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. 2020 Nov 23;17(22):8682.
doi: 10.3390/ijerph17228682.

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

Anne-Kathrin M Loer  1 , Olga M Domanska  1 , Christiane Stock  2 , Susanne Jordan  1
Affiliations

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

Anne-Kathrin M Loer et al. Int J Environ Res Public Health. .

Erratum in

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.

Keywords: MOHLAA-Questionnaire; adolescents; health literacy; population-based survey; subjective measurement.

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Conflict of interest statement

The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

References

    1. World Health Organization Regional Office for Europe (WHO Europe) Health Literacy. The Solid Facts. [(accessed on 17 May 2020)]. Available online: https://apps.who.int/iris/bitstream/handle/10665/128703/e96854.pdf.
    1. Bailey-McHale R., Whaley V., Bailey-McHale J. Social determinants of health. In: Leal Filho W., Wall T., Azul A.M., Brandli L., Özuyar P.G., editors. Good Health and Well-Being. Springer; Cham, Switzerland: 2020. pp. 647–657.
    1. Sørensen K., Van den Broucke S., Fullam J., Doyle G., Pelikan J., Slonska Z., Brand H. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health. 2012;12:1–13. doi: 10.1186/1471-2458-12-80. - DOI - PMC - PubMed
    1. Nutbeam D. Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promot. Int. 2000;15:259–267. doi: 10.1093/heapro/15.3.259. - DOI
    1. O Neill B., Gonçalves D., Ricci-Cabello I., Ziebland S., Valderas J. An overview of self-administered health literacy instruments. PLoS ONE. 2014;9:e109110. doi: 10.1371/journal.pone.0109110. - DOI - PMC - PubMed

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