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. 2022 Aug 5;80(1):182.
doi: 10.1186/s13690-022-00937-9.

Exploring pandemic-related health literacy among adolescents in Germany: a focus group study

Anne-Kathrin Mareike Loer  1 , Olga Maria Domanska  2 , Christiane Stock  3   4 , Susanne Jordan  2
Affiliations

Exploring pandemic-related health literacy among adolescents in Germany: a focus group study

Anne-Kathrin Mareike Loer et al. Arch Public Health. .

Abstract

Background: Health literacy enables people to cope efficiently with health threats, such as the COVID-19 pandemic. However, little is known about health literacy among adolescents in general and especially in the context of pandemics. This study aimed to explore pandemic-related health literacy among adolescents by addressing cognitive, behavioral, conative, and affective components of the multidimensional health literacy construct.

Methods: Four online focus groups with 24 adolescents aged 13-17 years from four German federal states were conducted during the COVID-19 pandemic in May and June 2021. Data were analyzed using qualitative content analysis.

Results: Regarding the cognitive and behavioral components of pandemic-related health literacy, adolescents reported to use a broad range of traditional and digital media and personal information sources. The adolescents considered pandemic-related information to be good and easy to understand, when the information is presented in a concise and structured manner. The participants stated difficulties in finding, understanding, and evaluating pandemic-related information regarding particular protective measures. The adolescents described themselves to be critical when evaluating pandemic-related information and reported a high level of adherence to protective measures. Regarding the conative and affective components of health literacy, the adolescents explained that their wish to protect their loved ones from getting infected was the predominant motive for adherence to protective measures. They were convinced that people of their age play a role in pandemic containment. The adolescents reported sometimes making exceptions from adhering to protective measures to cope with negative feelings they experienced during the pandemic.

Conclusions: This study provides insights on how measures to improve pandemic-related health literacy among adolescents may be tailored to their needs. Prompt, concise, structured, and comprehensible preparation and communication of pandemic-related information in addition to educational efforts to strengthen health-related cognitive skills and critical health literacy may be supportive to reduce barriers in finding, understanding, and evaluating pandemic-related content.

Keywords: Adolescents; COVID-19; Health literacy; Online focus groups; Pandemic; Qualitative research.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Conceptual framework: Cognitive, behavioral, conative, and affective components of health literacy, adapted from Bröder et al. (2017) [11]
See this image and copyright information in PMC

References

    1. Nobari H, Fashi M, Eskandari A, Villafaina S, Murillo-Garcia A, Perez-Gomez J. Effect of COVID-19 on Health-Related Quality of Life in Adolescents and Children: A Systematic Review. Int J Environ Res Public Health. 2021;18(9):4563. - PMC - PubMed
    1. Ravens-Sieberer U, Kaman A, Erhart M, Otto C, Devine J, Loffler C, Hurrelmann K, Bullinger M, Barkmann C, Siegel NA, et al. Quality of life and mental health in children and adolescents during the first year of the COVID-19 pandemic: results of a two-wave nationwide population-based study. Eur Child Adolesc Psychiatry. 2021;12:1–14. - PMC - PubMed
    1. Manchia M, Gathier AW, Yapici-Eser H, Schmidt MV, de Quervain D, van Amelsvoort T, Bisson JI, Cryan JF, Howes OD, Pinto L, et al. The impact of the prolonged COVID-19 pandemic on stress resilience and mental health: A critical review across waves. Eur Neuropsychopharmacol. 2022;55:22–83. - PMC - PubMed
    1. Mienert M. The concept of development tasks [Das Konzept der Entwicklungsaufgaben] In: Mienert M, editor. Total Diffus: Erwachsenwerden in der jugendlichen Gesellschaft. Wiesbaden: VS Verlag für Sozialwissenschaften; 2008. pp. 31–38.
    1. Pinquart M, Silbereisen RK. Health behavior in childhood and adolescence [Gesundheitsverhalten im Kindes- und Jugendalter] Bundesgesundheitsbl Gesundh Gesundh. 2002;45(11):873–878.

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