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Subjective Generic Health Literacy and Its Associated Factors among Adolescents: Results of a Population-Based Online Survey in Germany

Author

Listed:
  • Anne-Kathrin M. Loer

    (Department of Epidemiology and Health Monitoring, Robert Koch Institute, General-Pape-Str. 62-66, 12101 Berlin, Germany)

  • Olga M. Domanska

    (Department of Epidemiology and Health Monitoring, Robert Koch Institute, General-Pape-Str. 62-66, 12101 Berlin, Germany)

  • Christiane Stock

    (Institute of Health and Nursing Science, Charité—Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Augustenburger Platz 1, 13353 Berlin, Germany)

  • Susanne Jordan

    (Department of Epidemiology and Health Monitoring, Robert Koch Institute, General-Pape-Str. 62-66, 12101 Berlin, Germany)

Abstract

Profound data on adolescent health literacy are needed as a requirement for the development of health literacy promoting interventions. This paper aims to study the level of generic health literacy among adolescents and to explore associations between health literacy and socio-demographic (age, sex, family affluence, migration background), social (social support by family and friends) and personal (self-efficacy) factors. We conducted a representative cross-sectional online survey. Four health literacy dimensions were captured among 14–17 years old adolescents living in Germany ( n = 1235) with the “Measurement of Health Literacy Among Adolescents-Questionnaire” (MOHLAA-Q). Descriptive, bivariate and multiple logistic regression analyses were used to analyse the data ( n = 1202). We found poor health literacy levels—to varying degrees—in all examined health literacy dimensions: dealing with health-related information (8.41% with many difficulties), health-related communication skills (28.13% with low skills), attitudes toward one’s own health and health information (8.81% with passive attitudes) and health-related knowledge (22.73% with low levels). We identified significant associations between poor health literacy levels and all factors studied except for age. Our results indicate a need for the implementation of evidence-based health literacy-related promoting interventions, preferentially in education and training institutions.

Suggested Citation

  • Anne-Kathrin M. Loer & Olga M. Domanska & Christiane Stock & Susanne Jordan, 2020. "Subjective Generic Health Literacy and Its Associated Factors among Adolescents: Results of a Population-Based Online Survey in Germany," IJERPH, MDPI, vol. 17(22), pages 1-23, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:22:p:8682-:d:449490
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    1. Ellen Wartella & Vicky Rideout & Heather Montague & Leanne Beaudoin-Ryan & Alexis Lauricella, 2016. "Teens, Health and Technology: A National Survey," Media and Communication, Cogitatio Press, vol. 4(3), pages 13-23.
    2. Anke Steckelberg & Christian Hülfenhaus & Jürgen Kasper & Ingrid Mühlhauser, 2009. "Ebm@school – a curriculum of critical health literacy for secondary school students: results of a pilot study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(3), pages 158-165, May.
    3. Kellie J. Archer & Stanley Lemeshow, 2006. "Goodness-of-fit test for a logistic regression model fitted using survey sample data," Stata Journal, StataCorp LP, vol. 6(1), pages 97-105, March.
    4. Shuaijun Guo & Xiaoming Yu & Elise Davis & Rebecca Armstrong & Elisha Riggs & Lucio Naccarella, 2020. "Adolescent Health Literacy in Beijing and Melbourne: A Cross-Cultural Comparison," IJERPH, MDPI, vol. 17(4), pages 1-17, February.
    5. Olga Maria Domanska & Torsten Michael Bollweg & Anne-Kathrin Loer & Christine Holmberg & Liane Schenk & Susanne Jordan, 2020. "Development and Psychometric Properties of a Questionnaire Assessing Self-Reported Generic Health Literacy in Adolescence," IJERPH, MDPI, vol. 17(8), pages 1-26, April.
    6. Saulius Sukys & Laima Trinkuniene & Ilona Tilindiene, 2019. "Subjective Health Literacy among School-Aged Children: First Evidence from Lithuania," IJERPH, MDPI, vol. 16(18), pages 1-11, September.
    7. Alexandra Fretian & Torsten Michael Bollweg & Orkan Okan & Paulo Pinheiro & Ullrich Bauer, 2020. "Exploring Associated Factors of Subjective Health Literacy in School-Aged Children," IJERPH, MDPI, vol. 17(5), pages 1-13, March.
    8. Vladimir Hobza & Zdenek Hamrik & Jens Bucksch & Bart De Clercq, 2017. "The Family Affluence Scale as an Indicator for Socioeconomic Status: Validation on Regional Income Differences in the Czech Republic," IJERPH, MDPI, vol. 14(12), pages 1-9, December.
    9. René Rüegg & Thomas Abel, 2019. "The relationship between health literacy and health outcomes among male young adults: exploring confounding effects using decomposition analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(4), pages 535-545, May.
    10. Torbjørn Torsheim & Franco Cavallo & Kate Ann Levin & Christina Schnohr & Joanna Mazur & Birgit Niclasen & Candace Currie, 2016. "Psychometric Validation of the Revised Family Affluence Scale: a Latent Variable Approach," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 9(3), pages 771-784, September.
    11. Anne-Kathrin M. Loer & Olga Maria Domanska & Ronny Kuhnert & Robin Houben & Stefan Albrecht & Susanne Jordan, 2020. "Online Survey for the Assessment of Generic Health Literacy among Adolescents in Germany (GeKoJu): Study Protocol," IJERPH, MDPI, vol. 17(5), pages 1-13, February.
    12. Jane E. K. Hartley & Kate Levin & Candace Currie, 2016. "A new version of the HBSC Family Affluence Scale - FAS III: Scottish Qualitative Findings from the International FAS Development Study," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 9(1), pages 233-245, March.
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    Cited by:

    1. Dorota Kleszczewska & Katarzyna Porwit & Zuzana Boberova & Eric Sigmund & Jana Vasickova & Leena Paakkari, 2021. "Adolescent Health Literacy and Neighbourhood Features: HBSC Findings from Czech Republic, Poland, and Slovakia," IJERPH, MDPI, vol. 18(14), pages 1-15, July.
    2. Neida Neto Vicente Ramos & Inês Fronteira & Maria Rosário Oliveira Martins, 2022. "Building a Health Literacy Indicator from Angola Demographic and Health Survey in 2015/2016," IJERPH, MDPI, vol. 19(5), pages 1-12, March.
    3. Anne-Kathrin M. Loer & Olga M. Domanska & Christiane Stock & Susanne Jordan, 2022. "Correction: Loer et al. Subjective Generic Health Literacy and Its Associated Factors among Adolescents: Results of a Population-Based Online Survey in Germany. Int. J. Environ. Res. Public Health 202," IJERPH, MDPI, vol. 19(3), pages 1-3, February.
    4. Sandra Kirchhoff & Kevin Dadaczynski & Jürgen M. Pelikan & Inge Zelinka-Roitner & Christina Dietscher & Uwe H. Bittlingmayer & Orkan Okan, 2022. "Organizational Health Literacy in Schools: Concept Development for Health-Literate Schools," IJERPH, MDPI, vol. 19(14), pages 1-12, July.

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