{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T06:57:55Z","timestamp":1791010675034,"version":"4.1.0"},"reference-count":41,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Limited health literacy is linked to unhealthy behaviors, adverse health outcomes, poor quality of life and financial burdens on society. However, little is known about the level of health literacy, especially among school-going children. This cross-sectional study assesses health literacy levels and their determinants in 354 school children from Kathmandu Metropolitan City, utilizing a multi-stage cluster sampling method. The 10-item Health Literacy for School-Aged Children was used to measure the student\u2019s literacy levels. Bivariate analysis and multivariable logistic regression at the significance level of 0.05 were performed to determine factors associated with limited health literacy. The majority of participants (76.6%) had moderate health literacy, while 13.8% had a high level and 9.6% had a low level of health literacy. Students from nuclear families had lower odds [adjusted odds ratio (aOR): 0.4; 95% CI: 0.2\u20130.8] of having limited health literacy. Students whose mother education was up to secondary school (aOR: 10.1; 95% CI: 1.3\u201378.9), students with pre-existing mental health conditions (aOR: 3.7; 95% CI: 1.4\u20139.6) and students with unsatisfactory health status (aOR: 3.9; 95% CI: 1.5\u201310.5) had higher odds to have limited health literacy. These results suggest the importance of prioritizing school health promotion and education activities for students with pre-existing mental health conditions and mothers with low educational attainment. Implementing peer support group programs for children with mental illnesses, mobilizing school health professionals and introducing interventions such as vocational training of mothers can collectively improve health literacy among school-going children.<\/jats:p>","DOI":"10.1093\/heapro\/daae059","type":"journal-article","created":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T19:21:19Z","timestamp":1723144879000},"source":"Crossref","is-referenced-by-count":8,"title":["Health literacy and its determinants among school-going children: a school-based cross-sectional study in Nepal"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1754-2706","authenticated-orcid":false,"given":"Prakash","family":"Adhikari","sequence":"first","affiliation":[{"name":"Central Department of Public Health, Institute of Medicine, Tribhuvan University , Maharajgunj, 44600, Kathmandu , Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiran","family":"Paudel","sequence":"additional","affiliation":[{"name":"Department of Research and Knowledge Management, Nepal Health Frontiers , Tokha-5, 44600, Kathmandu , Nepal"},{"name":"Department of Allied Health Sciences, University of Connecticut , Storrs, 06269 CT , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3060-5823","authenticated-orcid":false,"given":"Sandesh","family":"Bhusal","sequence":"additional","affiliation":[{"name":"Department of Research and Knowledge Management, Nepal Health Frontiers , Tokha-5, 44600, Kathmandu , Nepal"},{"name":"Department of Allied Health Sciences, University of Connecticut , Storrs, 06269 CT , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamal","family":"Gautam","sequence":"additional","affiliation":[{"name":"Department of Allied Health Sciences, University of Connecticut , Storrs, 06269 CT , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pratik","family":"Khanal","sequence":"additional","affiliation":[{"name":"Department of Research and Publication, Nepal Public Health Association , Jwagal-10, 44700, Lalitpur , Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tara Ballav","family":"Adhikari","sequence":"additional","affiliation":[{"name":"Department of Research and Knowledge Management, Nepal Health Frontiers , Tokha-5, 44600, Kathmandu , Nepal"},{"name":"Department of Public Health, Aarhus University , Nordre Ringgade, 1 8000, Aarhus , Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prabhat","family":"K. C.","sequence":"additional","affiliation":[{"name":"Central Department of Public Health, Institute of Medicine, Tribhuvan University , Maharajgunj, 44600, Kathmandu , Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roman","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Department of Allied Health Sciences, University of Connecticut , Storrs, 06269 CT , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sushan Man","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Central Department of Public Health, Institute of Medicine, Tribhuvan University , Maharajgunj, 44600, Kathmandu , Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,8,8]]},"reference":[{"key":"2024080810465735000_CIT0001","doi-asserted-by":"crossref","first-page":"S327","DOI":"10.1542\/peds.2009-1162I","article-title":"Health literacy and children: recommendations for 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