Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz最新文献

{"title":"[Designing participation-promoting digital health literacy : Experiences from developing a course programme for people with chronic diseases].","authors":"Gabriele Seidel, Anabel Bornemann, Antje Meyer, Jürgen Kretschmer, Jens Krug, Marie-Luise Dierks","doi":"10.1007/s00103-025-04015-7","DOIUrl":"10.1007/s00103-025-04015-7","url":null,"abstract":"<p><strong>Background: </strong>Patient organisations are increasingly calling for a participatory approach to health research. In the \"KundiG - Klug und digital durch das Gesundheitswesen\" project, the perspective of chronically ill people was included in the development of a training programme for digital health literacy (dGK). The aim of this work is to show the personal effort involved in the participatory development of a training programme and the prerequisites for this.</p><p><strong>Methods: </strong>During the project period (April 2021 to March 2023), a basic concept was developed by the researchers and continuously refined in a structured participatory process with regard to content, depth of topics, procedure, didactics and course materials. A participation model was created for this purpose. A formative evaluation took place as part of eight pilot courses.</p><p><strong>Results: </strong>A total of 20 people were involved in the working groups and the evaluation, including 6 from organised self-help, 3 from BARMER and 11 from the Hannover Medical School. The participatory collaboration was labour intensive and tightly scheduled, meaning that not all members were able to participate to the same extent. The result was an internet-based training programme that received positive feedback and suggestions for improvement from the participants in the pilot courses. The result was a 15-hour online course to promote dGK, a 300-page course manual and six digital, accessible booklets.</p><p><strong>Discussion: </strong>Participation meant the active involvement of all participants in the entire process, a high number of appointments, the consideration of different perspectives and a constant endeavour to reach a consensus. Prior training of the participants could be helpful in future projects. The roll-out of the programme and continuous evaluation in the context of self-help are in preparation.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"313-322"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11868200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143370494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Measuring health literacy: methods and tools for assessing general health literacy in adults].","authors":"Robert Griebler, Thomas Link, Denise Schütze, Christa Straßmayr","doi":"10.1007/s00103-025-04010-y","DOIUrl":"10.1007/s00103-025-04010-y","url":null,"abstract":"<p><p>The measurement of health literacy (HL) began in the 1990s with instruments that focused on a functional understanding of HL. Since then, the understanding of HL and the measurement of HL have evolved. This article reviews two particularly well-validated instruments for measuring comprehensive general health literacy: The Health Literacy Questionnaire (HLQ) and the HLS₁₉-Q12 questionnaire.The HLQ consists of nine scales with a total of 44 items covering different HL aspects of coping with illness. The HLQ has been validated in numerous studies and translated into 47 languages. It has high content and criterion validity and is used, for example, in the WHO European Action Network on Health Literacy for Prevention and Control of Noncommunicable Diseases and in the European Joint Action on Cardiovascular Diseases and Diabetes (JACARDI). The nine scales can be used to create HL profiles of strengths and challenges.The HLS₁₉-Q12 is a short questionnaire to measure general HL and is based on the HLS₁₉-Q47. It consists of 12 items, has been validated in more than 20 countries, and has been translated into more than 30 languages. The HLS₁₉-Q12 also has high content and criterion validity and is used in the Health Literacy Surveys of the WHO Action Network on Measuring Population and Organizational Health Literacy (M-POHL) and the European Joint Action Prevent Non-Communicable Diseases. Based on the 12 items, a total score is calculated that can be categorized into four levels of HL.In order to create a comparable database in the long run, it is recommended that these two instruments be used in studies, evaluations, and monitoring of HL.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"247-254"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11868340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Learning digital health literacy in school: results of a representative survey of pupils in Germany].","authors":"Denise Renninger, Lisa Stauch, Lisa Fischer, Anja Hartmann, Pia Rangnow, Kevin Dadaczynski, Orkan Okan","doi":"10.1007/s00103-024-03991-6","DOIUrl":"10.1007/s00103-024-03991-6","url":null,"abstract":"<p><strong>Background: </strong>Digital information sources provide adolescents with quick access to health-related information. Schools are ideal for promoting digital health literacy and enabling students to handle such information safely. The aim of this paper is to present initial results from a representative study on learning digital health literacy in schools, with a focus on sociodemographic and socioeconomic differences.</p><p><strong>Methods: </strong>The cross-sectional study was conducted in Germany with 1448 students (aged 9 to 18 years) as part of the DURCHBLICKT!</p><p><strong>Project: </strong>Bivariate and multivariate analyses were used to examine differences and relationships in the learning of digital health literacy in school and gender, age, migration background, and subjective social status.</p><p><strong>Results: </strong>Approximately 50% of students reported that they had not (or only to a limited extent) learned digital health literacy in school. The chi-square test reveals significant differences in terms of gender, age, migration background, and social status. Regression analyses indicate that age and subjective social status are significant factors for acquiring digital health literacy.</p><p><strong>Discussion: </strong>The high number of students who do not learn digital health literacy in school is concerning, especially given their often low levels of digital health literacy. The results highlight the need for targeted educational strategies-especially those tailored to gender and socioeconomic status-to promote digital health literacy and reduce social inequalities.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"293-301"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11868150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Development and evaluation of an assessment tool for organisational health literacy].","authors":"Daniel Lüdecke, Olaf von dem Knesebeck, Martin Härter, Izumi Klockmann, Johanna Heeg","doi":"10.1007/s00103-025-04018-4","DOIUrl":"10.1007/s00103-025-04018-4","url":null,"abstract":"<p><strong>Background: </strong>In research on organisational health literacy (OHL), there is a lack of standardised assessment tools for measuring and comparing the OHL of different organisations. This article therefore examines (1) which criteria for assessing OHL can be derived from research and practice, (2) how these are implemented in organisations and (3) the psychometric properties of a questionnaire developed from them.</p><p><strong>Methodology: </strong>OHL criteria were identified by means of literature research and workshops. The criteria were agreed upon in a Delphi study and an assessment tool was developed. An online questionnaire was developed and psychometrically tested. Measures such as Cronbach's alpha, item selectivity and difficulty, and floor/ceiling effects were used for the analysis.</p><p><strong>Results: </strong>Over 500 criteria were identified and an assessment tool of 77 criteria (5 main categories and 17 sub-categories) was developed. The subject of \"Barrier-free access and navigation\" was best implemented in healthcare organisations. The psychometric properties showed a good to excellent internal consistency of the questionnaire structure. Only one main category showed significant floor effects; there were no ceiling effects. At the item level, ceiling effects were found for 13 items, and 39 items showed a satisfactory discriminatory power.</p><p><strong>Discussion: </strong>OHL is a multidimensional construct that is well represented by the assessment tool. Further validation with larger samples is necessary for the use of the tool as a questionnaire for measuring OHL and for comparison between institutions. A reduction in the number of criteria can improve the consistency of the content of the main and sub-categories.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"274-281"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143405773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Health literacy as a prerequisite for dealing with health-related information and services].","authors":"Ursula von Rüden, Uwe Koch-Gromus","doi":"10.1007/s00103-025-04009-5","DOIUrl":"10.1007/s00103-025-04009-5","url":null,"abstract":"","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":"68 3","pages":"229-230"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The concept of health literacy in transition].","authors":"Saskia Maria De Gani, Elena Alder, Anna-Sophia Beese","doi":"10.1007/s00103-024-04004-2","DOIUrl":"10.1007/s00103-024-04004-2","url":null,"abstract":"<p><p>Health literacy is a central resource for health-related decisions. Since the 1970s, however, the understanding of this term has changed in several ways. Initially, health literacy was considered only from the point of view of individual competencies, but in recent decades it has evolved into a more contextual understanding. Despite this conceptual evolution, current social and health challenges are still not adequately addressed.This article reflects on the developments in the understanding of the concept and on the relevance of health literacy in the face of the current polycrisis. Reference is made to a recent concept paper developed by the authors, which shows that health literacy is a central resource at the interface of healthcare, disease prevention, and health promotion and that it can occur at different levels and in different forms. The discussion on health literacy also highlights the need to consider the challenges of systems, organizations, and settings, as decisions about health and well-being are made in all these contexts.The importance of health literacy as a key resource is increasing, particularly in addressing current social challenges, and is gaining additional relevance as a social determinant of health. Health literacy interventions can only be effectively developed, implemented, and evaluated if a shared understanding of health literacy exists, current challenges and contexts are considered, and key stakeholders act together when implementing measures.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"240-246"},"PeriodicalIF":1.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11868353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Effects of high thermal stress on health-a nationwide analysis based on statutory health insurance routine data between 2012 and 2021].","authors":"Jobst Augustin, Sandra Hischke, Peter Hoffmann, Dante Castro, Nadia Obi, Alice Czerniejewski, Roman Dallner, Laurens M Bouwer","doi":"10.1007/s00103-024-03968-5","DOIUrl":"10.1007/s00103-024-03968-5","url":null,"abstract":"<p><strong>Background: </strong>The extent to which statutory health insurance (SHI) data can be used to map associations between thermal stress and heat-related diseases is still unclear. The aim of this study is to analyse the association between climate variability and heat-associated diseases using insurance data.</p><p><strong>Methods: </strong>The study is based on claims data (outpatient and stationary) from health insurance companies in Germany for the years 2012-2021, covering approximately 11 million people with statutory health insurance. Four heat-related ICD-10 diagnoses were considered: T67 (heat and sun damage), E86 (volume depletion), N17 (acute renal failure) and N19 (renal insufficiency). Thermal conditions were quantified using meteorological variables. The evaluation was carried out on a federal state-specific basis for the second and third quarters (Q2, Q3) using descriptive methods and correlation analyses with repeated measurements.</p><p><strong>Results: </strong>The years 2016, 2018 and 2020 were characterised by high temperatures. Compared with Q2, Q3 was associated with higher thermal stress and more heat-related diagnoses on average during the entire observational period. Nationally, diagnoses of heat and sun damage (outpatient) correlated with the number of hot days (r_mw = 0.86 [0.81; 0.90]). Although heat stress is lower in the second quarter, a similar correlation is found here (r_mw = 0.76 [0.68; 0.82]). This striking association was also maintained when analysing the federal states specifically.</p><p><strong>Discussion: </strong>The article shows that associations between thermal stress and morbidity can also be found in routine SHI data. Against the background of an increase in high thermal stress due to climate change, this article highlights the need for adaptation measures.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"119-129"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11774979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142495719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Digital public health in Germany: status quo, challenges, and future perspectives : A position paper of the Digital Public Health Section of the German Public Health Association].","authors":"Laura Maaß, Christoph Dockweiler, Zora Hocke-Bolte, Stephanie Hoffmann, Florian Fischer, Sarah Forberger, Janika Gebert, Felix Holl, Robert Hrynyschyn, Sven Kernebeck, Claudia Pischke, Jacqueline Posselt, Jacob Spallek","doi":"10.1007/s00103-024-03989-0","DOIUrl":"10.1007/s00103-024-03989-0","url":null,"abstract":"<p><p>This position paper from the Digital Public Health Section of the German Public Health Association defines digital public health (DiPH) and describes its goals and potential. It also addresses the current situation and challenges as well as the need for action in Germany. The focus here is on the presentation of the nationwide promotion of (digital) health literacy; the application of DiPH in prevention, health promotion, and healthcare; the use of innovative preventive strategies for the prevention of non-communicable diseases; and the teaching of DiPH in academic public health programs. Finally, relevant measures and demands to strengthen DiPH in Germany are summarized.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"176-184"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142784273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Cause of death statistics-how to avoid misinterpretation of mortality data].","authors":"Susanne Stolpe, Bernd Kowall","doi":"10.1007/s00103-024-03986-3","DOIUrl":"10.1007/s00103-024-03986-3","url":null,"abstract":"<p><p>National mortality registers provide important data for monitoring population health. Analyses of cardiovascular mortality in particular-and especially mortality from coronary heart disease-are frequently the basis for conclusions about the quality of healthcare and prevention. To be able to interpret disease-specific mortality differences between countries and changes in mortality over time, it is necessary to know the basics of monocausal cause-of-death statistics and the associated limitations in comparative statements.Conclusions from disease-specific mortality data can be problematic due to the highly subjective selection of diseases that are entered on a death certificate after a post-mortem examination. In death certification, unawareness of the different \"roles\" of specific diseases-known at the time of death-within the causal chain leading to death can result in incomplete death certificates as a data basis for mortality statistics. Comparisons of disease-specific mortality rates are difficult due to different proportions of non-informative-including unknown-causes of death and due to country-specific preferences for which diseases are recorded on a death certificate-especially in the prevalence of multimorbidity. A population's morbidity is therefore only reflected to a limited extent by mortality rates. Conceptual ambiguities with regard to the concepts of lethality and mortality when describing mortality rates can also lead to erroneous conclusions.Training of medical staff on how to complete a death certificate and the introduction of an electronic death certificate can improve the quality of mortality data. Irrespective of this, knowing potential pitfalls when analyzing mortality data will improve the quality of health reporting.</p>","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":" ","pages":"167-175"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142766565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Health data: over-, under-, and misuse?]","authors":"Joseph Kuhn","doi":"10.1007/s00103-024-04003-3","DOIUrl":"https://doi.org/10.1007/s00103-024-04003-3","url":null,"abstract":"","PeriodicalId":9562,"journal":{"name":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz","volume":"68 2","pages":"117-118"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143051602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}