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Published in: Journal of Public Health 3/2024

Open Access 21-01-2023 | SARS-CoV-2 | Original Article

Disparities in COVID-19 related health literacy, knowledge, and the assessment of the measures taken in Germany: a cross-sectional study

Authors: Lisa Schmidt, Nina-Alexandra Götz, Niels Hannemann, Birgit Babitsch

Published in: Journal of Public Health | Issue 3/2024

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Abstract

Aim

Health literacy is necessary to access, understand, assess, and apply information on COVID-19. Studies have shown that health literacy is unequally distributed across social groups. This study aimed to analyze the differences in COVID-19-related health literacy (hereinafter referred to as “COV-19-HL”), knowledge about COVID-19, and the assessment of the measures taken regarding the sociodemographic characteristics as well as the influence of COV-19-HL on knowledge and assessments.

Subject and methods

The study used the data obtained from the cross-sectional online survey “Digital divide in relation to health literacy during the COVID-19 pandemic.” The data covers 1570 participants aged ≥18 years in Germany between April 29, 2020 and May 8, 2020. To analyze the differences by way of sociodemographic variables, t-tests and analyses of variance were carried out. Multivariate logistic regression models were used to determine the effect of COV-19-HL on knowledge and the assessment of measures.

Results

The overall COV-19-HL was high with an average value of 37.4 (with 50 representing the highest COV-19-HL). COV-19-HL and knowledge about COVID-19 were slightly lower in men, migrants, people with low subjective social status, and with low education. Government requirements and recommendations were rated as more effective by women, older people, and individuals with a chronic illness. The chance of better knowledge about COVID-19 and rating measures as effective increased with higher COV-19-HL.

Conclusion

The findings of this study show that COV-19-HL and knowledge about the virus are unequally distributed in Germany. Health communication should strengthen pandemic-related health literacy that is tailored to specific target groups.
Literature
go back to reference Hoebel J, Kuntz B, Müters S, Lampert T (2013) Subjektiver Sozialstatus und gesundheitsbezogene Lebensqualität bei Erwachsenen in Deutschland. Ergebnisse der Allgemeinen Bevölkerungsumfrage der Sozialwissenschaften (ALLBUS 2010). Gesundheitswesen (Bundesverband der Ärzte des Öffentlichen Gesundheitsdienstes (Germany)) 75(10):643–651. https://doi.org/10.1055/s-0032-1333211CrossRef Hoebel J, Kuntz B, Müters S, Lampert T (2013) Subjektiver Sozialstatus und gesundheitsbezogene Lebensqualität bei Erwachsenen in Deutschland. Ergebnisse der Allgemeinen Bevölkerungsumfrage der Sozialwissenschaften (ALLBUS 2010). Gesundheitswesen (Bundesverband der Ärzte des Öffentlichen Gesundheitsdienstes (Germany)) 75(10):643–651. https://​doi.​org/​10.​1055/​s-0032-1333211CrossRef
go back to reference Lechert Y, Schroedter JH, Lüttinger P (2006) Die Umsetzung der Bildungsklassifikation CASMIN für die Volkszählung 1970, die Mikrozensus-Zusatzerhebung 1971 und die Mikrozensen 1976-2004. ZUMA-Methodenbericht Bd. 2006/12, Mannheim Lechert Y, Schroedter JH, Lüttinger P (2006) Die Umsetzung der Bildungsklassifikation CASMIN für die Volkszählung 1970, die Mikrozensus-Zusatzerhebung 1971 und die Mikrozensen 1976-2004. ZUMA-Methodenbericht Bd. 2006/12, Mannheim
go back to reference McCaffery KJ, Dodd RH, Cvejic E, Ayrek J, Batcup C, Isautier JM, Copp T, Bonner C, Pickles K, Nickel B, Dakin T, Cornell S, Wolf MS (2020) Health literacy and disparities in COVID-19-related knowledge, attitudes, beliefs and behaviours in Australia. Public Health Res Pract 30(4). https://doi.org/10.17061/phrp30342012 McCaffery KJ, Dodd RH, Cvejic E, Ayrek J, Batcup C, Isautier JM, Copp T, Bonner C, Pickles K, Nickel B, Dakin T, Cornell S, Wolf MS (2020) Health literacy and disparities in COVID-19-related knowledge, attitudes, beliefs and behaviours in Australia. Public Health Res Pract 30(4). https://​doi.​org/​10.​17061/​phrp30342012
go back to reference Nguyen TT, Le NT, Nguyen MH, Pham LV, Do BN, Nguyen HC, Nguyen HC, Ha TH, Dao HK, Nguyen PB, Trinh MV, Do TV, Nguyen HQ, Nguyen TTP, Nguyen NPT, Tran CQ, Tran KV, Duong TT, Pham TTM, van Duong T (2020) Health literacy and preventive behaviors modify the association between pre-existing health conditions and suspected COVID-19 symptoms: a multi-institutional survey. Int J Environ Res Public Health 17(22). https://doi.org/10.3390/ijerph17228598 Nguyen TT, Le NT, Nguyen MH, Pham LV, Do BN, Nguyen HC, Nguyen HC, Ha TH, Dao HK, Nguyen PB, Trinh MV, Do TV, Nguyen HQ, Nguyen TTP, Nguyen NPT, Tran CQ, Tran KV, Duong TT, Pham TTM, van Duong T (2020) Health literacy and preventive behaviors modify the association between pre-existing health conditions and suspected COVID-19 symptoms: a multi-institutional survey. Int J Environ Res Public Health 17(22). https://​doi.​org/​10.​3390/​ijerph17228598
go back to reference Okan O, Bollweg TM, Berens E-M, Hurrelmann K, Bauer U, Schaeffer D (2020a) Coronavirus-related health literacy: a cross-sectional study in adults during the COVID-19 infodemic in Germany. Int J Environ Res Public Health 17(15). https://doi.org/10.3390/ijerph17155503 Okan O, Bollweg TM, Berens E-M, Hurrelmann K, Bauer U, Schaeffer D (2020a) Coronavirus-related health literacy: a cross-sectional study in adults during the COVID-19 infodemic in Germany. Int J Environ Res Public Health 17(15). https://​doi.​org/​10.​3390/​ijerph17155503
go back to reference Patil U, Kostareva U, Hadley M, Manganello JA, Okan O, Dadaczynski K, Massey PM, Agner J, Sentell T (2021) Health literacy, digital health literacy, and COVID-19 pandemic attitudes and behaviors in U.S. college students: implications for interventions. Int J Environ Res Public Health 18(6). https://doi.org/10.3390/ijerph18063301 Patil U, Kostareva U, Hadley M, Manganello JA, Okan O, Dadaczynski K, Massey PM, Agner J, Sentell T (2021) Health literacy, digital health literacy, and COVID-19 pandemic attitudes and behaviors in U.S. college students: implications for interventions. Int J Environ Res Public Health 18(6). https://​doi.​org/​10.​3390/​ijerph18063301
go back to reference Robert Koch-Institut (2014) Beiträge zur Gesundheitsberichterstattung des Bundes - Daten und Fakten: Ergebnisse der Studie "Gesundheit in Deutschland aktuell 2012". Gesundheitsberichterstattung für Deutschland. Robert Koch-Institut, Berlin Robert Koch-Institut (2014) Beiträge zur Gesundheitsberichterstattung des Bundes - Daten und Fakten: Ergebnisse der Studie "Gesundheit in Deutschland aktuell 2012". Gesundheitsberichterstattung für Deutschland. Robert Koch-Institut, Berlin
go back to reference Robert Koch-Institut (2020a) Erfassung der SARS-CoV-2-Testzahlen in Deutschland (Update vom 7.5.2020) Epidemiologisches Bulletin 2020(19):21. 10.25646/6863 Robert Koch-Institut (2020a) Erfassung der SARS-CoV-2-Testzahlen in Deutschland (Update vom 7.5.2020) Epidemiologisches Bulletin 2020(19):21. 10.25646/6863
go back to reference Schaeffer D, Berens E-M, Gille S, Griese L, Klinger J, Sombre S, de Vogt D, Hurrelmann K (2021) Gesundheitskompetenz der Bevölkerung in Deutschland vor und während der Corona Pandemie: Ergebnisse des HLS-GER 2. Universität Bielefeld, Interdisziplinäres Zentrum für Gesundheitskompetenzforschung (IZKG). https://doi.org/10.4119/unibi/2950305 Schaeffer D, Berens E-M, Gille S, Griese L, Klinger J, Sombre S, de Vogt D, Hurrelmann K (2021) Gesundheitskompetenz der Bevölkerung in Deutschland vor und während der Corona Pandemie: Ergebnisse des HLS-GER 2. Universität Bielefeld, Interdisziplinäres Zentrum für Gesundheitskompetenzforschung (IZKG). https://​doi.​org/​10.​4119/​unibi/​2950305
Metadata
Title
Disparities in COVID-19 related health literacy, knowledge, and the assessment of the measures taken in Germany: a cross-sectional study
Authors
Lisa Schmidt
Nina-Alexandra Götz
Niels Hannemann
Birgit Babitsch
Publication date
21-01-2023
Publisher
Springer Berlin Heidelberg
Published in
Journal of Public Health / Issue 3/2024
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-023-01827-2

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