20.500.12556/ReVIS-14195 Vpliv srednješolskega predmeta zdravstvene vzgoje na raven zdravstvene pismenosti The impact of secondary school subject health education on health literacy levels Izhodišča: Zdravstvena pismenost mladostnikov je globalno prepoznana kot ključni dejavnik za izboljšanje zdravstvenih izidov in zmanjšanje zdravstvenih neenakosti. Namen doktorske disertacije je bil oceniti vpliv srednješolskega predmeta zdravstvene vzgoje na raven zdravstvene pismenosti srednješolcev, ki imajo predmet zdravstvene vzgoje v izobraževalnem programu s tistimi, ki tega predmeta nimajo. Metoda: Uporabljena je bila presečna študija, ki je temeljila na primerjalni analizi zdravstvene pismenosti in samoocene znanja na področju zdravja med srednješolci. Raziskava je uporabila spletni in natiskan anketni vprašalnik, prilagojen srednješolski populaciji. V raziskavo je bilo vključenih 907 srednješolcev 3. in 4. letnika iz vse Slovenije. Med udeleženci je bilo 464 srednješolcev s predmetom zdravstvene vzgoje in 443 brez tega predmeta. Podatki so bili analizirani z uporabo Mann-Whitneyjevega testa. Rezultati: Srednješolci, ki so vključeni v programe zdravstvene vzgoje, so dosegli statistično značilno višjo raven splošne (U = 67615,000, p < 0,001), kritične zdravstvene pismenosti (U = 82256,500, p = 0,001) in zdravstvene pismenosti na področju duševnega zdravja (U = 73849,500, p < 0,001) v primerjavi s srednješolci brez tega predmeta. Razlike v numerični zdravstveni pismenosti niso bile statistično značilne (U = 86363,600, p = 0,854). Kraj bivanja, število dni odsotnosti od pouka ter izobrazba staršev niso bili povezani z višjo ravnijo zdravstvene pismenosti med slovenskimi srednješolci. Obe skupini srednješolcev sta pokazali relativno nizko raven kritične zdravstvene pismenosti. Razprava: Raziskava potrjuje pomembnost vključevanja predmeta zdravstvene vzgoje v srednješolske učne programe za izboljšanje splošne, kritične zdravstvene pismenosti in zdravstvene pismenosti na področju duševnega zdravja mladostnikov. Nizka raven kritične zdravstvene pismenosti v obeh skupinah srednješolcev je skrb vzbujajoča, saj je razvoj kritičnega vrednotenja zdravstvenih informacij ključen v dobi digitalne tehnologije. Na podlagi ugotovitev te raziskave je bila predlagana modelna oblika predmeta zdravstvene vzgoje, ki bi lahko prispevala k celostnemu izboljšanju zdravstvene pismenosti med srednješolci in s tem k boljšim zdravstvenim izidom v širši populaciji. Prispevek k znanosti se kaže v zapolnitvi raziskovalne vrzeli na področju ugotavljanja razlik v ravni celovite zdravstvene pismenosti srednješolcev, ki imajo zdravstveno vzgojo in tistimi, ki takega predmeta v srednješolskem učnem programu nimajo. The basis: Adolescent health literacy is recognised globally as a critical factor in improving health outcomes and reducing health inequalities. This doctoral thesis determines the level of health literacy of secondary school students with a health education course in their curriculum and compares it with secondary school students who do not have a course. Methods: A cross-sectional study was conducted based on a comparative analysis of secondary school students' health literacy and self-assessed health knowledge. An online questionnaire and a printed questionnaire on health literacy were used for the study, adapted to the target group of secondary school students. The study involved 907 high school students from across the country in their 3rd and 4th years of secondary school. There were 464 students with health education as a school subject and 443 without it. The independent samples t-test, the approximate values t-test, and the Mann-Whitney test were used to analyse the data. Results: The results showed that secondary school students who participated in health education programs achieved statistically significantly higher levels of basic (U = 67615,000, p < 0.001), critical (U = 82256,500, p = 0.001), and mental health literacy (U = 73849,500, p < 0.001) compared to secondary school students without it. The differences in numerical health literacy were not statistically significant (U = 86363.600, p = 0.854). Place of residence, number of days absent from school, and parental education were not associated with higher levels of health literacy among Slovenian secondary school students. Both groups of students had relatively low levels of critical health literacy. Discussion: The study confirms the importance of integrating health education into secondary school curricula to improve adolescents' essential, critical, and mental health literacy. The low level of critical health literacy in both groups of secondary school students is concerning, as developing critical evaluation of health information is crucial in the age of digital technology. Based on the results of this study, a model for a health education course was proposed that could contribute to an overall improvement in health literacy among secondary school students and, thus, to better health outcomes in the general population. The contribution to science is reflected in filling a research gap in identifying differences in levels of comprehensive health literacy between secondary school students with health education and those who do not have such a subject in their secondary school curriculum. zdravstvena pismenost srednješolcev zdravstvena pismenost mladostnikov zdravstvena vzgoja high school health literacy adolescent health literacy health education true false false Slovenski jezik Angleški jezik Doktorsko delo/naloga 2026-07-10 09:19:08 2026-07-10 09:19:08 2026-07-17 13:04:45 0000-00-00 00:00:00 2025 0 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 25230 241922563 DR_Sadar_Monika_2025.pdf DR_Sadar_Monika_2025.pdf 1 543BADB61D9ABD9BF831AF145B0DDAA7 17125bdd283a3506d001494548b42603886cb6f5c92f3c2cfbf91cb240a19f21 a4f6defb-7c2f-11f1-b663-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=17214 Univerza v Novem mestu - Fakulteta za zdravstvene vede 0 0 0