4.7 Review

Health Literacy Among University Students: A Systematic Review of Cross-Sectional Studies

Journal

FRONTIERS IN PUBLIC HEALTH
Volume 9, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fpubh.2021.680999

Keywords

health literacy; university students; health-promoting universities; systematic review; determinants of health behavior

Funding

  1. Techniker Krankenkasse (German health insurance)
  2. Karlsruhe Institute of Technology

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This systematic review provides an overview of cross-sectional studies on health literacy among university students and identifies possible determinants related to health literacy. The majority of studies included in the review show lower health literacy scores among university students compared to reference samples. Various factors such as age, gender, number of semesters, course of studies, parental education, and socioeconomic background influence the health literacy of students. Universities should aim to offer health literacy courses tailored to the specific needs and characteristics of different student subgroups.
Objective:The aim of this systematic review was to provide an overview of cross-sectional studies that examined health literacy among university students and to identify possible determinants related to health literacy. Method: The current review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Three databases (PubMed, Scopus, and Web of Science) were systematically searched for cross-sectional studies that examined health literacy among university students. Results of included studies were narratively summarized. Results:The systematic review includes twenty-one research studies. The majority of studies report health literacy scores among university students that are lower compared to reference samples. The health literacy of students is influenced by different variables (age, gender, number of semesters, course of studies/curriculum, parental education, and socioeconomic background). Discussion: Health literacy activities should target all students. Universities should make use of their resources and offer health literacy courses for students in which content is used from disciplines available at the university (e.g., medicine, health, or psychology). To increase effectiveness, health literacy courses should be adapted according to the different needs and characteristics of the student subgroups.

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