ORIGINAL RESEARCH article

Front. Public Health

Sec. Public Health Education and Promotion

Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1570615

The impact of personal health literacy and school health literacy environments on schoolteachers' health outcomes

Provisionally accepted
Mingyang YuMingyang Yu1Rongmei LiuRongmei Liu1Qiuping ZhaoQiuping Zhao1Junfang WangJunfang Wang1Yuxi BaiYuxi Bai1Yang XiaomoYang Xiaomo1Shuaibin LiuShuaibin Liu2Orkan OkanOrkan Okan3Bing HuaBing Hua4Nengguang DaiNengguang Dai5Suyan XuSuyan Xu1Shuaijun GuoShuaijun Guo6*
  • 1Fuwai Central China Cardiovascular Hospital, Zhengzhou, Henan Province, China
  • 2Community Health Centre of Chaohe, Zhengzhou, China
  • 3Technical University of Munich, Munich, Bavaria, Germany
  • 4Zhengzhou Community Health Association, Zhengzhou, China
  • 5Health Commission of Henan Province, Zhengzhou, China
  • 6Murdoch Childrens Research Institute, Royal Children's Hospital, Melbourne, Australia

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The relationship between personal health literacy and health outcomes is clear, but the role of health literacy environments is often overlooked. This study examined associations between personal health literacy, school health literacy environments and health outcomes among schoolteachers. Methods: A cross-sectional study was conducted on among 7364 schoolteachers in Zhengzhou, China. Personal health literacy was measured by the Health Literacy Population Survey 2019-2021 (excellent/sufficient/problematic/inadequate) and school health literacy environments were measured by the Organisational Health Literacy of School Questionnaire (supportive/less supportive). Health outcomes included health status (poor/good), health-compromising behaviours (yes/no), health service use (yes/no), and healthcare cost (≥RMB 1000/

Keywords: personal health literacy, Organisational health literacy, Health Outcomes, teachers, HLS19-Q12

Received: 04 Feb 2025; Accepted: 25 Apr 2025.

Copyright: © 2025 Yu, Liu, Zhao, Wang, Bai, Xiaomo, Liu, Okan, Hua, Dai, Xu and Guo. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Shuaijun Guo, Murdoch Childrens Research Institute, Royal Children's Hospital, Melbourne, Australia

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Supplementary Material