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Health Asset Profile and Health Literacy Among Elementary School-Aged Children

*Nunung Siti Sukaesih orcid scopus  -  Nursing Department, Universitas Pendidikan Indonesia, Indonesia
Popi Sopiah orcid  -  Nursing Department, Universitas Pendidikan Indonesia, Indonesia
Emi Lindayani orcid  -  Nursing Department, Universitas Pendidikan Indonesia, Indonesia
Hikmat Pramajati orcid  -  Nursing Department, Universitas Pendidikan Indonesia, Indonesia
Dedah Ningrum orcid  -  Nursing Department, Universitas Pendidikan Indonesia, Indonesia
Sri Wulan Lindasari orcid  -  Nursing Department, Universitas Pendidikan Indonesia, Indonesia
Open Access Copyright (c) 2025 by the Authors, Published by Department of Nursing, Faculty of Medicine, Universitas Diponegoro
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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Abstract

Background: Mental health issues, nutritional status, physical activity, and smoking behavior are among the most serious health problems among school-aged children, and they are closely linked to health-related behaviors. Literacy skills significantly influence these behaviors at this age; however, health literacy often receives insufficient attention from the government for this age group.

Purpose: The purpose of this study was to provide a comprehensive overview of health asset profiles and health literacy among elementary school-aged children.

Methods: This cross-sectional study involved 431 sixth-grade students from the Sumedang district, recruited through a cluster sampling method. Various research instruments were employed, including the Family Affluence Scale (FAS III),  Rosenberg Self-Esteem Scale (RSES), Health Behaviours in School-Aged Children (HBSC), European Health Literacy Scale (HLS-EU), and the Newest Vital Sign (NVS) survey. Data were self-reported by participants, and BMI measurements were also collected. The Chi-square test was employed for statistical analysis.  

Results: The results revealed notable variations across the assessed health asset profile sub-variables. Functional health literacy was significantly associated with self-esteem (p<0.001), student behavior (p=0.010), wake-up time (p<0.001), and smoking habit (p<0.001). In contrast, no significant associations were found with family affluence (p=0.868), BMI (p=0.809), physical activity (p=0.087), or bedtime (p=0.092). Gender-based comparisons revealed significant differences between boys and girls in self-esteem (p=0.042), BMI (p<0.001), physical activity (p<0.001), bedtime (p=0.004), wake-up time (p=0.005), and smoking behavior (p=0.001).  

Conclusion: This study provides a comprehensive overview of health literacy in school-aged children, highlighting variations across health-related behaviors and asset profiles. Significant gender disparities were found in self-esteem, nutritional status, physical activity, bedtime, wake-up time, and smoking behavior. These findings highlight the importance of developing gender-sensitive health promotion strategies to enhance health literacy and promote healthy behaviors from early ages. 

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Keywords: Adolescent; elementary school; health asset profile; health literacy; school-age
Funding: Universitas Pendidikan Indonesia

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