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Objectives: This study is a descriptive study to survey the nursing college students for their health literacy, self-care agency, and health promoting behavior and to analyze their related factors. Methods: The questionnaire was administered to 228 students in two nursing colleges. Collected data were analyzed using t-test, ANOVA with scheff’e test, and stepwise multiple regression. Results: In this study, nursing students health literacy 14.37 ± 2.00, self-care agency was 158.10 ± 26.62 points, health promotion behavior were 145.67 ± 35.10 points. This result was higher than the previous study. The subjects’ health literacy had a significant positive correlation with self-care agency (r = 0.60, p< 0.001), a significant positive correlation with health promoting behavior (r = 0.25, p< 0.001), and self-care agency had a significant positive correlation with health promoting behavior (r = 0.39, p< 0.001). Regression analysis to identify factors affecting the health promoting behavior showed that self-care agency was the most significant factor (p= 0.001), followed by health literacy (p= 0.048). In the regression analysis, self-care agency and health literacy were significant predictors and explained 23.0% (p< 0.001) of health promoting behavior. Conclusions: Results of this study have suggested that self-care agency and health literacy were significantly related to health promoting behavior in nursing college students. Therefore, in order to improve the health promoting behaviors of nursing college students, it is necessary to improve the health literacy and self-care agency, and the systematic education strategy and education program should be developed and applied.

Influence of Health Literacy and Self-care Agency on Health Promotion Behavior in Nursing Students