Conceptual analysis of health literacy in children and adolescents with unintentional injury
Objective To clarify the concept of health literacy among children and adolescents with accidental injuries through literature review and analysis.Methods A systematic search was conducted across multiple databases,including China National Knowledge Infrastructure,Wanfang database,VIP database,China Biomedical literature database,PubMed,CINAHL,and PscyINFO database.The literature was analyzed using Rodgers'evolutionary concept analysis method.Results A total of 56 articles were included.The health literacy of children and adolescents with accidental injuries comprised three conceptual attributes:cognition,emotion and behavior.The influencing factors included children's demographic factors,family and school related factors and social related factors.The result can be beneficial to reduce the occurrence of injury events,save family economic expenditure and alleviate the burden on social medical resources.However,there is currently a lack of specific measurement tools for assessing health literacy in this population,as the existing evaluation items are drawn from general health literacy scales.Conclusions The concept of health literacy among children and adolescents with accidental injuries is multifaceted and evolving.Future research should focus on exploring the characteristics of health literacy among children and adolescents of different ages and regions from their own perspectives.Additionally,efforts should be made to refine the concept and develop specialized measurement tools to facilitate further studies in this area.