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Sendatzki S, Helmchen RM, Moor I, Sudeck G, Dadaczynski K, Rathmann K. Health literacy of students in Germany - Results of the HBSC study 2022. J Health Monit 2024; 9:23-41. [PMID: 38559687 PMCID: PMC10977471 DOI: 10.25646/11870] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Figures] [Subscribe] [Scholar Register] [Received: 09/19/2023] [Accepted: 11/28/2023] [Indexed: 04/04/2024]
Abstract
Background Health literacy (HL) encompasses knowledge and skills for dealing critically and confidently with health information in individual and social contexts. Current studies show that a high proportion of children and adolescents have limited health literacy, depending on aspects of their social background. Health literacy is considered an important factor influencing health. Little is known about the development of health literacy over time and its connection with psychosomatic complaints in young people. Methods Based on the results of the Health Behaviour in School-aged Children (HBSC) study, this article focusses on the level of HL in 11-, 13-, and 15-year-old students (N = 6,475) over time and taking social differences into account. Finally, the relationship between HL and psychosomatic complaints is analysed. Univariate, bivariate, and multivariate analyses were carried out for this purpose. Results At 24.4 %, slightly more students have low HL in 2022 than in 2017/18 (21.4 %). There are differences in HL according to gender, age, type of school, and family affluence. Low HL is associated with a high psychosomatic burden. Conclusions The results highlight the need for target group-specific measures to promote young people's HL, which address individual and organisational aspects of HL.
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Affiliation(s)
- Saskia Sendatzki
- Fulda University of Applied Sciences, Department of Health Sciences
- Fulda University of Applied Sciences, Fulda Public Health Centre
| | - Ronja Maren Helmchen
- Fulda University of Applied Sciences, Department of Health Sciences
- Fulda University of Applied Sciences, Fulda Public Health Centre
| | - Irene Moor
- Martin Luther University Halle-Wittenberg, Halle (Saale), Medical Faculty, Interdisciplinary Centre for Health Sciences, (PZG), Institute of Medical Sociology
| | - Gorden Sudeck
- Eberhard Karls University of Tübingen, Institute of Sports Science
- Eberhard Karls University of Tübingen, Interfaculty Research Institute for Sport and Physical Activity
| | - Kevin Dadaczynski
- Fulda University of Applied Sciences, Department of Health Sciences
- Fulda University of Applied Sciences, Fulda Public Health Centre
- Leuphana University Lüneburg Center for Applied Health Sciences
| | - Katharina Rathmann
- Fulda University of Applied Sciences, Department of Health Sciences
- Fulda University of Applied Sciences, Fulda Public Health Centre
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Gong Z, Haig SL, Pope JE, Rohekar S, Rohekar G, LeRiche NGH, Thompson AE. Health Literacy Rates in a Population of Patients with Rheumatoid Arthritis in Southwestern Ontario. J Rheumatol 2015; 42:1610-5. [PMID: 26233510 DOI: 10.3899/jrheum.141509] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/06/2015] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To determine the rate of low health literacy in the rheumatoid arthritis (RA) population in southwestern Ontario. METHODS For the study, 432 patients with RA were contacted, and 311 completed the assessment. The health literacy levels of the participants were estimated using 4 assessment tools administered in the following order: the Single Item Literacy Screener (SILS), the Medical Term Recognition Test (METER), the Rapid Estimate of Adult Literacy in Medicine (REALM), and the Shortened Test of Functional Health Literacy in Adults (STOFHLA). RESULTS The rates of low literacy as estimated by STOFHLA, REALM, METER, and SILS were 14.5%, 14.8%, 14.1%, and 18.6%, respectively. All 4 assessment tools were statistically significantly correlated. STOFHLA, REALM, and METER were strongly correlated with each other (r = 0.59-0.79), while SILS only demonstrated moderate correlations with the other assessment tools (r = 0.33-0.45). Multiple linear regression and binary logistic regression analyses revealed that low levels of education and a lack of daily reading activity were common predictors of low health literacy. Using a non-English primary language at home was found to be a strong predictor of low health literacy in STOFHLA, REALM, and METER. Male sex was found to be a significant predictor of poor performance in REALM and METER, but not STOFHLA. CONCLUSION Low health literacy is an important issue in the southwestern Ontario RA population. About 1 in 7 patients with RA may not have the necessary skills to become involved in making decisions regarding their personal health. Rheumatologists should be aware of the low health literacy levels of patients with RA and should consider identifying patients at risk of low health literacy.
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Affiliation(s)
- Zhaowei Gong
- From the Department of Medicine, Division of Rheumatology, Western University, and the Rheumatology Centre, St. Joseph's Health Care, London, Ontario, Canada.Z. Gong, MD, Medical Student; S.L. Haig, MD, Adjunct Professor of Medicine; J.E. Pope, MD, Professor of Medicine; S. Rohekar, MD, Associate Professor of Medicine; G. Rohekar, MD, Assistant Professor of Medicine; N.G. LeRiche, MD, Associate Professor of Medicine; A.E. Thompson, MD, MHPE, FRCPC, Associate Professor of Medicine, Western University, Rheumatology Centre, St. Joseph's Health Care
| | - Sara L Haig
- From the Department of Medicine, Division of Rheumatology, Western University, and the Rheumatology Centre, St. Joseph's Health Care, London, Ontario, Canada.Z. Gong, MD, Medical Student; S.L. Haig, MD, Adjunct Professor of Medicine; J.E. Pope, MD, Professor of Medicine; S. Rohekar, MD, Associate Professor of Medicine; G. Rohekar, MD, Assistant Professor of Medicine; N.G. LeRiche, MD, Associate Professor of Medicine; A.E. Thompson, MD, MHPE, FRCPC, Associate Professor of Medicine, Western University, Rheumatology Centre, St. Joseph's Health Care
| | - Janet E Pope
- From the Department of Medicine, Division of Rheumatology, Western University, and the Rheumatology Centre, St. Joseph's Health Care, London, Ontario, Canada.Z. Gong, MD, Medical Student; S.L. Haig, MD, Adjunct Professor of Medicine; J.E. Pope, MD, Professor of Medicine; S. Rohekar, MD, Associate Professor of Medicine; G. Rohekar, MD, Assistant Professor of Medicine; N.G. LeRiche, MD, Associate Professor of Medicine; A.E. Thompson, MD, MHPE, FRCPC, Associate Professor of Medicine, Western University, Rheumatology Centre, St. Joseph's Health Care
| | - Sherry Rohekar
- From the Department of Medicine, Division of Rheumatology, Western University, and the Rheumatology Centre, St. Joseph's Health Care, London, Ontario, Canada.Z. Gong, MD, Medical Student; S.L. Haig, MD, Adjunct Professor of Medicine; J.E. Pope, MD, Professor of Medicine; S. Rohekar, MD, Associate Professor of Medicine; G. Rohekar, MD, Assistant Professor of Medicine; N.G. LeRiche, MD, Associate Professor of Medicine; A.E. Thompson, MD, MHPE, FRCPC, Associate Professor of Medicine, Western University, Rheumatology Centre, St. Joseph's Health Care
| | - Gina Rohekar
- From the Department of Medicine, Division of Rheumatology, Western University, and the Rheumatology Centre, St. Joseph's Health Care, London, Ontario, Canada.Z. Gong, MD, Medical Student; S.L. Haig, MD, Adjunct Professor of Medicine; J.E. Pope, MD, Professor of Medicine; S. Rohekar, MD, Associate Professor of Medicine; G. Rohekar, MD, Assistant Professor of Medicine; N.G. LeRiche, MD, Associate Professor of Medicine; A.E. Thompson, MD, MHPE, FRCPC, Associate Professor of Medicine, Western University, Rheumatology Centre, St. Joseph's Health Care
| | - Nicole G H LeRiche
- From the Department of Medicine, Division of Rheumatology, Western University, and the Rheumatology Centre, St. Joseph's Health Care, London, Ontario, Canada.Z. Gong, MD, Medical Student; S.L. Haig, MD, Adjunct Professor of Medicine; J.E. Pope, MD, Professor of Medicine; S. Rohekar, MD, Associate Professor of Medicine; G. Rohekar, MD, Assistant Professor of Medicine; N.G. LeRiche, MD, Associate Professor of Medicine; A.E. Thompson, MD, MHPE, FRCPC, Associate Professor of Medicine, Western University, Rheumatology Centre, St. Joseph's Health Care
| | - Andrew E Thompson
- From the Department of Medicine, Division of Rheumatology, Western University, and the Rheumatology Centre, St. Joseph's Health Care, London, Ontario, Canada.Z. Gong, MD, Medical Student; S.L. Haig, MD, Adjunct Professor of Medicine; J.E. Pope, MD, Professor of Medicine; S. Rohekar, MD, Associate Professor of Medicine; G. Rohekar, MD, Assistant Professor of Medicine; N.G. LeRiche, MD, Associate Professor of Medicine; A.E. Thompson, MD, MHPE, FRCPC, Associate Professor of Medicine, Western University, Rheumatology Centre, St. Joseph's Health Care.
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Barton JL, Trupin L, Tonner C, Imboden J, Katz P, Schillinger D, Yelin E. English language proficiency, health literacy, and trust in physician are associated with shared decision making in rheumatoid arthritis. J Rheumatol 2015; 41:1290-7. [PMID: 24931952 DOI: 10.3899/jrheum.131350] [Citation(s) in RCA: 80] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
OBJECTIVE Treat-to-target guidelines promote shared decision making (SDM) in rheumatoid arthritis (RA). Also, because of high cost and potential toxicity of therapies, SDM is central to patient safety. Our objective was to examine patterns of perceived communication around decision making in 2 cohorts of adults with RA. METHODS Data were derived from patients enrolled in 1 of 2 longitudinal, observational cohorts [University of California, San Francisco (UCSF) RA Cohort and RA Panel Cohort]. Subjects completed a telephone interview in their preferred language that included a measure of patient-provider communication, including items about decision making. Measures of trust in physician, education, and language proficiency were also asked. Logistic regression was performed to identify correlates of suboptimal SDM communication. Analyses were performed on each sample separately. RESULTS Of 509 patients across 2 cohorts, 30% and 32% reported suboptimal SDM communication. Low trust in physician was independently associated with suboptimal SDM communication in both cohorts. Older age and limited English proficiency were independently associated with suboptimal SDM in the UCSF RA Cohort, as was limited health literacy in the RA Panel Cohort. CONCLUSION This study of over 500 adults with RA from 2 demographically distinct cohorts found that nearly one-third of subjects report suboptimal SDM communication with their clinicians, regardless of cohort. Lower trust in physician was independently associated with suboptimal SDM communication in both cohorts, as was limited English language proficiency and older age in the UCSF RA Cohort and limited health literacy in the RA Panel Cohort. These findings underscore the need to examine the influence of SDM on health outcomes in RA.
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Affiliation(s)
- Jennifer L Barton
- From the University of California, San Francisco (UCSF) and UCSF Center for Vulnerable Populations, San Francisco General Hospital, San Francisco, California, USA.J.L. Barton, MD; L. Trupin, MPH; C. Tonner, MPH; J. Imboden, MD; P. Katz, PhD, University of California, San Francisco; D. Schillinger, MD, University of California, San Francisco and UCSF Center for Vulnerable Populations, San Francisco General Hospital; E.H. Yelin, PhD, University of California, San Francisco
| | - Laura Trupin
- From the University of California, San Francisco (UCSF) and UCSF Center for Vulnerable Populations, San Francisco General Hospital, San Francisco, California, USA.J.L. Barton, MD; L. Trupin, MPH; C. Tonner, MPH; J. Imboden, MD; P. Katz, PhD, University of California, San Francisco; D. Schillinger, MD, University of California, San Francisco and UCSF Center for Vulnerable Populations, San Francisco General Hospital; E.H. Yelin, PhD, University of California, San Francisco
| | - Chris Tonner
- From the University of California, San Francisco (UCSF) and UCSF Center for Vulnerable Populations, San Francisco General Hospital, San Francisco, California, USA.J.L. Barton, MD; L. Trupin, MPH; C. Tonner, MPH; J. Imboden, MD; P. Katz, PhD, University of California, San Francisco; D. Schillinger, MD, University of California, San Francisco and UCSF Center for Vulnerable Populations, San Francisco General Hospital; E.H. Yelin, PhD, University of California, San Francisco
| | - John Imboden
- From the University of California, San Francisco (UCSF) and UCSF Center for Vulnerable Populations, San Francisco General Hospital, San Francisco, California, USA.J.L. Barton, MD; L. Trupin, MPH; C. Tonner, MPH; J. Imboden, MD; P. Katz, PhD, University of California, San Francisco; D. Schillinger, MD, University of California, San Francisco and UCSF Center for Vulnerable Populations, San Francisco General Hospital; E.H. Yelin, PhD, University of California, San Francisco
| | - Patricia Katz
- From the University of California, San Francisco (UCSF) and UCSF Center for Vulnerable Populations, San Francisco General Hospital, San Francisco, California, USA.J.L. Barton, MD; L. Trupin, MPH; C. Tonner, MPH; J. Imboden, MD; P. Katz, PhD, University of California, San Francisco; D. Schillinger, MD, University of California, San Francisco and UCSF Center for Vulnerable Populations, San Francisco General Hospital; E.H. Yelin, PhD, University of California, San Francisco
| | - Dean Schillinger
- From the University of California, San Francisco (UCSF) and UCSF Center for Vulnerable Populations, San Francisco General Hospital, San Francisco, California, USA.J.L. Barton, MD; L. Trupin, MPH; C. Tonner, MPH; J. Imboden, MD; P. Katz, PhD, University of California, San Francisco; D. Schillinger, MD, University of California, San Francisco and UCSF Center for Vulnerable Populations, San Francisco General Hospital; E.H. Yelin, PhD, University of California, San Francisco
| | - Edward Yelin
- From the University of California, San Francisco (UCSF) and UCSF Center for Vulnerable Populations, San Francisco General Hospital, San Francisco, California, USA.J.L. Barton, MD; L. Trupin, MPH; C. Tonner, MPH; J. Imboden, MD; P. Katz, PhD, University of California, San Francisco; D. Schillinger, MD, University of California, San Francisco and UCSF Center for Vulnerable Populations, San Francisco General Hospital; E.H. Yelin, PhD, University of California, San Francisco
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