{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T16:49:07Z","timestamp":1793378947348,"version":"4.5.0"},"reference-count":46,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2021,1,15]],"date-time":"2021-01-15T00:00:00Z","timestamp":1610668800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Educ Behav"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:p>Children\u2019s health literacy is a crucial pillar of health. This study is aimed to examine the association between health literacy and weight status among Greek schoolchildren aged 10 to 12 years old. A population-based, cross-sectional observational study enrolling 1,728 students (795 boys), aged 10 to 12 years old, was conducted during school years 2014\u20132016. A health literacy index (range 0-100) was created through an item response theory hybrid model, by combining a variety of beliefs and perceptions of children about health. The mean health literacy score was 70.4 (\u00b118.7). The majority of children (63.8%) had a \u201chigh\u201d level (i.e., &gt;67\/100) of health literacy, 30.5% had a \u201cmedium\u201d level (i.e., 34\u201366\/100) of health literacy, while a small proportion of children (5.7%) had a \u201clow\u201d level (i.e., &lt;33\/100). Girls exhibited a higher level of health literacy than boys (71.7 \u00b1 18.3 vs. 68.8 \u00b1 19.1, p &lt; .01). Regarding body weight status, 21.7% of children was overweight and 5.0% was obese. Linear regression models showed that the health literacy score was inversely associated with children\u2019s body mass index (regression coefficient [95% CI]: \u22120.010 [\u22120.018, \u22120.001]), after adjusting for dietary habits, physical activity levels, and other potential confounders. Health literacy seems to be a dominant characteristic of children\u2019s weight status; therefore, school planning, as well as public health policy actions should emphasize on the ability of children\u2019s capacity to obtain, process, and understand basic health information.<\/jats:p>","DOI":"10.1177\/1090198120982944","type":"journal-article","created":{"date-parts":[[2021,1,16]],"date-time":"2021-01-16T00:26:25Z","timestamp":1610756785000},"page":"54-65","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":17,"title":["Inverse Association Between Health Literacy and Obesity Among Children in Greece: A School-Based, Cross-Sectional Epidemiological Study"],"prefix":"10.1177","volume":"49","author":[{"given":"Aikaterini","family":"Kanellopoulou","sequence":"first","affiliation":[{"name":"Harokopio University, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4080-8392","authenticated-orcid":false,"given":"Venetia","family":"Notara","sequence":"additional","affiliation":[{"name":"University of West Attica, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Antonogeorgos","sequence":"additional","affiliation":[{"name":"Harokopio University, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7564-6138","authenticated-orcid":false,"given":"Maria","family":"Chrissini","sequence":"additional","affiliation":[{"name":"Harokopio University, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea Paola","family":"Rojas-Gil","sequence":"additional","affiliation":[{"name":"University of Peloponnese, Tripoli, Peloponnese, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ekaterina N.","family":"Kornilaki","sequence":"additional","affiliation":[{"name":"University of Crete, Rethymnon, Crete, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Areti","family":"Lagiou","sequence":"additional","affiliation":[{"name":"University of West Attica, Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8583-153X","authenticated-orcid":false,"given":"Demosthenes B.","family":"Panagiotakos","sequence":"additional","affiliation":[{"name":"Harokopio University, Athens, Greece"},{"name":"University of Canberra, Canberra, Australian Capital Territory, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,1,15]]},"reference":[{"key":"bibr1-1090198120982944","doi-asserted-by":"publisher","DOI":"10.1123\/jpah.7.5.633"},{"key":"bibr2-1090198120982944","unstructured":"Argiropoulou E. 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