Health literacy among different age groups in Germany: results of a cross-sectional survey.

Health literacy among different age groups in Germany: results of a cross-sectional survey.
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DOI:
10.1186/s12889-016-3810-6
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发表时间:
2016-11-09
期刊:
影响因子:
4.5
通讯作者:
Schaeffer D
Schaeffer D
中科院分区:
医学2区
文献类型:
--
作者:
Berens EM;Vogt D;Messer M;Hurrelmann K;Schaeffer D

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健康素养在公共卫生研究中变得越来越重要。它是参与有关健康和保健以及与健康结果相关的决策的必要先决条件。了解不同年龄组的有限健康素养对于更好地针对不同人群进行公共卫生干预至关重要。然而,人们对德国的健康素养知之甚少。因此,该研究评估了不同年龄组中健康素养有限的普遍情况以及相关因素。德国健康素养调查是一项横断面研究,调查对象为私人家庭中 2,000 名 15 岁或以上的参与者。使用 HLS-EU-Q-47 问卷通过计算机辅助个人访谈评估感知的健康素养。对不同年龄组进行分层描述性分析、卡方检验和比值比。受健康素养有限影响的人口随着年龄的增长而增加。在 15-29 岁的受访者中,47.3% 的受访者感知健康素养有限,30-45 岁的受访者中这一比例为 47.2%,而 46-64 岁的受访者中,55.2% 的受访者和 65 岁及以上的受访者中,66.4% 的受访者感知的健康素养有限。在所有年龄组中,感知健康素养有限与功能性健康素养有限、社会地位低和就诊频率高有关。结果表明,需要进一步调查生命历程各个阶段的健康素养感知。应特别关注社会地位较低、功能性健康素养有限和/或各年龄段就诊次数较多的人。
Health literacy is of increasing importance in public health research. It is a necessary pre-condition for the involvement in decisions about health and health care and related to health outcomes. Knowledge about limited health literacy in different age groups is crucial to better target public health interventions for subgroups of the population. However, little is known about health literacy in Germany. The study therefore assesses the prevalence of limited health literacy and associated factors among different age groups. The Health Literacy Survey Germany is a cross-sectional study with 2,000 participants aged 15 years or older in private households. Perceived health literacy was assessed via computer-assisted personal interviews using the HLS-EU-Q-47 questionnaire. Descriptive analyses, chi-square tests and odds ratios were performed stratified for different age groups. The population affected by limited perceived health literacy increases by age. Of the respondents aged 15–29 years, 47.3 % had limited perceived health literacy and 47.2 % of those aged 30–45 years, whereas 55.2 % of the respondents aged 46–64 years and 66.4 % aged 65 years and older showed limited perceived health literacy. In all age groups, limited perceived health literacy was associated with limited functional health literacy, low social status, and a high frequency of doctor visits. The results suggest a need to further investigate perceived health literacy in all phases of the life-course. Particular attention should be devoted to persons with lower social status, limited functional health literacy and/or a high number of doctor visits in all age groups.
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