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The entire world is faced with the COVID-19 pandemic, which is also accompanied by an infodemic. This refers to the rapid spread of (accurate and false) information, mainly through internet usage increasing. Digital health literacy (DHL) is therefore important for addressing challenges related to online health information and services, as well as for navigation through the complex information landscape with huge amounts of different (and conflicting) information about COVID-19. The aim of this study is to examine the level of DHL in relation to COVID-19 in Slovenian university students and to determine online information-seeking behaviour in order to plan and prepare effective communication interventions for this sub-population. A cross-sectional survey, administered by an online questionnaire, was conducted to collect data on DHL. A total of 3621 students participated, of whom 70% were female and the average age was 22.65 years (SD = 4.65). Bivariate analyses were performed to assess the association of key characteristics with DHL. Overall, the results show that the level of DHL among students is sufficient. Most difficulties were reported in assessing the reliability of information (n = 1484, 49.3%). Approximately one third of the students (n = 847, 27.9%) reported having problems in finding information of their interest, and somewhat more (n = 900, 29.6%) reported difficulties in making a selection among all the information found. Students with a sufficient level of DHL are more likely to seek information through search engines and websites of official institutions, while students with a limited level of DHL more frequently reported using social media for health information searches. It is necessary to establish interventions for a systematic lift of the DHL and health literacy (HL) of all population groups.
Mitja Vrdelja; Sanja Vrbovšek; Vito Klopčič; Kevin Dadaczynski; Orkan Okan. Facing the Growing COVID-19 Infodemic: Digital Health Literacy and Information-Seeking Behaviour of University Students in Slovenia. International Journal of Environmental Research and Public Health 2021, 18, 8507 .
AMA StyleMitja Vrdelja, Sanja Vrbovšek, Vito Klopčič, Kevin Dadaczynski, Orkan Okan. Facing the Growing COVID-19 Infodemic: Digital Health Literacy and Information-Seeking Behaviour of University Students in Slovenia. International Journal of Environmental Research and Public Health. 2021; 18 (16):8507.
Chicago/Turabian StyleMitja Vrdelja; Sanja Vrbovšek; Vito Klopčič; Kevin Dadaczynski; Orkan Okan. 2021. "Facing the Growing COVID-19 Infodemic: Digital Health Literacy and Information-Seeking Behaviour of University Students in Slovenia." International Journal of Environmental Research and Public Health 18, no. 16: 8507.
Summary Early-on in the COVID-19 pandemic when universities were closed as part of the nation-wide public health response to the COVID-19 outbreak, studying and student life significantly changed. Based on limited evidence the aim of this study was to explore the relationship between sense of coherence (SoC), future worries and mental health outcomes among German university students during the early phase of the pandemic. A cross-sectional online survey with n = 14 916 participants was carried out by inviting all private and public universities in Germany. All data were analysed using univariate, bivariate and multivariate statistics. Findings indicate a low and very low wellbeing for 38% of university students. Moreover, 29% reported being affected by at least two health complaints more than once week. Both health outcomes follow a social gradient and could be more frequently observed for respondents with lower subjective social status and female students. Regression analysis revealed significant association between the SoC dimensions and wellbeing (OR: 1.2−2.03) as well as health complaints (OR: 1.58−1.71). A high level of future worries was associated with low/very low wellbeing (OR: 2.83) and multiple health complaints (OR: 2.84). Based on the results, the public health response to the pandemic and university health promotion should therefore consider student mental health as an important target within their policy and action frameworks.
Kevin Dadaczynski; Orkan Okan; Melanie Messer; Katharina Rathmann. University students’ sense of coherence, future worries and mental health: findings from the German COVID-HL-survey. Health Promotion International 2021, 1 .
AMA StyleKevin Dadaczynski, Orkan Okan, Melanie Messer, Katharina Rathmann. University students’ sense of coherence, future worries and mental health: findings from the German COVID-HL-survey. Health Promotion International. 2021; ():1.
Chicago/Turabian StyleKevin Dadaczynski; Orkan Okan; Melanie Messer; Katharina Rathmann. 2021. "University students’ sense of coherence, future worries and mental health: findings from the German COVID-HL-survey." Health Promotion International , no. : 1.
The COVID-19 pandemic has been accompanied by rapidly emerging evidence, changing guidance, and misinformation, which present new challenges for health literacy (HL) and digital health literacy (DHL) skills. This study explored whether COVID-19-related information access, attitudes, and behaviors were associated with health literacy and digital health literacy among college students in the United States. Self-reported measures of health literacy, along with items on pandemic-related attitudes, behaviors, information sources, and social networks, were collected online using a managed research panel. In July 2020, 256 responses were collected, which mirrored the racial/ethnic and gender diversity of U.S. colleges. Only 49% reported adequate HL, and 57% found DHL tasks easy overall. DHL did not vary by HL level. In multivariable models, both HL and DHL were independently associated with overall compliance with basic preventive practices. Higher DHL, but not HL, was significantly associated with greater willingness to get a COVID-19 vaccine and the belief that acquiring the disease would negatively impact their life. On average, respondents discussed health with 4–5 people, which did not vary by HL or DHL measures. The usage of online information sources varied by HL and DHL. The study findings can inform future student-focused interventions, including identifying the distinct roles of HL and DHL in pandemic information access, attitudes, and behaviors.
Uday Patil; Uliana Kostareva; Molly Hadley; Jennifer Manganello; Orkan Okan; Kevin Dadaczynski; Philip Massey; Joy Agner; Tetine Sentell. Health Literacy, Digital Health Literacy, and COVID-19 Pandemic Attitudes and Behaviors in U.S. College Students: Implications for Interventions. International Journal of Environmental Research and Public Health 2021, 18, 3301 .
AMA StyleUday Patil, Uliana Kostareva, Molly Hadley, Jennifer Manganello, Orkan Okan, Kevin Dadaczynski, Philip Massey, Joy Agner, Tetine Sentell. Health Literacy, Digital Health Literacy, and COVID-19 Pandemic Attitudes and Behaviors in U.S. College Students: Implications for Interventions. International Journal of Environmental Research and Public Health. 2021; 18 (6):3301.
Chicago/Turabian StyleUday Patil; Uliana Kostareva; Molly Hadley; Jennifer Manganello; Orkan Okan; Kevin Dadaczynski; Philip Massey; Joy Agner; Tetine Sentell. 2021. "Health Literacy, Digital Health Literacy, and COVID-19 Pandemic Attitudes and Behaviors in U.S. College Students: Implications for Interventions." International Journal of Environmental Research and Public Health 18, no. 6: 3301.
Zusammenfassung Hintergrund und Ziel Kinder und Jugendliche mit Behinderung und krankheitsbedingter Einschränkung zählen zu einer vulnerablen Bevölkerungsgruppe. Bislang liegen für Deutschland allerdings wenige Erkenntnisse zum Vergleich der psychischen Gesundheit von Kindern und Jugendlichen mit und ohne Behinderung und krankheitsbedingter Einschränkung vor. Methodik Als Datenbasis diente die KiGGS-Welle 2 des Robert Koch-Instituts aus den Jahren 2014–2017. In die Auswertung wurden mithilfe der Elternbefragung insgesamt 11 830 Kinder und Jugendliche im Alter von 3–17 Jahren und 5222 Kinder und Jugendliche zwischen 11–17 Jahren mittels Selbsturteil einbezogen. Als Outcomes der psychischen Gesundheit wurden psychische Auffälligkeiten (SDQ, Elternurteil) und die gesundheitsbezogene Lebensqualität (Kidscreen, Selbsturteil) herangezogen. Neben univariaten Häufigkeitsauswertungen wurden bivariate Analysen mittels Kreuztabellen mit Chi²-Signifikanzprüfung und multivariate Analysen mittels binär-logistischer Regression durchgeführt. Ergebnisse Bei 16,5% der 3- bis 17-jährigen Kinder und Jugendlichen berichten die Eltern psychische Auffälligkeiten im grenzwertigen oder auffälligen Bereich. Eine niedrige gesundheitsbezogene Lebensqualität berichten 48,4% der befragten Kinder und Jugendlichen im Alter von 11–17 Jahren. Kinder und Jugendliche mit Behinderung und Einschränkung weisen eine signifikant höhere Wahrscheinlichkeit für psychische Auffälligkeiten (OR: 5,11) und für eine niedrige gesundheitsbezogene Lebensqualität (OR: 1,50) auf. Schlussfolgerung Die Ergebnisse verdeutlichen einen Handlungsbedarf zur Stärkung der psychischen Gesundheit bei Kindern und Jugendlichen mit Behinderung und/oder krankheitsbedingter Einschränkung. Hierbei nehmen die Bildungs- und Erziehungssettings Kindergarten und Schule eine hohe Bedeutung ein.
Stephanie Karg; Katharina Rathmann; Kevin Dadaczynski. Psychische Gesundheit von Kindern und Jugendlichen mit und ohne Behinderung und krankheitsbedingter Einschränkung: Ergebnisse der repräsentativen Kinder- und Jugendgesundheitsstudie (KiGGS Welle 2). Das Gesundheitswesen 2021, 1 .
AMA StyleStephanie Karg, Katharina Rathmann, Kevin Dadaczynski. Psychische Gesundheit von Kindern und Jugendlichen mit und ohne Behinderung und krankheitsbedingter Einschränkung: Ergebnisse der repräsentativen Kinder- und Jugendgesundheitsstudie (KiGGS Welle 2). Das Gesundheitswesen. 2021; ():1.
Chicago/Turabian StyleStephanie Karg; Katharina Rathmann; Kevin Dadaczynski. 2021. "Psychische Gesundheit von Kindern und Jugendlichen mit und ohne Behinderung und krankheitsbedingter Einschränkung: Ergebnisse der repräsentativen Kinder- und Jugendgesundheitsstudie (KiGGS Welle 2)." Das Gesundheitswesen , no. : 1.
Purpose School principals are generally seen as key facilitators for the delivery and long-term implementation of activities on school health promotion, including health literacy. However, there is little evidence on the health literacy and health status of this occupational group. The purpose of this paper is to investigate the health literacy of school principals and its association with mental health indicators. Design/methodology/approach A cross-sectional online survey with German school principals and members of the management board (vice principals) was conducted (n = 680, 68.3% female). Demographic (gender, age) and work characteristics (type of school, professional role) as well as health literacy served as independent variables. Mental health as a dependent variable included well-being, emotional exhaustion and psychosomatic complaints. Next to uni- and bivariate analysis, a series of binary logistic regression models was performed. Findings Of the respondents, 29.2% showed a limited health literacy with significant differences to the disadvantage of male principals. With regard to mental health, respondents aged over 60 years and those from schools for children with special educational needs were less often affected by low well-being as well as frequent emotional exhaustion and psychosomatic complaints. Taking into account demographic and work characteristics, regression models revealed significant associations between a low level of health literacy and poor mental health across all indicators. Research limitations/implications The cross-sectional nature of this study does not allow to draw conclusions about the causal pathways between health literacy and mental health. Although the sample has been weighted, the results cannot be generalized to the whole population of school principals. There is a need for evidence-based interventions aiming at promoting health literacy and mental health tailored to the needs of school principals. Originality/value This is the first study to investigate health literacy and its association with health indicators among school principals.
Kevin Dadaczynski; Claudia Kotarski; Katharina Rathmann; Orkan Okan. Health literacy and mental health of school principals. Results from a German cross-sectional survey. Health Education 2021, ahead-of-p, 1 .
AMA StyleKevin Dadaczynski, Claudia Kotarski, Katharina Rathmann, Orkan Okan. Health literacy and mental health of school principals. Results from a German cross-sectional survey. Health Education. 2021; ahead-of-p (ahead-of-p):1.
Chicago/Turabian StyleKevin Dadaczynski; Claudia Kotarski; Katharina Rathmann; Orkan Okan. 2021. "Health literacy and mental health of school principals. Results from a German cross-sectional survey." Health Education ahead-of-p, no. ahead-of-p: 1.
Noncommunicable diseases (NCDs) and their underlying risk factors are seen as major public health problems that threaten health and welfare systems worldwide. The holistic and resource oriented Health Promoting School (HPS) approach can serve as an appropriate framework for the prevention and control of NCDs. The paper aimed to map the implementation of HPS activities in German schools and to examine associations with potential influencing factors. A series of cross-sectional online studies including five federal states and 5006 school principals (40.2% males, 50.8% females) from primary and secondary public schools was conducted from 2013 to 2018. Principal component analysis (PCA) resulted in two factors of HPS implementation (F1: concrete HPS action, F2: capacity building for HPS). Comparing both factors, a lower implementation level could be identified for HPS capacity building with lowest mean values found for regular teacher training and intersectoral collaboration. Multiple binary regression analyses revealed significant associations between low HPS implementation and male gender (OR: 1.36 to 1.42), younger age (OR: 1.47 to 1.90), secondary school (OR: 1.78 to 3.13) and federal state (Lower Saxony = OR: 1.27 to 1.45; Schleswig-Holstein = OR: 1.95 to 2.46). Moreover, low access to resources, decision-latitude and perceived educational benefits were independently associated with both factors of HPS implementation. Based on the results of this study, there is a need to support schools in their capacity building for health (e.g., regular teacher training, cooperation with local health services). Moreover, considering the core mission of schools, more evidence of the educational impact of health promotion and its translation into the language of education is needed for secondary schools in particular.
Kevin Dadaczynski; Thomas Hering. Health Promoting Schools in Germany. Mapping the Implementation of Holistic Strategies to Tackle NCDs and Promote Health. International Journal of Environmental Research and Public Health 2021, 18, 2623 .
AMA StyleKevin Dadaczynski, Thomas Hering. Health Promoting Schools in Germany. Mapping the Implementation of Holistic Strategies to Tackle NCDs and Promote Health. International Journal of Environmental Research and Public Health. 2021; 18 (5):2623.
Chicago/Turabian StyleKevin Dadaczynski; Thomas Hering. 2021. "Health Promoting Schools in Germany. Mapping the Implementation of Holistic Strategies to Tackle NCDs and Promote Health." International Journal of Environmental Research and Public Health 18, no. 5: 2623.
Zusammenfassung Hintergrund Menschen mit Behinderung zählen zu Bevölkerungsgruppen in vulnerabler Lebenslage und wurden in der Forschung zum Gesundheitsbewusstsein und zur Gesundheitskompetenz bisher selten berücksichtigt. Ziel der Studie ist es daher, das Gesundheitsbewusstsein und die Gesundheitskompetenz von Menschen mit Behinderung in Einrichtungen der Eingliederungshilfe in Deutschland erstmals durch Selbstbeurteilung mithilfe eines Fragebogens in Leichter Sprache zu erfassen. Material und Methoden Das Datenmaterial wurde in 19 Einrichtungen der Eingliederungs- und Behindertenhilfe bei Menschen mit Lernschwierigkeiten, psychischer, chronischer sowie körperlicher Behinderung in Deutschland erhoben (N = 351). Das Gesundheitsbewusstsein und die Gesundheitskompetenz wurden mittels Fragebogen in Leichter Sprache erfasst. Uni- und bivariate Analysen wurden durchgeführt. Ergebnisse Ein niedriges Gesundheitsbewusstsein geben 38,9 % der Befragten, insbesondere in der Dimension Eigenverantwortung und Achtsamkeit, an. Hinsichtlich der Gesundheitskompetenz berichten knapp 64,0 % Schwierigkeiten im Umgang mit gesundheitsbezogenen Informationen, wobei der prozentuale Anteil in den Dimensionen Prävention und Krankheitsbewältigung der Gesundheitskompetenz am höchsten ausfällt. Befragte mit einem niedrigen Gesundheitsbewusstsein geben häufiger Schwierigkeiten im Umgang mit Gesundheitsinformationen an. Schlussfolgerung Die Studie verdeutlicht einen Bedarf zur Förderung des Gesundheitsbewusstseins und der Gesundheitskompetenz im Setting der Eingliederungs- und Behindertenhilfe. Maßnahmen zur Stärkung des Gesundheitsbewusstseins und der Gesundheitskompetenz sollten zielgruppenspezifisch und unter Beteiligung der Bedarfsgruppen (z. B. partizipative Entwicklung von Informationsmaterialien zu gesundheitsbezogenen Themen) erfolgen.
Katharina Rathmann; Loriane Zelfl; Anna Kleine; Kevin Dadaczynski. Gesundheitsbewusstsein und Gesundheitskompetenz von Menschen mit Behinderung. Prävention und Gesundheitsförderung 2021, 1 -8.
AMA StyleKatharina Rathmann, Loriane Zelfl, Anna Kleine, Kevin Dadaczynski. Gesundheitsbewusstsein und Gesundheitskompetenz von Menschen mit Behinderung. Prävention und Gesundheitsförderung. 2021; ():1-8.
Chicago/Turabian StyleKatharina Rathmann; Loriane Zelfl; Anna Kleine; Kevin Dadaczynski. 2021. "Gesundheitsbewusstsein und Gesundheitskompetenz von Menschen mit Behinderung." Prävention und Gesundheitsförderung , no. : 1-8.
As a result of the corona pandemic, the amount of digital health information has increased substantially. As the quantity and diversity of information increased, so does the need for evidence based and reliable health information. In the special course of study “Health Communication”, students of the Bachelors program “Health Promotion” at Fulda University of Applied Sciences are enabled to develop and disseminate evidence-based health information and preventive messages that meet the demands of the target group. Due to the corona-related university closure, the module “Digital Health Communication” was realized in a digital format during the summer semester 2020. In order to activate students and promote teamwork, the study course used the approach of problem-based and research-based learning. Moreover, the course concept is based on a variety of methods, including MS Teams with screencasts, videos, synchronous teaching sessions, gamified audience response systems, the online Inverted Classroom Model and a final oral examination. Despite various challenges such as the short planning period or the necessary restructuring of a part previously planned as “en bloc”, the experiences are mostly positive. Among other things, the use of MS Teams as an integrated learning, collaboration and communication platform has proven to be useful. In the students' feedback, the broad use of methods, the gamification elements and the flexibility of the lecturers are evaluated positively.
Kevin Dadaczynski; Daniel Tolks. Digital health communication and health literacy in times of COVID-19. Planning and implementation of a special course of study in health promotion and prevention. 2021, 38, 1 .
AMA StyleKevin Dadaczynski, Daniel Tolks. Digital health communication and health literacy in times of COVID-19. Planning and implementation of a special course of study in health promotion and prevention. . 2021; 38 (1):1.
Chicago/Turabian StyleKevin Dadaczynski; Daniel Tolks. 2021. "Digital health communication and health literacy in times of COVID-19. Planning and implementation of a special course of study in health promotion and prevention." 38, no. 1: 1.
COVID-19 has created significant challenges for higher education institutions and major disruptions in teaching and learning. To explore the psychological wellbeing of domestic and international university students during the COVID-19 pandemic, an online cross-sectional survey recruited 787 university students (18+ years) currently studying at an Australian university. In total, 86.8% reported that COVID-19 had significantly impacted their studies. Overall, 34.7% of students reported a sufficient level of wellbeing, while 33.8% showed low wellbeing and 31.5% very low wellbeing. Wellbeing was significantly higher in postgraduate students compared with undergraduate students. Future anxiety was significantly greater among undergraduate than postgraduate students. Multivariable regression models showed female gender, low subjective social status, negative overall learning experience or reporting COVID-19 having a huge impact on study, were associated with lower wellbeing in the first few months (May–July) of the pandemic. Supporting the health, wellbeing, and learning experiences of all students should be of high priority now and post-pandemic. Strategies specifically targeting female students, and those with low self-reported social status are urgently needed to avoid exacerbating existing disparities.
Rachael Dodd; Kevin Dadaczynski; Orkan Okan; Kirsten McCaffery; Kristen Pickles. Psychological Wellbeing and Academic Experience of University Students in Australia during COVID-19. International Journal of Environmental Research and Public Health 2021, 18, 866 .
AMA StyleRachael Dodd, Kevin Dadaczynski, Orkan Okan, Kirsten McCaffery, Kristen Pickles. Psychological Wellbeing and Academic Experience of University Students in Australia during COVID-19. International Journal of Environmental Research and Public Health. 2021; 18 (3):866.
Chicago/Turabian StyleRachael Dodd; Kevin Dadaczynski; Orkan Okan; Kirsten McCaffery; Kristen Pickles. 2021. "Psychological Wellbeing and Academic Experience of University Students in Australia during COVID-19." International Journal of Environmental Research and Public Health 18, no. 3: 866.
Background Digital communication technologies are playing an important role in the health communication strategies of governments and public health authorities during the COVID-19 pandemic. The internet and social media have become important sources of health-related information on COVID-19 and on protective behaviors. In addition, the COVID-19 infodemic is spreading faster than the coronavirus itself, which interferes with governmental health-related communication efforts. This jeopardizes national public health containment strategies. Therefore, digital health literacy is a key competence to navigate web-based COVID-19–related information and service environments. Objective This study aimed to investigate university students’ digital health literacy and web-based information-seeking behaviors during the early stages of the COVID-19 pandemic in Germany. Methods A cross-sectional study among 14,916 university students aged ≥18 years from 130 universities across all 16 federal states of Germany was conducted using a web-based survey. Along with sociodemographic characteristics (sex, age, subjective social status), the measures included five subscales from the Digital Health Literacy Instrument (DHLI), which was adapted to the specific context of the COVID-19 pandemic. Web-based information-seeking behavior was investigated by examining the web-based sources used by university students and the topics that the students searched for in connection with COVID-19. Data were analyzed using univariate and bivariate analyses. Results Across digital health literacy dimensions, the greatest difficulties could be found for assessing the reliability of health-related information (5964/14,103, 42.3%) and the ability to determine whether the information was written with a commercial interest (5489/14,097, 38.9%). Moreover, the respondents indicated that they most frequently have problems finding the information they are looking for (4282/14,098, 30.4%). When stratified according to sociodemographic characteristics, significant differences were found, with female university students reporting a lower DHLI for the dimensions of “information searching” and “evaluating reliability.” Search engines, news portals, and websites of public bodies were most often used by the respondents as sources to search for information on COVID-19 and related issues. Female students were found to use social media and health portals more frequently, while male students used Wikipedia and other web-based encyclopedias as well as YouTube more often. The use of social media was associated with a low ability to critically evaluate information, while the opposite was observed for the use of public websites. Conclusions Although digital health literacy is well developed in university students, a significant proportion of students still face difficulties with certain abilities to evaluate information. There is a need to strengthen the digital health literacy capacities of university students using tailored interventions. Improving the quality of health-related information on the internet is also key.
Kevin Dadaczynski; Orkan Okan; Melanie Messer; Angela Y M Leung; Rafaela Rosário; Emily Darlington; Katharina Rathmann. Digital Health Literacy and Web-Based Information-Seeking Behaviors of University Students in Germany During the COVID-19 Pandemic: Cross-sectional Survey Study. Journal of Medical Internet Research 2021, 23, e24097 .
AMA StyleKevin Dadaczynski, Orkan Okan, Melanie Messer, Angela Y M Leung, Rafaela Rosário, Emily Darlington, Katharina Rathmann. Digital Health Literacy and Web-Based Information-Seeking Behaviors of University Students in Germany During the COVID-19 Pandemic: Cross-sectional Survey Study. Journal of Medical Internet Research. 2021; 23 (1):e24097.
Chicago/Turabian StyleKevin Dadaczynski; Orkan Okan; Melanie Messer; Angela Y M Leung; Rafaela Rosário; Emily Darlington; Katharina Rathmann. 2021. "Digital Health Literacy and Web-Based Information-Seeking Behaviors of University Students in Germany During the COVID-19 Pandemic: Cross-sectional Survey Study." Journal of Medical Internet Research 23, no. 1: e24097.
Objectives: During the COVID-19 pandemic, older adults experience various challenges, including information uncertainties, financial pressure, and visit restrictions, which may lead to anxiety about the future. As a protective factor, sense of coherence (SOC) may play a role to reduce some psychological discomfort. This study aimed to analyze the relationships of SOC with anxiety, digital health literacy (DHL), information, and financial satisfaction among older adults during the outbreak. Methods: This is part of a large-scale DHL study with a cross-sectional survey across 41 countries. This study extracted data from three Asian countries (China, the Philippines, and Singapore) and included people aged ≥60. Structural equation modeling with path analysis was utilized to examine the relationships of SOC with anxiety about the future and other variables. Results: A total of 266 older adults were included, with 43.2% expressed anxiety about the future. DHL (β=–0.13, p < 0.05) and SOC (β=–0.26, p = 0.01) were negatively associated with anxiety, while financial and information satisfaction were not. However, financial satisfaction (β = 0.34, p < 0.01) and DHL (β = 0.32, p = 0.01) were positively associated with SOC. Higher SOC further mediated the negative relationships of DHL (β= −0.11, p = 0.004) and financial satisfaction (β= −0.12, p = 0.004) on anxiety of older adults. Conclusions: SOC had direct negative effect on anxiety and mediated the relationships between anxiety and DHL/financial satisfaction. Strategies should be developed to enhance SOC and DHL among older adults, as these capacities may help to manage anxiety during the pandemic.
Angela Yee Man Leung; Laurence Lloyd Parial; Ma. Carmen Tolabing; Timothy Sim; Phoenix Mo; Orkan Okan; Kevin Dadaczynski. Sense of coherence mediates the relationship between digital health literacy and anxiety about the future in aging population during the COVID-19 pandemic: a path analysis. Aging & Mental Health 2021, 1 -10.
AMA StyleAngela Yee Man Leung, Laurence Lloyd Parial, Ma. Carmen Tolabing, Timothy Sim, Phoenix Mo, Orkan Okan, Kevin Dadaczynski. Sense of coherence mediates the relationship between digital health literacy and anxiety about the future in aging population during the COVID-19 pandemic: a path analysis. Aging & Mental Health. 2021; ():1-10.
Chicago/Turabian StyleAngela Yee Man Leung; Laurence Lloyd Parial; Ma. Carmen Tolabing; Timothy Sim; Phoenix Mo; Orkan Okan; Kevin Dadaczynski. 2021. "Sense of coherence mediates the relationship between digital health literacy and anxiety about the future in aging population during the COVID-19 pandemic: a path analysis." Aging & Mental Health , no. : 1-10.
Purpose A deluge of fake news and misinformation about the coronavirus disease 2019 (COVID‐19) on the Internet poses challenges for the public in their search for reliable and relevant health information for taking protective measures, especially among people with chronic diseases (PWCD). This study aimed to (a) understand the satisfaction level of the online information related to COVID‐19 in people with and without chronic diseases; (b) explore information‐searching behavior and digital health literacy in PWCD; and (3) identify the possible predictors of information satisfaction among PWCD. Methods This was a multicity, cross‐sectional study using an online survey with a convenience sample of people who (a) were 15 years of age or older and (b) had access to the Internet in mainland China, Hong Kong, and Macau. Findings Four thousand four hundred and seventy‐two subjects completed the survey, of whom less than 50% felt satisfied with the online information. About 20% of respondents (n = 882) were diagnosed with at least one chronic disease and reported a lower level of information satisfaction (p = .003) than the people without chronic diseases. The majority of the PWCD obtained their online health information from social media. Higher digital health literacy (adjusted odds ratio [OR] = 5.07), higher frequency of searches regarding symptoms of COVID‐19 (adjusted OR = 2.07), higher perceived importance of quickly learning from the information searched (adjusted OR = 1.63), and lower frequency of searches on the topic of dealing with psychological stress (adjusted OR = 0.54) were found to be predictors of information satisfaction among PWCD. Conclusions The majority of PWCD sought online information related to COVID‐19 from social media, and their level of information satisfaction was significantly lower than among people without chronic diseases. Digital health literacy is a strong and significant predictor of information satisfaction. Clinical Relevance To support PWCD, we not only have to provide them with clear and accurate information, but also promote their digital health literacy so that they may seek, understand, and appraise health information from the Internet to make appropriate health‐related judgments and decisions.
Patrick Pui Kin Kor; Angela Yee Man Leung; Laurence Lloyd Parial; Eliza Mi Ling Wong; Kevin Dadaczynski; Orkan Okan; Padmore Adusei Amoah; Shan Shan Wang; Renli Deng; Teris Cheuk Chi Cheung; Alex Molassiotis. Are People With Chronic Diseases Satisfied With the Online Health Information Related to COVID‐19 During the Pandemic? Journal of Nursing Scholarship 2020, 53, 75 -86.
AMA StylePatrick Pui Kin Kor, Angela Yee Man Leung, Laurence Lloyd Parial, Eliza Mi Ling Wong, Kevin Dadaczynski, Orkan Okan, Padmore Adusei Amoah, Shan Shan Wang, Renli Deng, Teris Cheuk Chi Cheung, Alex Molassiotis. Are People With Chronic Diseases Satisfied With the Online Health Information Related to COVID‐19 During the Pandemic? Journal of Nursing Scholarship. 2020; 53 (1):75-86.
Chicago/Turabian StylePatrick Pui Kin Kor; Angela Yee Man Leung; Laurence Lloyd Parial; Eliza Mi Ling Wong; Kevin Dadaczynski; Orkan Okan; Padmore Adusei Amoah; Shan Shan Wang; Renli Deng; Teris Cheuk Chi Cheung; Alex Molassiotis. 2020. "Are People With Chronic Diseases Satisfied With the Online Health Information Related to COVID‐19 During the Pandemic?" Journal of Nursing Scholarship 53, no. 1: 75-86.
We aim to evaluate the associations between digital health literacy (DHL) related to COVID-19 and online information-seeking behavior among university students. Methods: A total of 3.084 students (75.7% women), with an average age of 24.2 (SD = 7.5) participated in this cross-sectional study, most of whom (36.5%) were from social sciences and pursued a bachelor’s degree (50.7%). Data on COVID-19-related DHL and online information-seeking behavior were collected using an online questionnaire. Logistic regression models were performed. Results: As the pandemic progressed, participants showed a lower chance of achieving a sufficient DHL (OR = 0.7; 95% CI = 0.6; 0.9). Using search engines more often (e.g., Google) (OR = 0.7; 95% CI = 0.5; 0.9), Wikipedia (OR = 0.7; 95% CI = 0.6; 0.9) and social media (e.g., Facebook) (OR = 0.7; 95% CI = 0.6; 0.9) decreased the likelihood of achieving sufficient DHL related to COVID-19. More frequent use of websites of public bodies (OR = 1.7; 95% CI = 1.1; 2.5) increased the odds of reporting sufficient DHL. Conclusion: DHL is associated with university students’ online information-seeking behavior in the time of COVID-19. From a community and public health perspective, programs aiming at improving DHL should be highlighted.
Rafaela Rosário; Maria R. O. Martins; Cláudia Augusto; Maria José Silva; Silvana Martins; Ana Duarte; Inês Fronteira; Neida Ramos; Orkan Okan; Kevin Dadaczynski. Associations between COVID-19-Related Digital Health Literacy and Online Information-Seeking Behavior among Portuguese University Students. International Journal of Environmental Research and Public Health 2020, 17, 8987 .
AMA StyleRafaela Rosário, Maria R. O. Martins, Cláudia Augusto, Maria José Silva, Silvana Martins, Ana Duarte, Inês Fronteira, Neida Ramos, Orkan Okan, Kevin Dadaczynski. Associations between COVID-19-Related Digital Health Literacy and Online Information-Seeking Behavior among Portuguese University Students. International Journal of Environmental Research and Public Health. 2020; 17 (23):8987.
Chicago/Turabian StyleRafaela Rosário; Maria R. O. Martins; Cláudia Augusto; Maria José Silva; Silvana Martins; Ana Duarte; Inês Fronteira; Neida Ramos; Orkan Okan; Kevin Dadaczynski. 2020. "Associations between COVID-19-Related Digital Health Literacy and Online Information-Seeking Behavior among Portuguese University Students." International Journal of Environmental Research and Public Health 17, no. 23: 8987.
BACKGROUND Digital communication technologies are playing an important role in the health communication strategies of governments and public health authorities during the COVID-19 pandemic. The internet and social media have become important sources of health-related information on COVID-19 and on protective behaviors. In addition, the COVID-19 infodemic is spreading faster than the coronavirus itself, which interferes with governmental health-related communication efforts. This jeopardizes national public health containment strategies. Therefore, digital health literacy is a key competence to navigate web-based COVID-19–related information and service environments. OBJECTIVE This study aimed to investigate university students’ digital health literacy and web-based information-seeking behaviors during the early stages of the COVID-19 pandemic in Germany. METHODS A cross-sectional study among 14,916 university students aged ≥18 years from 130 universities across all 16 federal states of Germany was conducted using a web-based survey. Along with sociodemographic characteristics (sex, age, subjective social status), the measures included five subscales from the Digital Health Literacy Instrument (DHLI), which was adapted to the specific context of the COVID-19 pandemic. Web-based information-seeking behavior was investigated by examining the web-based sources used by university students and the topics that the students searched for in connection with COVID-19. Data were analyzed using univariate and bivariate analyses. RESULTS Across digital health literacy dimensions, the greatest difficulties could be found for assessing the reliability of health-related information (5964/14,103, 42.3%) and the ability to determine whether the information was written with a commercial interest (5489/14,097, 38.9%). Moreover, the respondents indicated that they most frequently have problems finding the information they are looking for (4282/14,098, 30.4%). When stratified according to sociodemographic characteristics, significant differences were found, with female university students reporting a lower DHLI for the dimensions of “information searching” and “evaluating reliability.” Search engines, news portals, and websites of public bodies were most often used by the respondents as sources to search for information on COVID-19 and related issues. Female students were found to use social media and health portals more frequently, while male students used Wikipedia and other web-based encyclopedias as well as YouTube more often. The use of social media was associated with a low ability to critically evaluate information, while the opposite was observed for the use of public websites. CONCLUSIONS Although digital health literacy is well developed in university students, a significant proportion of students still face difficulties with certain abilities to evaluate information. There is a need to strengthen the digital health literacy capacities of university students using tailored interventions. Improving the quality of health-related information on the internet is also key.
Kevin Dadaczynski; Orkan Okan; Melanie Messer; Angela Y M Leung; Rafaela Rosário; Emily Darlington; Katharina Rathmann. Digital Health Literacy and Web-Based Information-Seeking Behaviors of University Students in Germany During the COVID-19 Pandemic: Cross-sectional Survey Study (Preprint). 2020, 1 .
AMA StyleKevin Dadaczynski, Orkan Okan, Melanie Messer, Angela Y M Leung, Rafaela Rosário, Emily Darlington, Katharina Rathmann. Digital Health Literacy and Web-Based Information-Seeking Behaviors of University Students in Germany During the COVID-19 Pandemic: Cross-sectional Survey Study (Preprint). . 2020; ():1.
Chicago/Turabian StyleKevin Dadaczynski; Orkan Okan; Melanie Messer; Angela Y M Leung; Rafaela Rosário; Emily Darlington; Katharina Rathmann. 2020. "Digital Health Literacy and Web-Based Information-Seeking Behaviors of University Students in Germany During the COVID-19 Pandemic: Cross-sectional Survey Study (Preprint)." , no. : 1.
The link between health, socio-economic status and the living environment is increasingly moving into the focus of public health research and policy. The aim of the European Union’s Project “Joint Action Health Equity Europe (JAHEE)” is to enable countries to identify and implement needs-based measures to promote health equity. In one of JAHEE’s work packages, focusing on healthy living environments as a strategy to tackle health inequities, a Policy Framework for Action (PFA) has been developed. This article gives an insight into the core contents of the PFA, which are valid beyond the project boundaries for all actors that work at the intersection of community health promotion. The PFA was developed as a consensus document in a participatory process between the members of the work package and an interdisciplinary German team of public health experts. Results from project meetings of the partner countries as well as research findings and recommendations from field experts were incorporated. Reducing health inequalities in public health is a cross-sectional issue that needs to be addressed across all policy areas. The municipality setting is of particular importance in this context, as it offers many starting points and can coordinate between all relevant actors with an overarching strategy.
Eike Quilling; Birgit Babitsch; Kevin Dadaczynski; Stefanie Kruse; Maja Kuchler; Heike Köckler; Janna Leimann; Ulla Walter; Christina Plantz. Municipal Health Promotion as Part of Urban Health: A Policy Framework for Action. Sustainability 2020, 12, 6685 .
AMA StyleEike Quilling, Birgit Babitsch, Kevin Dadaczynski, Stefanie Kruse, Maja Kuchler, Heike Köckler, Janna Leimann, Ulla Walter, Christina Plantz. Municipal Health Promotion as Part of Urban Health: A Policy Framework for Action. Sustainability. 2020; 12 (16):6685.
Chicago/Turabian StyleEike Quilling; Birgit Babitsch; Kevin Dadaczynski; Stefanie Kruse; Maja Kuchler; Heike Köckler; Janna Leimann; Ulla Walter; Christina Plantz. 2020. "Municipal Health Promotion as Part of Urban Health: A Policy Framework for Action." Sustainability 12, no. 16: 6685.
To date, studies on individual and organizational health literacy (OHL) in facilities for people with disabilities are scarce. Thus, the aims of this study are (1) to adapt an existing instrument for measuring organizational health literacy (OHL), namely, the “Health literate health care organization scale” (HLHO-10), to the context of facilities for people with disabilities, (2) to quantitatively examine characteristics of OHL, and (3) to qualitatively assess the definition and role of OHL by interviewing managers and skilled staff. An online study in Germany with N = 130 managers and skilled staff in facilities for people with disabilities was conducted, using the adapted HLHO-10 questionnaire. Univariate analyses were applied. Qualitative content analysis was used to investigate interview data from N = 8 managers and skilled staff from N = 8 facilities for people with disabilities in Hesse, Germany. Quantitative results revealed that respondents reported a below-average level in HLHO-10, with the lowest level found in the attribute of participative development of health information. The qualitative findings showed a clear need for improved navigation to and in facilities. The quantitative and qualitative findings are mainly consistent. Future research and measures should focus on facilities for people with disabilities in order to strengthen the development of and access to target-group-specific health information, as well as to establish a health-literate working and living environment.
Katharina Rathmann; Theres Vockert; Lorena Denise Wetzel; Judith Lutz; Kevin Dadaczynski. Organizational Health Literacy in Facilities for People with Disabilities: First Results of an Explorative Qualitative and Quantitative Study. International Journal of Environmental Research and Public Health 2020, 17, 2886 .
AMA StyleKatharina Rathmann, Theres Vockert, Lorena Denise Wetzel, Judith Lutz, Kevin Dadaczynski. Organizational Health Literacy in Facilities for People with Disabilities: First Results of an Explorative Qualitative and Quantitative Study. International Journal of Environmental Research and Public Health. 2020; 17 (8):2886.
Chicago/Turabian StyleKatharina Rathmann; Theres Vockert; Lorena Denise Wetzel; Judith Lutz; Kevin Dadaczynski. 2020. "Organizational Health Literacy in Facilities for People with Disabilities: First Results of an Explorative Qualitative and Quantitative Study." International Journal of Environmental Research and Public Health 17, no. 8: 2886.
Zusammenfassung. Hintergrund: Während psychosoziale Belastungen und Beanspruchungen bei Pflegekräften allgemein als gut belegt gelten, sind Unterschiede innerhalb des Pflegeberufs bislang kaum erforscht. Ziel: Die vorliegende Untersuchung nimmt eine differenzierte Betrachtung des Zusammenhangs zwischen Arbeitsanforderungen und der psychischen Gesundheit von Pflegekräften im somatischen und psychiatrischen Tätigkeitsbereich vor. Methoden: Die Daten basieren auf einer Querschnittstudie in einer somatischen und einer psychiatrischen Versorgungseinrichtung (n = 576). Die Erfassung psychosozialer Arbeitsbelastungen und der Burnout-Symptomatik erfolgte mit Hilfe des Copenhagen Psychosocial Questionnaire und des Copenhagen Burnout Inventory. Die Analysen wurden univariat, bivariat und multivariat mittels Regressionsanalysen durchgeführt. Ergebnisse: Die Hälfte der Befragten weist mindestens moderate Burnout-Symptome auf, wobei Beschäftigte in der Somatik häufiger betroffen sind. Während quantitative und physische Anforderungen in der somatischen Gesundheits- und Krankenpflege höher ausgeprägt sind, weisen psychiatrische Pflegekräfte ein höheres Ausmaß an emotionalen Anforderungen, sozialer Unterstützung und Handlungsspielraum auf. Regressionsanalytisch erweisen sich quantitative Anforderungen (β = 0,33) in der somatischen Gesundheits- und Krankenpflege und emotionale Anforderungen (β = 0,29) in der psychiatrischen Gesundheits- und Krankenpflege als stärkste Prädiktoren von Symptomen des Burnouts. Schlussfolgerungen: Die Ergebnisse weisen auf tätigkeitsspezifische Profile psychosozialer Belastungen in der Gesundheits- und Krankenpflege und auf einen hohen Bedarf tätigkeitsdifferenzierter Maßnahmen der betrieblichen Gesundheitsförderung hin.
Lisa Fischer; Kevin Dadaczynski; Katharina Rathmann. Psychosoziale Arbeitsbedingungen und Burnout-Symptome in der stationären somatischen und psychiatrischen Gesundheits- und Krankenpflege. Pflege 2020, 33, 93 -104.
AMA StyleLisa Fischer, Kevin Dadaczynski, Katharina Rathmann. Psychosoziale Arbeitsbedingungen und Burnout-Symptome in der stationären somatischen und psychiatrischen Gesundheits- und Krankenpflege. Pflege. 2020; 33 (2):93-104.
Chicago/Turabian StyleLisa Fischer; Kevin Dadaczynski; Katharina Rathmann. 2020. "Psychosoziale Arbeitsbedingungen und Burnout-Symptome in der stationären somatischen und psychiatrischen Gesundheits- und Krankenpflege." Pflege 33, no. 2: 93-104.
Studienergebnisse weisen darauf hin, dass Menschen mit einer eingeschränkten Gesundheitskompetenz (GK) ein erhöhtes Risiko für einen schlechten Gesundheitszustand und ein ungünstiges Gesundheitsverhalten aufweisen. Während der Fokus innerhalb der Forschung zur GK bislang auf der erwachsenen Allgemeinbevölkerung lag, wurde die Gruppe der Studierenden wenig berücksichtigt. Vor dem Hintergrund der besonderen Lebenslage von Studierenden erscheint eine gezielte Betrachtung der GK im Zusammenspiel mit Gesundheitsindikatoren bei dieser Zielgruppe relevant. Das Ziel dieser Arbeit ist die Überprüfung der Assoziation zwischen der GK und dem Gesundheitszustand sowie dem -verhalten bei Studierenden. Die Datenbasis stellt eine Onlinebefragung mit 996 Studierenden der Technischen Universität Dortmund dar. Zur Erfassung der GK wurde der HLS-EU-Q16 genutzt. Als Indikatoren für den Gesundheitsstatus fungierten der subjektive Gesundheitszustand, die allgemeine Lebenszufriedenheit sowie die psychosomatische Beschwerdelast. Das Gesundheitsverhalten wurde mittels des Ernährungs- und Bewegungsverhaltens sowie des Tabak- und Alkoholkonsums operationalisiert. Zur Überprüfung der Assoziationen zwischen der GK und dem Gesundheitszustand sowie dem -verhalten wurden uni-, bi- und multivariate Analysen durchgeführt. Knapp 60 % der Studierenden gaben eine eingeschränkte GK an. Studierende mit eingeschränkter GK wiesen ein rund 2‑fach erhöhtes Risiko für einen geringen subjektiven Gesundheitszustand, eine geringe allgemeine Lebenszufriedenheit, eine hohe psychosomatische Beschwerdelast, ein ungesundes Ernährungsverhalten und einen regelmäßigen Tabakkonsum auf. Es zeigten sich keine Assoziationen zwischen der GK und dem Bewegungsverhalten sowie dem Alkoholkonsum. Studierende stellen in Bezug auf den Gesundheitsstatus und die GK eine vulnerable Bevölkerungsgruppe dar und sollten in die zukünftige Forschung zur GK sowie in die Gesundheitsberichterstattung stärker einbezogen werden. Assoziationen zwischen der GK und dem Gesundheitsstatus sowie einzelnen Indikatoren des Gesundheitsverhaltens sprechen dafür, die GK in der Gesundheitsforschung sowie der Prävention und Gesundheitsförderung zu berücksichtigen. Zudem sollten die Rahmenbedingungen im Hochschulsetting die Gesundheit und das gesundheitsförderliche Verhalten der Studierenden ermöglichen und fördern.
Julia Schricker; Claudia Kotarski; Jana-Marie Haja; Kevin Dadaczynski; Katharina Diehl; Katharina Rathmann. Gesundheit und Gesundheitsverhalten bei Studierenden: Assoziationen mit der Gesundheitskompetenz. Prävention und Gesundheitsförderung 2020, 15, 354 -362.
AMA StyleJulia Schricker, Claudia Kotarski, Jana-Marie Haja, Kevin Dadaczynski, Katharina Diehl, Katharina Rathmann. Gesundheit und Gesundheitsverhalten bei Studierenden: Assoziationen mit der Gesundheitskompetenz. Prävention und Gesundheitsförderung. 2020; 15 (4):354-362.
Chicago/Turabian StyleJulia Schricker; Claudia Kotarski; Jana-Marie Haja; Kevin Dadaczynski; Katharina Diehl; Katharina Rathmann. 2020. "Gesundheit und Gesundheitsverhalten bei Studierenden: Assoziationen mit der Gesundheitskompetenz." Prävention und Gesundheitsförderung 15, no. 4: 354-362.
Background: The promotion of health literacy is seen as an urgent goal in public health and education and, hence, should be integrated in the school context as a component of the holistic health promoting school (HPS) approach. However, only limited empirical studies have addressed health literacy of school staff so far. Hence, this study aimed to examine the level of health literacy among school leaders and its association with the extent of HPS implementation. Methods: A cross-sectional study with n = 680 school principals and members of the school management board from Germany was carried out at the end of 2018. Individual health literacy, attitudes, and competencies towards HPS and occupational self-efficacy served as independent variables and the level of HPS implementation was the dependent variable. Data were analyzed using univariate and bivariate analysis as well as multiple binary logistic regression. Results: 29.3% of school leaders show a limited health literacy with significantly higher values found for male respondents. Regression analyses revealed that male gender (OR: 1.91, 95% CI: 1.22–2.99), HPS attitudes (OR: 3.17, 95% CI: 2.13–4.72), and HPS competencies (OR: 3.66, 95% CI: 2.43–5.50) were associated with a lower level of HPS implementation. Furthermore, regression analyses differentiated by gender showed that limited health literacy is associated with a low level of HPS implementation for male school leaders only (OR: 2.81, 95% CI: 1.22–6.45). Conclusions: The promotion of health literacy especially for male leaders would not only result in positive effects on an individual level but also could contribute to a stronger implementation of activities on school health promotion. We suggest integrating health literacy, HPS attitudes, and competencies more strongly into the qualification and in further training of school leaders.
Kevin Dadaczynski; Katharina Rathmann; Thomas Hering; Orkan Okan. The Role of School Leaders’ Health Literacy for the Implementation of Health Promoting Schools. International Journal of Environmental Research and Public Health 2020, 17, 1855 .
AMA StyleKevin Dadaczynski, Katharina Rathmann, Thomas Hering, Orkan Okan. The Role of School Leaders’ Health Literacy for the Implementation of Health Promoting Schools. International Journal of Environmental Research and Public Health. 2020; 17 (6):1855.
Chicago/Turabian StyleKevin Dadaczynski; Katharina Rathmann; Thomas Hering; Orkan Okan. 2020. "The Role of School Leaders’ Health Literacy for the Implementation of Health Promoting Schools." International Journal of Environmental Research and Public Health 17, no. 6: 1855.
PurposeThe purpose of this paper is to introduce the official statement of the Fifth European Conference on Health-Promoting Schools.Design/methodology/approachThe Fifth European Conference on Health-Promoting Schools was held on 20–22 November 2019 in Moscow, Russian Federation, with over 450 participants from 40 countries. A writing group was established to prepare a draft version of the statement before the conference. On the basis of an online and offline feedback process, the opinions of the participants were collected during the conference and included in the finalisation of the statement.FindingsThe final conference statement comprises six thematic categories (values and principles; environment, climate and health; schools as part of the wider community; non-communicable diseases (NCDs); evidence base; and digital media), with a total of 23 recommendations and calls for action.Originality/valueThe recommendations and calls for action reflect current challenges for Health Promoting Schools in Europe. They are addressed to all actors in governmental, non-governmental and other organisations at international, national and regional levels involved in health promotion in schools and are to be applied for the further development of the concept.
Kevin Dadaczynski; Bjarne Bruun Jensen; Nina Grieg Viig; Marjorita Sormunen; Jesper Von Seelen; Vladislav Kuchma; Teresa Vilaça. Health, well-being and education. Health Education 2020, 120, 11 -19.
AMA StyleKevin Dadaczynski, Bjarne Bruun Jensen, Nina Grieg Viig, Marjorita Sormunen, Jesper Von Seelen, Vladislav Kuchma, Teresa Vilaça. Health, well-being and education. Health Education. 2020; 120 (1):11-19.
Chicago/Turabian StyleKevin Dadaczynski; Bjarne Bruun Jensen; Nina Grieg Viig; Marjorita Sormunen; Jesper Von Seelen; Vladislav Kuchma; Teresa Vilaça. 2020. "Health, well-being and education." Health Education 120, no. 1: 11-19.