Coronavirus-Related Health Literacy: A Cross-Sectional Study in Adults during the COVID-19 Infodemic in Germany
Coronavirus-Related Health Literacy: A Cross-Sectional Study in Adults during the COVID-19 Infodemic in Germany
复制标题
DOI：
10.3390/ijerph17155503
复制
发表时间：
2020-08-01
影响因子：
--
通讯作者：
Schaeffer, Doris
中科院分区：
文献类型：
--
作者：
Okan, Orkan;Bollweg, Torsten Michael;Schaeffer, Doris
与COVID-19大流行相关的是一种“信息流行病”--有效和无效信息过多。健康素养是获取、理解、评估和应用健康信息的能力，这对于驾驭冠状病毒和COVID-19信息环境至关重要。使用在线调查对德国年龄≥ 16岁的参与者进行了一项横断面代表性研究。制定了一项与冠状病毒相关的健康素养措施（HLS-COVID-Q22）。内部一致性非常高（α = 0.940; rho = 0.891），结构效度表明模型拟合充分，使HLS-COVID-Q22成为在人口调查中评估冠状病毒相关健康素养的可行工具。虽然我们的样本中有49.9%的人具有足够的冠状病毒相关健康知识水平，但50.1%的人具有“问题”（15.2%）或“不足”（34.9%）水平。尽管健康素养的总体水平很高，但大量参与者报告说，在处理冠状病毒和COVID-19信息方面存在困难。参与者对冠状病毒的信息很了解，但47.8%的人表示难以判断他们是否可以相信媒体关于COVID-19的信息。在健康素养较低的人群中，对冠状病毒信息的困惑明显更高。这就要求开展有针对性的公共宣传运动，促进基于人口的卫生知识普及，以便在信息流行期间更好地掌握信息环境，查明虚假信息，并根据可靠和可信的信息作出决策。
There is an "infodemic" associated with the COVID-19 pandemic-an overabundance of valid and invalid information. Health literacy is the ability to access, understand, appraise, and apply health information, making it crucial for navigating coronavirus and COVID-19 information environments. A cross-sectional representative study of participants >= 16 years in Germany was conducted using an online survey. A coronavirus-related health literacy measure was developed (HLS-COVID-Q22). Internal consistency was very high (alpha = 0.940; rho = 0.891) and construct validity suggests a sufficient model fit, making HLS-COVID-Q22 a feasible tool for assessing coronavirus-related health literacy in population surveys. While 49.9% of our sample had sufficient levels of coronavirus-related health literacy, 50.1% had "problematic" (15.2%) or "inadequate" (34.9%) levels. Although the overall level of health literacy is high, a vast number of participants report difficulties dealing with coronavirus and COVID-19 information. The participants felt well informed about coronavirus, but 47.8% reported having difficulties judging whether they could trust media information on COVID-19. Confusion about coronavirus information was significantly higher among those who had lower health literacy. This calls for targeted public information campaigns and promotion of population-based health literacy for better navigation of information environments during the infodemic, identification of disinformation, and decision-making based on reliable and trustworthy information.