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Buchmann M, Jordan S, Loer AKM, Finger JD, Domanska OM. Motivational readiness for physical activity and health literacy: results of a cross-sectional survey of the adult population in Germany. BMC Public Health 2023; 23:331. [PMID: 36788515 PMCID: PMC9930360 DOI: 10.1186/s12889-023-15219-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Accepted: 02/06/2023] [Indexed: 02/16/2023] Open
Abstract
BACKGROUND Health literacy, defined as the knowledge, motivation, and competences to use health information to improve health and well-being, is associated with regular physical activity. However, there is limited evidence on whether health literacy is also related to the motivational readiness for physical activity in a general population. The aim of this study was to investigate whether motivational readiness for leisure-time physical activity is associated with health literacy. METHODS Analyses were based on data of 21,895 adults from the cross-sectional German Health Update and European Health Interview Survey 2014/2015 (GEDA 2014/2015-EHIS). Motivational readiness for leisure-time physical activity was assessed with stages of change for physical activity with a set of validated items. It was then classified, according to an established algorithm, into five stages: precontemplation, contemplation, preparation, action, and maintenance. Health literacy was measured with the short form of the European Health Literacy Survey Questionnaire (HLS-EU-Q16) and categorised as low, medium, and high. For bivariate and multinomial logistic regression analyses, the stages were categorised in three phases as: (1) no intention (precontemplation), (2) planning (contemplation or preparation), and (3) in activity (action or maintenance). The models were adjusted for sex, age, education, health consciousness, self-efficacy, and self-perceived general health status. RESULTS High compared to low health literacy was associated with a 1.65-times (95% CI = 1.39-1.96) greater probability of being in activity than planning. High compared to low health literacy was associated with a reduced risk of having no intention to change physical activity behaviour (relative risk ratio, RRR = 0.84, 95% CI = 0.75-0.95). The associations persisted after adjusting for covariates. CONCLUSION High health literacy was positively associated with more advanced phases of motivational readiness for leisure-time physical activity. Therefore, taking health literacy into account in interventions to promote motivational readiness for leisure-time physical activity could be a useful approach.
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Affiliation(s)
- Maike Buchmann
- Department of Epidemiology and Health Monitoring, Robert Koch Institute, Nordufer 20, 13353, Berlin, Germany.
| | - Susanne Jordan
- grid.13652.330000 0001 0940 3744Department of Epidemiology and Health Monitoring, Robert Koch Institute, Nordufer 20, 13353 Berlin, Germany
| | - Anne-Kathrin Mareike Loer
- grid.13652.330000 0001 0940 3744Department of Epidemiology and Health Monitoring, Robert Koch Institute, Nordufer 20, 13353 Berlin, Germany
| | - Jonas David Finger
- Senate Department for Higher Education and Research, Long-Term Care and Gender Equality, Department of Health, Oranienstraße 106, 10969 Berlin, Germany
| | - Olga Maria Domanska
- grid.13652.330000 0001 0940 3744Department of Epidemiology and Health Monitoring, Robert Koch Institute, Nordufer 20, 13353 Berlin, Germany
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Wurm J, Lehfeld AS, Varnaccia G, Iwanowski H, Finkel B, Schienkiewitz A, Perlitz H, Loer AKM, Wess B, Franke A, Hüther A, Kuttig T, Sandoni A, Kubisch U, Jordan S, Haas W, Buchholz U, Loss J. Symptomatik einer akuten SARS-CoV-2-Infektion bei Kindern im Kita-Alter. Monatsschr Kinderheilkd 2022; 170:1113-1121. [PMCID: PMC9645339 DOI: 10.1007/s00112-022-01640-3] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/08/2022] [Indexed: 11/11/2022]
Abstract
Hintergrund Die Symptomatik einer pädiatrischen SARS-CoV-2-Infektion ist sehr variabel. Es gibt nur wenige Studien zu nichthospitalisierten Kindern bzw. Kindern im Kita-Alter. Ziel der Arbeit Die Arbeit soll die Häufigkeit verschiedener COVID-19-Symptome bei ein- bis 6‑jährigen Kindern beschreiben. Sie führt dazu Daten aus 2 Modulen der Corona-KiTa-Studie zusammen: 1) das Modul „COALA“ – Corona: Anlassbezogene Untersuchungen in Kitas und 2) das Modul „CATS“ – Corona KiTa Surveillance (Meldedaten). Material und Methoden In COALA wurden die Infektionsgeschehen in 30 Kitas, in denen ein SARS-CoV-2-Fall gemeldet wurde, untersucht (Oktober 2020 bis Juni 2021). Kita-Kinder wurden prospektiv über 12 Tage beobachtet (SARS-CoV-2-Tests, Symptomtagebuch). Die Ergebnisse wurden mit den Symptomangaben der deutschlandweit gemeldeten SARS-CoV-2-Fälle (Meldedaten) verglichen. Ergebnisse Aus den teilnehmenden Kitas liegen für 289 Kinder Angaben vor. Von 39 Kindern mit SARS-CoV‑2 (Wildtyp, α‑Variante) hatten 64 % mindestens ein Symptom, von den nicht mit SARS-CoV‑2 infizierten Kindern 40 %. In beiden Gruppen war Schnupfen das häufigste Symptom (36 % vs. 25 %, n. s.). Aus den Meldedaten liegen für 84.371 Kinder klinische Informationen vor, Fieber war am häufigsten (27 %), neben Schnupfen (26 %). Schwere Beschwerden wie z. B. Atemnot wurden in den Ausbruchsuntersuchungen und in den Meldedaten nur selten angegeben (3 % bzw. 1 %). Schlussfolgerung Kinder im Kita-Alter haben meist milde bzw. asymptomatische Verläufe einer SARS-CoV-2-Infektion. Ihre Symptome ähneln denjenigen von nicht mit SARS-CoV‑2 infizierten Kindern aus denselben Kitas. Es erscheint sinnvoll, Erkenntnisse aus den Meldedaten durch Ausbruchsuntersuchungen zu ergänzen, um methodische Limitationen der einzelnen Vorgehensweisen auszugleichen. Zusatzmaterial online Die Online-Version dieses Beitrags (10.1007/s00112-022-01640-3) enthält eine weitere Tabelle, die Symptome bei symptomatischen SARS-CoV-2-Fällen von Kindern im Alter von einem bis 6 Jahren in der COALA-Stichprobe und in den Meldedaten gegenüberstellt.
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Affiliation(s)
- Juliane Wurm
- Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Straße 62–66, 12101 Berlin, Deutschland
| | - Ann-Sophie Lehfeld
- Abteilung für Infektionsepidemiologie, Robert Koch-Institut, Berlin, Deutschland
| | - Gianni Varnaccia
- Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Straße 62–66, 12101 Berlin, Deutschland
| | - Helena Iwanowski
- Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Straße 62–66, 12101 Berlin, Deutschland
| | - Bianca Finkel
- Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Straße 62–66, 12101 Berlin, Deutschland
| | - Anja Schienkiewitz
- Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Straße 62–66, 12101 Berlin, Deutschland
| | - Hanna Perlitz
- Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Straße 62–66, 12101 Berlin, Deutschland
| | - Anne-Kathrin Mareike Loer
- Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Straße 62–66, 12101 Berlin, Deutschland
| | - Barbara Wess
- Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Straße 62–66, 12101 Berlin, Deutschland
| | - Andrea Franke
- Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Straße 62–66, 12101 Berlin, Deutschland
| | - Antje Hüther
- Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Straße 62–66, 12101 Berlin, Deutschland
| | - Tim Kuttig
- Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Straße 62–66, 12101 Berlin, Deutschland
| | - Anna Sandoni
- Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Straße 62–66, 12101 Berlin, Deutschland
| | - Ulrike Kubisch
- Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Straße 62–66, 12101 Berlin, Deutschland
| | - Susanne Jordan
- Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Straße 62–66, 12101 Berlin, Deutschland
| | - Walter Haas
- Abteilung für Infektionsepidemiologie, Robert Koch-Institut, Berlin, Deutschland
| | - Udo Buchholz
- Abteilung für Infektionsepidemiologie, Robert Koch-Institut, Berlin, Deutschland
| | - Julika Loss
- Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Straße 62–66, 12101 Berlin, Deutschland
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Loer AKM, Domanska OM, Stock C, Jordan S. Exploring pandemic-related health literacy among adolescents in Germany: a focus group study. Arch Public Health 2022; 80:182. [PMID: 35932058 PMCID: PMC9354333 DOI: 10.1186/s13690-022-00937-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Accepted: 07/13/2022] [Indexed: 11/17/2022] Open
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. Supplementary Information The online version contains supplementary material available at 10.1186/s13690-022-00937-9.
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