健康素养T1 0.62** 0.44** 0.72** 0.08* 0.11** 0.17** 0.65** 批判性健康素养T1 0.61** 0.42** 0.70** 0.08* 0.12** 0.14** 0.63** 0.66** 功能性健康素养T2 0.43** 0.51** 0.40** 0.12** 0.07* 0.17** 0.42** 0.44** 0.45** 互动性健康素养T2 0.39** 0.48** 0.39** 0.20** 0.15** 0.22** 0.39** 0.41** 0.41** 0.842** 批判性健康素养T2 0.30** 0.46** 0.39** 0.20** 0.15** 0.20** 0.39** 0.41** 0.41** 0.83** 0.86** 总健康素养T1 0.62** 0.44** 0.73** 0.08* 0.11** 0.16** 0.86** 0.80** 0.87** 0.44** 0.41** 0.41** 总健康素养T2 0.42** 0.50** 0.40** 0.20** 0.16** 0.16** 0.41** 0.43** 0.44** 0.76** 0.75** 0.76** 0.44** 注:*P < 0.05,**P < 0.01。 -
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