Health literacy of adolescents in the COVID-19 pandemic: an integrative review

ABSTRACT Objective: to analyze the scientific production on health literacy (HL) of adolescents during the COVID-19 pandemic. Method: an integrative review, in the MEDLINE, LILACS, CINAHL and Web of Science databases, between March 2020 and August 2021. Original articles in English, Spanish and Portuguese were included. Results: of the 65 studies found in the search, eight were included for analysis, with no publication in Brazil, with five publications in 2021, predominantly in English (n=7) and all classified with level of evidence VI. Of the instruments used, eHealth literacy was the most applied instrument (n=2). Television, family and the internet were identified as the main sources of health information during the pandemic. Final considerations: the literature has indicated that HL can interfere with adolescents’ decision making and that a low HL can lead to decisions and physical and mental exposure actions of adolescents.

摘要 研究目的：分析新冠疫情期间青少年健康素养（health literacy, HL）相关的科研产出。研究方法：本研究为整合性综述，检索MEDLINE、LILACS、CINAHL及Web of Science数据库，检索时限为2020年3月至2021年8月，纳入英文、西班牙语及葡萄牙语原创研究论文。研究结果：本次检索共获取65项研究，最终纳入8项开展分析，其中无巴西地区发表的文献；2021年共发表5项研究，绝大多数以英文发表（n=7），所有纳入研究的证据等级均为VI级。在所使用的研究工具中，电子健康素养（eHealth literacy）工具应用最为广泛（n=2）。研究识别出疫情期间青少年获取健康信息的主要来源为电视、家庭及互联网。研究结论：现有文献表明，健康素养可对青少年的决策行为产生影响，健康素养水平较低的青少年则可能做出不当决策，并采取使其暴露于身心健康风险的行为。