Zusammenfassung
Hintergrund
Health Literacy ist ein multidisziplinäres Konzept, das in Europa zunehmend an Bedeutung gewinnt in den Bereichen Krankheitsversorgung, Gesundheitsförderung und Prävention sowie in der Gesundheitspolitik. Theoretische Konzept- und Methodenentwicklungen, evidenzbasierte Forschung und Policy-Dokumente adressieren vornehmlich Erwachsene, Kinder und Jugendliche sind eine bisher ebenso marginalisierte Zielgruppe von Wissenschaft und Politik wie das Bildungs- und Erziehungssystem.
Ziel
Ziel des vorliegenden Beitrages ist es, neben dem Blick auf den aktuellen Forschungsstand, einige der Desiderate der Diskussion über Health Literacy im Kindes- und Jugendalter zu beschreiben.
Material und Methoden
Die Ergebnisse wurden auf Grundlage einer Literaturrecherche erstellt.
Ergebnisse
Das Fehlen konzeptioneller Zugänge hinsichtlich alters- und entwicklungsstufenangepasster Modelle und von Prävalenzdaten erschwert den theoretischen und methodischen Zugang zum Thema „Health Literacy im Kindes- und Jugendalter“. Hier herrscht dringender Forschungsbedarf. Zudem könnte schulische Gesundheitsförderung eine effektive Plattform sein, um Health Literacy bereits ab den frühen Lebensphasen zu fördern.
Diskussion
Neben der Anschlussfähigkeit der benachbarten Literacy-Perspektive, der Nähe zu anderen Konzepten der Gesundheitsförderung und der Bedeutung des schulischen Settings gehören in grundlagen- und anwendungsorientierter Hinsicht die Analyse und Erforschung der Determinanten von Health Literacy, von Health Literacy als Determinante von Gesundheit sowie die systematisch implementierte Umsetzung von Health-Literacy-Programmen zu den Bereichen, in denen Forschungsbedarf besteht.
Abstract
Background
Health literacy is multidisciplinary and brings together many concepts, and is of increasing importance for disease protection, health promotion, and prevention, and for health policy within Europe. Although its importance is increasingly recognised, adults are mostly the target audience, whereas children and adolescents, in addition to education and schools, have so far been neglected.
Objectives
The aim is to give an overview of the state of the art in childhood and adolescence health literacy research, and to identify any existing gaps.
Materials
A literature review has been performed to identify the relevant research data.
Results
Limitations in developmental and age-adjusted conceptual frameworks and a lack of prevalence data, however, significantly impede our understanding of the meaning of health literacy in children and adolescents. School health promotion programmes could serve as a platform for effective health literacy education, beginning in early childhood.
Conclusions
In addition to compatibility with a broader literacy perspective, the proximity to several theories of health promotion and defined concepts, and the importance of school health promotion and education, it is vital to focus research on current gaps in the understanding of health literacy determinants, health literacy as a determinant of health, and in terms of the design and systematic implementation of intervention programmes.
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Danksagungen
Der Dank gilt allen beteiligten Personen und allen Mitarbeiterinnen und Mitarbeitern im Zentrum für Prävention und Intervention im Kindes- und Jugendalter (ZPI) an der Universität Bielefeld.
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Okan, O., Pinheiro, P., Zamora, P. et al. Health Literacy bei Kindern und Jugendlichen. Bundesgesundheitsbl. 58, 930–941 (2015). https://doi.org/10.1007/s00103-015-2199-1
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DOI: https://doi.org/10.1007/s00103-015-2199-1
Schlüsselwörter
- Health Literacy
- Kinder und Jugendliche
- Determinanten von Health Literacy
- Gesundheitserziehung
- Gesundheitsförderung