@article{SchaefferGilleVogtetal., author = {Schaeffer, Doris and Gille, Svea and Vogt, Dominique and Hurrelmann, Klaus}, title = {National Action Plan Health Literacy in Germany origin, development and structure}, series = {Journal of Public Health}, journal = {Journal of Public Health}, doi = {10.1007/s10389-021-01616-9}, abstract = {Aim Health literacy has gained increasing importance worldwide. As a result of several studies indicating low health literacy levels in large parts of the population, strategies and action plans promoting health literacy were developed in many countries. The article analyses the origin, development and structure of the German Health Literacy Action Plan. Subject and methods In 2016, a civil society initiative was formed, aiming at developing a national action plan in an expert-based and collaborative manner. A group of 15 experts elaborated the core elements of the action plan, based on a literature review on existing health literacy approaches, action plans and empirical evidence. These core elements were further developed collaboratively in workshops with key stakeholders, self-help and patient organizations and individual consultation meetings. Afterwards, the National Action Plan was reviewed and previously formulated recommendations were refined before being published. Results and conclusion The National Action Plan Health Literacy in Germany presents 15 recommendations in four areas of action for promoting health literacy in Germany. This bottom-up strategy and the expert-based yet at the same time collaborative approach have proved to be successful when developing a national action plan.}, language = {en} } @article{OkanBollwegBerensetal., author = {Okan, Orkan and Bollweg, Torsten Michael and Berens, Eva-Maria and Hurrelmann, Klaus and Bauer, Ullrich and Schaeffer, Doris}, title = {Coronavirus-Related Health Literacy: A Cross-Sectional Study in Adults during the COVID-19 Infodemic in Germany}, series = {International Journal of Environmental Research and Public Health}, volume = {17}, journal = {International Journal of Environmental Research and Public Health}, number = {15}, doi = {10.3390/ijerph17155503}, abstract = {There is an "infodemic" associated with the COVID-19 pandemic—an overabundance of valid and invalid information. Health literacy is the ability to access, understand, appraise, and apply health information, making it crucial for navigating coronavirus and COVID-19 information environments. A cross-sectional representative study of participants ≥ 16 years in Germany was conducted using an online survey. A coronavirus-related health literacy measure was developed (HLS-COVID-Q22). Internal consistency was very high (α = 0.940; ρ = 0.891) and construct validity suggests a sufficient model fit, making HLS-COVID-Q22 a feasible tool for assessing coronavirus-related health literacy in population surveys. While 49.9\% of our sample had sufficient levels of coronavirus-related health literacy, 50.1\% had "problematic" (15.2\%) or "inadequate" (34.9\%) levels. Although the overall level of health literacy is high, a vast number of participants report difficulties dealing with coronavirus and COVID-19 information. The participants felt well informed about coronavirus, but 47.8\% reported having difficulties judging whether they could trust media information on COVID-19. Confusion about coronavirus information was significantly higher among those who had lower health literacy. This calls for targeted public information campaigns and promotion of population-based health literacy for better navigation of information environments during the infodemic, identification of disinformation, and decision-making based on reliable and trustworthy information.}, language = {en} } @article{Ravens‑SiebererKamanErhartetal., author = {Ravens‑Sieberer, Ulrike and Kaman, Anne and Erhart, Michael and Otto, Christiane and Devine, Janine and L{\"o}ffler, Constanze and Hurrelmann, Klaus and Bullinger, Monika and Barkmann, Claus and Siegel, Nico A. and Simon, Anja M. and Wieler, Lothar H. and Schlack, Robert and H{\"o}lling, Heike}, title = {Quality of life and mental health in children and adolescents during the first year of the COVID‑19 pandemic: results of a two‑wave nationwide population‑based study}, series = {European Child \& Adolescent Psychiatry}, journal = {European Child \& Adolescent Psychiatry}, doi = {10.1007/s00787-021-01889-1}, abstract = {Background The COVID-19 pandemic has disrupted the lives of children and adolescents worldwide. The German COPSY study is among the first population-based longitudinal studies to examine the mental health impact of the pandemic. The objective of the study was to assess changes in health-related quality of life (HRQoL) and mental health in children and adolescents and to identify the associated risk and resource factors during the pandemic. Methods A nationwide longitudinal survey was conducted with two waves during the pandemic (May/June 2020 and December 2020/January 2021). In total, n = 1923 children and adolescents aged 7 to 17 years and their parents participated (retention rate from wave 1 to wave 2: 85\%). The self-report and parent-proxy surveys assessed HRQoL (KIDSCREEN-10), mental health problems (SDQ with the subscales emotional problems, conduct problems, hyperactivity, and peer problems), anxiety (SCARED), depressive symptoms (CES-DC, PHQ-2) and psychosomatic complaints (HBSC-SCL). Mixed model panel regression analyses were conducted to examine longitudinal changes in mental health and to identify risk and resource factors. Results The HRQoL of children and adolescents decreased during the pandemic, and emotional problems, peer-related mental health problems, anxiety, depressive and psychosomatic symptoms increased over time, however the change in global mental health problems from wave 1 to wave 2 was not significant, and some changes were negligible. Socially disadvantaged children and children of mentally burdened parents were at particular risk of impaired mental health, while female gender and older age were associated with fewer mental health problems. A positive family climate and social support supported the mental health of children and adolescents during the pandemic. Discussion Health promotion, prevention and intervention strategies could support children and adolescents in coping with the pandemic and protect and maintain their mental health}, language = {en} } @techreport{RavensSiebererKamanOttoetal., type = {Working Paper}, author = {Ravens-Sieberer, Ulrike and Kaman, Anne and Otto, Christiane and Adedeji, Adekunle and Devine, Janine and Erhart, Michael and Napp, Ann-Kathrin and Becker, Marcia and Blanck-Stellmacher, Ulrike and L{\"o}ffler, Constanze and Schlack, Robert and Hurrelmann, Klaus}, title = {Mental Health and Quality of Life in Children and Adolescents During the COVID-19 Pandemic—Results of the Copsy Study}, series = {Deutsches {\"A}rzteblatt International}, volume = {117}, journal = {Deutsches {\"A}rzteblatt International}, doi = {10.3238/arztebl.2020.0828}, pages = {828 -- 829}, language = {en} } @article{RavensSiebererErhartDevineetal., author = {Ravens-Sieberer, Ulrike and Erhart, Michael and Devine, Janine and Gilbert, Martha and Reiss, Franziska and Barkmann, Claus and Siegel, Nico A. and Simon, Anja M. and Hurrelmann, Klaus and Schlack, Robert and H{\"o}lling, Heike and Wieler, Lothar H. and Kaman, Anne}, title = {Child and Adolescent Mental Health During the COVID-19 Pandemic: Results of the Three-Wave Longitudinal COPSY Study}, series = {Journal of Adolescent Health}, volume = {71}, journal = {Journal of Adolescent Health}, number = {5}, doi = {10.1016/j.jadohealth.2022.06.022}, pages = {570 -- 578}, abstract = {Purpose The German population-based longitudinal COVID-19 and Psychological Health study monitors changes in health-related quality of life (HRQoL) and mental health of children and adolescents during the COVID-19 pandemic and identifies vulnerable groups. Methods A nationwide, population-based survey was conducted in May 2020 to June 2020 (Wave 1), December 2020 to January 2021 (Wave 2), and September 2021 to October 2021 (Wave 3). In total, n = 2,097 children and adolescents aged 7-17 years were investigated using measures to assess HRQoL (KIDSCREEN-10), mental health problems (SDQ), anxiety (SCARED), depressive symptoms(PHQ-2), and psychosomatic complaints(HBSC-SCL). Results The prevalence of low HRQoL increased from 15\% prepandemic to 40\% and 48\% in Waves 1 and 2 and improved slightly to 35\% in Wave 3 (all differences significant). Similarly, overall mental health problems increased from 18\% prepandemic to 29\% in Wave 1 and 31\% in Wave 2 to 28\% in Wave 3 (all differences significant, except Wave 3 vs. 2), anxiety increased from 15\% prepandemic to 24\% and 30\% in Waves 1 and 2 and was still 27\% in Wave 3. Depressive symptoms increased from 10\% prepandemic to 11\% and 15\% in Waves 1 and 2 and were 11\% in Wave 3. A group with low parental education, restricted living conditions, migration background, and parental mental health problems was at significantly increased risk of HRQoL and mental health impairments. Discussion The prevalence of low HRQoL, mental health problems, and anxiety has been elevated throughout the pandemic. Thus, mental health promotion, prevention, and intervention strategies need to be implemented to support adolescents-particularly those at risk.}, language = {en} } @incollection{HurrelmannShaikhWendt, author = {Hurrelmann, Klaus and Shaikh, Mujaheed and Wendt, Claus}, title = {Health Policy and Health Governance}, series = {The Governance Report 2019}, booktitle = {The Governance Report 2019}, publisher = {Oxford University Press}, isbn = {9780198821502}, publisher = {Hertie School}, language = {en} } @article{SchaefferGilleHurrelmann, author = {Schaeffer, Doris and Gille, Svea and Hurrelmann, Klaus}, title = {Implementation of the National Action Plan Health Literacy in Germany—Lessons Learned}, series = {International Journal of Environmental Research and Public Health}, volume = {17}, journal = {International Journal of Environmental Research and Public Health}, number = {12}, publisher = {MDPI}, issn = {1660-4601}, doi = {10.3390/ijerph17124403}, subject = {-}, language = {en} } @book{HurrelmannRichter, author = {Hurrelmann, Klaus and Richter, Matthias}, title = {Understanding Public Health}, publisher = {Routledge}, address = {Oxon}, isbn = {978-0367360764}, publisher = {Hertie School}, pages = {116}, abstract = {This book develops a new model of the genesis of health, on the basis of the interplay between genetic and environmental factors. Hurrelmann and Richter build upon the basic theories of health and the popular model of salutogenesis to offer a comprehensive interdisciplinary theory of health genesis and success: Productive Processing of Reality (PPR). The authors show that health is the lifelong dynamic process of dealing with the internal reality of physical and psychological impulses and the external reality of social and material impulses. To demonstrate this, the book is split into three interconnected parts. Part A analyses the determinants of health, providing an overview of the insights of current research and the impact of socioeconomic influences and gender on health. Part B covers public health, social, learning and coping theories, all of which understand health as an interaction between people and their environment. Part C draws on these four theories to outline PPR, stressing the interrelation between physical and mental constitution and the demands of the social and mental environment, and suggesting strategies for coping with these demands during the life course. Understanding Public Health: Productive Processing of Internal and External Reality will be valuable reading for students and researchers in psychology, sociology, educational science, public health and medical science, and for policymakers in public health.}, language = {en} } @article{WeishaarHurrelmannOkanetal., author = {Weishaar, Heide and Hurrelmann, Klaus and Okan, Orkan and Horn, Annett and Schaeffer, Doris}, title = {Framing health literacy: A comparative analysis of national action plans}, series = {Health Policy}, volume = {123}, journal = {Health Policy}, number = {1}, issn = {0168-8510}, doi = {10.1016/j.healthpol.2018.11.012}, pages = {11 -- 20}, abstract = {Population and individual deficits in health literacy, and their associated negative health outcomes, have received growing attention in the political arena in recent years. In order to respond to the problem, several governments have adopted national action plans, which outline strategies to improve health literacy. Drawing on the action plans of the USA, Australia, Scotland, and Wales and applying Entman's concept of framing, this paper analyses how health literacy debates are framed within the political arena as well as the factors that influence framing. Analysing data from policy documents and in-depth expert interviews, this paper identifies relevant frames developed to (i) define the problem of limited health literacy, (ii) provide causal explanations, (iii) rationalise why health literacy requires political action, and (iv) present solutions. The findings indicate that the malleability of the concept allows that a diversity of frames and solutions are promoted, yet risks that debates remain vague. Health literacy seems to have been successfully used to instigate political debates about health system reforms, patient empowerment, and shared decision making. The analysis suggests that health literacy might, if applied strategically, help to focus policy debates on key public health problems and the development of systemic solutions.}, language = {en} } @article{RathmannHerkeBilzetal., author = {Rathmann, Katharina and Herke, Max and Bilz, Ludwig and Rimpel{\"a}, Arja and Hurrelmann, Klaus and Richter, Matthias}, title = {Class-Level School Performance and Life Satisfaction: Differential Sensitivity for Low- and High-Performing School-Aged Children}, series = {International Journal of Environmental Research and Public Health}, volume = {15}, journal = {International Journal of Environmental Research and Public Health}, number = {2}, doi = {10.3390/ijerph15122750}, abstract = {This study investigates whether class-level school performance affects students' life satisfaction and if there are differential effects for high- and low-performing students. Data were derived from the National Educational Panel Study, including n = 5196 students (49.6\% girls), nested in 478 classes and 250 secondary schools. School performance in class was measured by aggregating individual grade point average in Mathematics and German. The study could not reveal the "big-fish-little-pond"-effect regarding students' life satisfaction but found differential effects for high- vs. low performing students. There was no significant association for low-performing students attending classes with higher class-level performance However, low-performing students revealed the lowest life satisfaction. High-performing students placed in classes with higher average performance reported lower life satisfaction compared to high-performing students in classes with lower average performance. This study provides evidence for the impact of the learning environment in class on school-aged children's life satisfaction, by highlighting the differential sensitivity of high-performing students when placed in classes with higher or lower average performance.}, language = {en} } @book{HurrelmannQuenzel, author = {Hurrelmann, Klaus and Quenzel, Gudrun}, title = {Developmental Tasks in Adolescence}, publisher = {Routledge}, address = {London/New York}, isbn = {978-1138322424}, publisher = {Hertie School}, pages = {138}, abstract = {The topic of adolescent development in Europe is one which has received little academic attention in recent years. Developmental Tasks in Adolescence makes an exciting contribution to the field by applying socialisation theory to four major developmental tasks of life: Qualifying, Bonding, Consumption and Participation, arguing that if the tasks in these areas are mastered, then personal individuation and social integration can take place, a prerequisite for the formation of self-identity. In highly developed societies, adolescence encompasses a period of about 15 years on average. Puberty, or the transition from childhood, starts earlier and earlier, and the transition to adulthood is increasingly postponed. Developmental Tasks in Adolescence proposes that the way in which adolescents master the tasks of everyday life has become a pattern of orientation for the life stages which follow because of the new lifestyle requirements that are typical for modern democratic societies. Today, a life full of uncertainties and ambiguities is no longer limited to adolescence, but rather continues into adulthood. Hurrelmann and Quenzel's sociological approachis valuable reading for students and academics in psychology, sociology, education, social work and youth studies, and for those on professional training courses in these fields.}, language = {en} } @article{RathmannVockertBilzetal., author = {Rathmann, Katharina and Vockert, Theres and Bilz, Ludwig and Gebhardt, Markus and Hurrelmann, Klaus}, title = {Self-rated health and wellbeing among school-aged children with and without special educational needs: Differences between mainstream and special schools}, series = {Research in Developmental Disabilities}, volume = {81}, journal = {Research in Developmental Disabilities}, doi = {10.1016/j.ridd.2018.04.021}, pages = {134 -- 142}, abstract = {BACKGROUND: Studies among students with special educational needs (SEN) in separate special schools (SSS) and mainstream schools (MS) are particularly applicable to educational attainment and social participation. However, indicators of health and wellbeing have rarely been considered. AIMS: This study investigates two related topics: first, health and wellbeing differences between students with SEN in special schools (SSS) and students without SEN in regular schools, and second, the rarely considered question whether health and wellbeing among students with SEN differ between school settings (i.e. MS vs. SSS). METHODS AND PROCEDURES: Bivariate and multilevel analyses are applied with data from the German National Educational Panel Study (NEPS) with 5267 students (grade 7). OUTCOMES AND RESULTS: After having controlled for background characteristics, students in SSS report higher likelihoods of poor self-rated health compared to students in higher track schools. Self-rated health of students with SEN does not significantly differ between MS vs. SSS. For life satisfaction, students with SEN show higher likelihoods of low life satisfaction when attending MS. CONCLUSIONS AND IMPLICATIONS: Teachers in inclusive settings are encouraged to establish class work and teaching that support a real change from class placement to inclusive culture in order to suitably support students with SEN.}, language = {en} } @article{RathmannBilzHurrelmannetal., author = {Rathmann, Katharina and Bilz, Ludwig and Hurrelmann, Klaus and Kiess, Wieland and Richter, Matthias}, title = {Is being a "small fish in a big pond" bad for students' psychosomatic health? A multilevel study on the role of class-level school performance?}, series = {BMC Public Health}, volume = {18}, journal = {BMC Public Health}, number = {1}, doi = {10.1186/s12889-018-5977-5}, pages = {1098 -- 1113}, abstract = {Background Features of schools and classes are closely related to students´ health and wellbeing. However, class composition (e.g. in terms of school performance) has rarely been examined in relation to students´ health and wellbeing. This study focuses on the so called Big-Fish-Little-Pond-Effect (BFLPE), by investigating whether the level of high-performing students in classroom is negatively associated with psychosomatic complaints of students who perceive themselves as poor performers. Methods Data were derived from the German sample of the WHO-Collaborative "Health Behaviour in School-aged Children (HBSC)" study 2013/2014. The sample included 5226 11-, 13- and 15-year-old students. Individual perceived school performance (PSP) was included (very good/good vs. average/below average PSP) at the individual student-level. At the class-level, school performance in class was generated by aggregating the share (in percentage) of students who report a very good/good PSP to the class-level, indicating the percentage of students with good/very good PSP in classroom. Using multilevel regression models, the association between class-level school performance (in percentage of students with very good/good PSP) and individual psychosomatic complaints were analyzed, stratified by students´ individual PSP. Results Students who report average/below average PSP showed higher likelihoods of psychosomatic complaints (Odds Ratio: 1.75; 95\% Confidence Interval: 1.52-2.03) compared to counterparts with very good/good PSP. The aggregated class-level PSP was not significantly associated with psychosomatic complaints. However, in line with the BFLPE, results further revealed that students with average/below average PSP, who attend classes with a higher percentage of students who report very good/good PSP, had higher likelihoods of psychosomatic complaints (Odds Ratio: 1.91; 95\% Confidence Interval: 1.01-4.01) compared to classmates with very good/good PSP. Conclusions This study revealed that class composition in terms of PSP was differentially associated with students´ psychosomatic complaints, depending on their individual PSP. Findings highlight the vulnerability of students with poor PSP placed in classes with a higher percentage of students with good PSP. Results of this study therefore indicate a need for initiatives for low performing students from teachers and school staff in class.}, language = {en} } @incollection{HurrelmannAndresenFegter, author = {Hurrelmann, Klaus and Andresen, Sabine and Fegter, Susann}, title = {How Children See Well-Being, Poverty, and Justice: The Focus of the Third World Vision Child Study}, series = {Well-being, Poverty and Justice from a Child's Perspective}, booktitle = {Well-being, Poverty and Justice from a Child's Perspective}, editor = {Andresen, Sabine and Fegter, Susann and Hurrelmann, Klaus and Schneekloth, Ulrich}, publisher = {Springer International Publishing}, address = {Cham}, isbn = {978-3-319-57574-2}, pages = {1 -- 22}, language = {en} } @incollection{HurrelmannAndresen, author = {Hurrelmann, Klaus and Andresen, Sabine}, title = {Challenges Facing a "Policy for Children"}, series = {Well-being, Poverty and Justice from a Child's Perspective}, booktitle = {Well-being, Poverty and Justice from a Child's Perspective}, editor = {Andresen, Sabine and Fegter, Susann and Hurrelmann, Klaus and Schneekloth, Ulrich}, publisher = {Springer International Publishing}, address = {Cham}, isbn = {978-3-319-57574-2}, pages = {171 -- 177}, language = {en} } @incollection{HurrelmannPupeter, author = {Hurrelmann, Klaus and Pupeter, Monika}, title = {School: An Increasingly Important Field of Experience}, series = {Well-being, Poverty and Justice from a Child's Perspective}, booktitle = {Well-being, Poverty and Justice from a Child's Perspective}, publisher = {Springer International Publishing}, address = {Cham}, isbn = {978-3-319-57574-2}, doi = {10.1007/978-3-319-57574-2}, pages = {83 -- 105}, abstract = {School plays a major role in the daily lives of 6- to 11-year-olds—and not just in terms of the time spent there and the structuring of the day through school attendance. It also imposes completely new social and intellectual demands on children, because they now have a range of different things to learn, and they need to acquire not only knowledge but also basic competencies such as reading, writing, and arithmetic. School admission also marks the beginning of a new phase of life in a new community in which children first have to find and claim their place. This is because school is a social location in which children can meet their friends and forge new friendships. Hence, alongside confronting them with the actual contents of learning, it also places greater demands on children's abilities to socialize and adapt to their surroundings while simultaneously coming to terms with new spatial conditions. Put briefly, school has many facets for children, and for each individual child, school admission is accompanied not only by opportunities, scopes for making new discoveries, and new chances but also by constraints, disappointments, and trials to be mastered. School becomes an increasingly important life space for childhood experience.}, language = {en} } @article{RathmannHerkeHurrelmannetal., author = {Rathmann, Katharina and Herke, Max G. and Hurrelmann, Klaus and Richter, Matthias}, title = {Perceived class climate and school-aged children's life satisfaction: The role of the learning environment in classrooms}, series = {PLoS ONE}, journal = {PLoS ONE}, doi = {10.1371/journal.pone.0189335}, url = {http://nbn-resolving.de/urn:nbn:de:kobv:b1570-opus4-24735}, abstract = {The aim of this study is to examine the impact of class-level class climate on school-aged children's life satisfaction. Data was derived from the German National Educational Panel Study (NEPS) using sixth grade school-aged children (n = 4,764, 483 classes). Class climate includes indicators of teachers' care and monitoring, demands, interaction, autonomy, as well as school-aged children's attitudes towards schoolwork at the class- and individual-level. Results showed that individual perceived class climate in terms of teachers' care and monitoring and autonomy was positively related to life satisfaction, whereas school-related demands were related to lower life satisfaction. Besides teachers' care and monitoring at class-level, indicators of class climate were not associated with school-aged children's life satisfaction, while the individual perceived class climate is more important for life satisfaction.}, language = {en} } @misc{HurrelmannAndresenFegteretal., author = {Hurrelmann, Klaus and Andresen, Sabine and Fegter, Susann and Schneekloth, Ulrich}, title = {Well-being, Poverty and Justice from a Child's Perspective}, volume = {17}, edition = {1}, publisher = {Springer International Publishing}, address = {Cham}, isbn = {978-3-319-57574-2}, issn = {1879-5196}, doi = {10.1007/978-3-319-57574-2}, pages = {228}, language = {en} } @book{Hurrelmann, author = {Hurrelmann, Klaus}, title = {Socialisation During the Life Course}, publisher = {Routledge}, address = {Oxon}, isbn = {978-1-138-50218-5}, pages = {158}, language = {en} } @article{RathmannPfoertnerHurrelmannetal., author = {Rathmann, Katharina and Pf{\"o}rtner, Timo-Kolja and Hurrelmann, Klaus and Osorio, Ana M. and Bosakova, Lucia and Elgar, Frank J. and Richter, Matthias}, title = {The great recession, youth unemployment and inequalities in psychological health complaints in adolescents: a multilevel study in 31 countries}, series = {International Journal of Public Health}, volume = {61}, journal = {International Journal of Public Health}, number = {7}, issn = {1661-8556}, doi = {10.1007/s00038-016-0866-0}, pages = {809 -- 819}, abstract = {Objectives Little is known about the impact of recessions on young people's socioeconomic inequalities in health. This study investigates the impact of the economic recession in terms of youth unemployment on socioeconomic inequalities in psychological health complaints among adolescents across Europe and North America. Methods Data from the WHO collaborative 'Health Behaviour in School-aged Children' (HBSC) study were collected in 2005/06 (N = 160,830) and 2009/10 (N = 166,590) in 31 European and North American countries. Logistic multilevel models were used to assess the contribution of youth unemployment in 2009/10 (enduring recession) and the change in youth unemployment (2005-2010) to adolescent psychological health complaints and socioeconomic inequalities in complaints in 2009/10. Results Youth unemployment during the recession is positively related to psychological health complaints, but not to inequalities in complaints. Changes in youth unemployment (2005-2010) were not associated with adolescents' psychological health complaints, whereas greater inequalities in complaints were found in countries with greater increases in youth unemployment. Conclusions This study highlights the need to tackle the impact of increasing unemployment on adolescent health and health inequalities during economic recessions.}, language = {en} } @article{HurrelmannBerensVogtetal., author = {Hurrelmann, Klaus and Berens, Eva-Maria and Vogt, Dominique and Messer, Melanie and Schaeffer, Doris}, title = {Health literacy among different age groups in Germany : results of a cross-sectional survey}, series = {BMC Public Health}, volume = {16}, journal = {BMC Public Health}, publisher = {Biomed Central}, doi = {10.1186/s12889-016-3810-6}, url = {http://nbn-resolving.de/urn:nbn:de:kobv:b1570-opus4-21428}, pages = {8}, abstract = {BACKGROUND: Health literacy is of increasing importance in public health research. It is a necessary pre-condition for the involvement in decisions about health and health care and related to health outcomes. Knowledge about limited health literacy in different age groups is crucial to better target public health interventions for subgroups of the population. However, little is known about health literacy in Germany. The study therefore assesses the prevalence of limited health literacy and associated factors among different age groups. METHODS: The Health Literacy Survey Germany is a cross-sectional study with 2,000 participants aged 15 years or older in private households. Perceived health literacy was assessed via computer-assisted personal interviews using the HLS-EU-Q-47 questionnaire. Descriptive analyses, chi-square tests and odds ratios were performed stratified for different age groups. RESULTS: The population affected by limited perceived health literacy increases by age. Of the respondents aged 15-29 years, 47.3 \% had limited perceived health literacy and 47.2 \% of those aged 30-45 years, whereas 55.2 \% of the respondents aged 46-64 years and 66.4 \% aged 65 years and older showed limited perceived health literacy. In all age groups, limited perceived health literacy was associated with limited functional health literacy, low social status, and a high frequency of doctor visits. CONCLUSIONS: The results suggest a need to further investigate perceived health literacy in all phases of the life-course. Particular attention should be devoted to persons with lower social status, limited functional health literacy and/or a high number of doctor visits in all age groups.}, language = {en} } @article{RichterHurrelmann, author = {Richter, Matthias and Hurrelmann, Klaus}, title = {Life course influences on health and health inequalities: A socialisation perspective}, series = {Zeitschrift f{\"u}r Soziologie der Erziehung und Sozialisation}, volume = {3}, journal = {Zeitschrift f{\"u}r Soziologie der Erziehung und Sozialisation}, publisher = {Beltz Juventa}, issn = {1436-1957}, pages = {264 -- 280}, abstract = {This paper reviews life course approaches applied in epidemiology, sociology and psychology and proposes a theoretical framework that integrates the concept of socialisation. We argue that the paradigmatic principles of interdisciplinary life course research (human agency, timing in lives, linked lives and historical context) provide a strong basis for a more holistic and theory-driven view of the life course and its interdependent pathways. The ´agency within structure´ paradigm on which these principles are based is an essential part of socialisation theory. We emphasize that socialisation theory has the potential to act as a theoretical link between social science and epidemiology, because it offers a multi-causal framework to illuminate the association between social structure and health across the life course. In order to better understand the development of health and health inequalities in a life course perspective, an interdisciplinary approach is required. The increased attention to socialisation principles might open new dialogue and empirical research perspectives for health sociology and epidemiology. Keywords: ageing, health, life course, social inequalities, socialisation theory}, language = {en} } @article{HurrelmannRathmannMooretal., author = {Hurrelmann, Klaus and Rathmann, Katharina and Moor, Irene and Kunst, Anton E. and Dragano, Nico and Pf{\"o}rtner, Timo-Kolja and Elgar, Frank J. and Kannas, Lasse and Baška, Tibor and Richter, Matthias}, title = {Is educational differentiation associated with smoking and smoking inequalities in adolescence? A multilevel analysis across 27 European and North American countries}, series = {Sociology of Health \& Illness}, volume = {38}, journal = {Sociology of Health \& Illness}, number = {7}, pages = {1005 -- 1025}, abstract = {This study aims to determine whether educational differentiation (i.e. early and long tracking to different school types) relate to socioeconomic inequalities in adolescent smoking. Data were collected from the WHO-Collaborative 'Health Behaviour in School-aged Children (HBSC)' study 2005/2006, which included 48,025 15-year-old students (Nboys = 23,008, Ngirls = 25,017) from 27 European and North American countries. Socioeconomic position was measured using the HBSC family affluence scale. Educational differentiation was determined by the number of different school types, age of selection, and length of differentiated curriculum at the country-level. We used multilevel logistic regression to assess the association of daily smoking and early smoking initiation predicted by family affluence, educational differentiation, and their interactions. Socioeconomic inequalities in both smoking outcomes were larger in countries that are characterised by a lower degree of educational differentiation (e.g. Canada, Scandinavia and the United Kingdom) than in countries with higher levels of educational differentiation (e.g. Austria, Belgium, Hungary and The Netherlands). This study found that high educational differentiation does not relate to greater relative inequalities in smoking. Features of educational systems are important to consider as they are related to overall prevalence in smoking and smoking inequalities in adolescence.}, language = {en} } @article{BerensVogtSchaefferetal., author = {Berens, Eva-Maria and Vogt, Dominique and Schaeffer, Doris and Hurrelmann, Klaus and Messer, Melanie}, title = {Health literacy in old age: results of a German cross-sectional study}, series = {Health Promotion International}, journal = {Health Promotion International}, issn = {0957-4824, 1460-2245}, doi = {10.1093/heapro/dax012}, pages = {1 -- 9}, language = {en} } @incollection{HurrelmannRathmannKickbusch, author = {Hurrelmann, Klaus and Rathmann, Katharina and Kickbusch, Julian}, title = {Welfare and Education}, series = {International Encyclopedia of the Social \& Behavioural Sciences}, booktitle = {International Encyclopedia of the Social \& Behavioural Sciences}, publisher = {Elsevier}, isbn = {978-0080970868}, pages = {481 -- 490}, language = {en} } @article{HurrelmannRuoXiKoecheretal., author = {Hurrelmann, Klaus and Ruo-Xi, Yu and K{\"o}cher, Wolfgang and Darvin, Maxim E. and B{\"u}ttner, Monika and Jung, Sora and Lee, Bich Na and Klotter, Christoph and Meinke, Martina C. and Lademann, J{\"u}rgen}, title = {Spectroscopic biofeedback on cutaneous carotenoids as part of a prevention program could be effective to raise health awareness in adolescents}, series = {Journal of Biophotonics}, volume = {7}, journal = {Journal of Biophotonics}, number = {11-12}, publisher = {WILEY-VCH Verlag GmbH \& Co. KGaA}, address = {Weinheim}, issn = {1864-063X}, doi = {10.1002/jbio.201300134}, pages = {926 -- 937}, abstract = {The cutaneous carotenoid concentration correlates with the overall antioxidant status of a person and can be seen as biomarker for nutrition and lifestyle. 50 high school students were spectroscopically measured for their cutaneous carotenoid concentrations initially in a static phase, followed by an intervention phase with biofeedback of their measured values, living a healthy lifestyle and on healthy food this time. The volunteers showed higher carotenoid concentrations than found in previous studies. A significant correlation of healthy lifestyle habits and a high antioxidant status could be determined. Subjects improved their nutritional habits and significantly increased their carotenoid concentration during intervention. Follow-up five months later showed a consolidation of the increase. The investigations show that a healthy diet and a well-balanced lifestyle correlate with a high cutaneous antioxidant concentration and that spectroscopic biofeedback measurement of cutaneous carotenoids as part of an integrated prevention program is a feasible and effective means to raise the health awareness in adolescents.}, language = {en} } @incollection{Hurrelmann, author = {Hurrelmann, Klaus}, title = {Adolescents as productive processors of reality. My socialization approach in youth research.}, series = {The Developmental Science of Adolescence}, booktitle = {The Developmental Science of Adolescence}, publisher = {Psychology Press}, address = {New York}, pages = {230 -- 238}, language = {en} } @article{QuenzelHurrelmann2012, author = {Quenzel, Gudrun and Hurrelmann, Klaus}, title = {The growing gender gap in education}, series = {International Journal of Adolescence and Youth}, volume = {18}, journal = {International Journal of Adolescence and Youth}, number = {2}, publisher = {Taylor and Francis}, address = {Abingdon}, issn = {0267-3843}, doi = {10.1080/02673843.2012.665168}, pages = {69 -- 84}, year = {2012}, abstract = {Young women, and not young men, acquire the privileged diplomas offered by the educational system, and it is they who obtain the more promising career prospects. In this paper, we seek to identify factors that account for the declining school performance of boys and young men. After reviewing and analysing the international literature on gender and education, we integrate various explanatory approaches into a comprehensive socialisation model. The model focuses on the developmental tasks young men face during adolescence. Our central thesis is that the declining school performance of young men cannot be fully explained by their failure to cope with the developmental task 'qualification'. Rather, the three other central clusters of developmental tasks - 'social attachment', 'regeneration', and 'participation' - have to be incorporated. The crucial implication is that supporting young men at school will show only limited results. Rather, to improve the school performance of young men, it is also necessary to address their deficits in coping with the other developmental tasks.}, language = {en} } @article{HurrelmannReinhardtNoacketal., author = {Hurrelmann, Klaus and Reinhardt, C.H. and Noack, M. J. and Wassmer, G. and Klein, K.}, title = {A strategy for encouraging young adult's adoption of a preferred oral hygiene technique}, series = {Oral Health and Preventive Dentistry}, volume = {8}, journal = {Oral Health and Preventive Dentistry}, number = {1}, publisher = {Quintessenz Publ.}, address = {Berlin}, issn = {1602-1622}, doi = {10.3290/j.ohpd.a18805}, pages = {3 -- 8}, abstract = {PURPOSE: Adherence to dental preventive programmes in young adults is low. The aim of the present longitudinal study was to evaluate whether tutoring peers can be a compliance-enhancing tool or not. METHODS: In Part 1, two randomly selected classes (49 female students, mean age 19.8 + or - 2.3 years) were taught adult toothbrushing technique (the modified Bass technique) in a project-like manner. After the course, knowledge was tested using a class test, and compliance was evaluated using anonymous quantitative questionnaires. Compliance was defined as a reported degree of change from the easy-to-learn childhood toothbrushing techniques to the more efficient and challenging Bass technique. In Part 2 of the present longitudinal study, the compliance of these students was re-evaluated after having developed and applied themselves a programme of how to tutor peers in oral health. Re-evaluation of compliance was performed after 3 and 9 months. RESULTS: In Part 1, 28.5\% of the students were compliant after 1 week. Compared with Part 1, the compliance in Part 2 was significantly higher (P u 0.001), both after 3 months (90\%) and after 9 months (82\%). CONCLUSIONS: Tutoring peers can significantly enhance the compliance over a period of 9 months. Tutoring can function as a form of empowerment and can establish a strong sustained health engagement. Tutoring peers in health-related subjects can readily be implemented in schools and might be an additional means of oral health promotion with fewer additional costs.}, language = {en} } @article{HurrelmannQuenzel2013, author = {Hurrelmann, Klaus and Quenzel, Gudrun}, title = {Lost in transition: status insecurity and inconsistency as hallmarks of modern adolescence}, series = {International Journal of Adolescence and Youth}, volume = {20}, journal = {International Journal of Adolescence and Youth}, number = {3}, publisher = {Taylor and Francis}, address = {London [u.a.]}, issn = {0267-3843}, doi = {10.1080/02673843.2013.785440}, pages = {261 -- 270}, year = {2013}, abstract = {In highly developed countries, the adolescent phase of life is expanding more and more. The consequences are status insecurity and inconsistency. A side effect is that adolescence is no longer clearly separable as demarcated biographical stage from adulthood. In this paper, we argue that the developmental tasks of a typical adolescent and a typical adult can only be partially differentiated, and the exact point in time when adolescents become adults can no longer be clearly identified. We find evidence that adolescence is becoming more 'adult' and adulthood is correspondingly becoming more 'juvenile'. In almost all important social areas of life, the behavioral patterns of adults and of adolescents are coalescing. Living with insecurity in the working life and in social relations, experiencing limitations of personal autonomy, and the continuous need to work on social status inconsistencies today are characteristic features of the life of adolescents and adults. As many adolescents meet these demands skillfully and flexibly, they have in many respects become 'social models' for the adult life phase.}, language = {en} } @article{HurrelmannAlbertQuenzel, author = {Hurrelmann, Klaus and Albert, Mathias and Quenzel, Gudrun}, title = {Youth protest in Germany? An analysis based on the results of the Shell Youth Studies}, series = {Diskurs Kindheits- und Jugendforschung}, volume = {8}, journal = {Diskurs Kindheits- und Jugendforschung}, number = {3}, publisher = {Budrich}, address = {Leverkusen}, issn = {1862-5002}, url = {http://nbn-resolving.de/urn:nbn:de:0168-ssoar-391393}, pages = {341 -- 345}, abstract = {Youth protest, sometimes accompanied by riots, in a number of European countries over the last few years repeatedly trigger the question whether similar forms of protest can be expected in the near future from young people in Germany as well. While any, often spontaneous eruption of (violent) protest, can never be predicted with certainty, we argue, based on an analysis of the last Shell Youth Studies (cf. Shell Deutschland 2002, 2006, 2010), that it is rather unlikely to happen in Germany, indeed that if anything this likelihood has decreased over recent years. We identify three explanations for the - compared to a range of other European countries - striking acquiescence of the current young generation in Germany: 1. A range of institutions that keep young Germans in the education system until they finally find employment, 2. a strong culture of pragmatic individualism, and 3. a strong distrust of political parties.}, language = {en} } @article{HurrelmannRathmannRichter, author = {Hurrelmann, Klaus and Rathmann, Katharina and Richter, Matthias}, title = {Health inequalities and welfare state regimes: a research note}, series = {Journal of Public Health}, volume = {19}, journal = {Journal of Public Health}, number = {1}, publisher = {Springer}, address = {Berlin [u.a.]}, issn = {1613-2238}, doi = {http://nbn-resolving.de/urn:nbn:de:0168-ssoar-216295}, pages = {3 -- 13}, abstract = {Aim Comparative research on health and health inequalities has recently begun implementing a welfare regime perspective. The aim of the study was to review the existing evidence for identifying the determinants of health and health inequalities in highly developed welfare states and to develop a theoretical model for future research approaches. Subject A welfare state regime typology is applied to comparatively analyse (1) the relationship between the level of economic prosperity in a society and its respective level of overall population health and (2) the nature of the corresponding relationship between economic inequalities and health inequalities in different groups of countries. Results Although the Social Democratic welfare states have a relatively equal distribution of material wealth as well as the highest levels of population health, they are not characterised by the smallest levels of health inequality. Rather, with respect to health equality, conservative countries seem to perform better than social democracies. We propose a comprehensive theoretical model that takes into account different factors on the structural (macro), organisational (meso) and individual (micro) level in order to contribute to a better understanding of this important challenge for public health policy and practice. Conclusion Future research will require an appropriate theoretical model with the potential to explain health and health inequalities in different types of welfare states. On the basis of this model, future research should test the hypothesis that in highly developed countries not only economic, but also social, cultural and lifestyle factors are important in determining health outcomes in different segments of the population.}, language = {en} } @article{RichterRathmannNicGabhainnetal., author = {Richter, Matthias and Rathmann, Katharina and Nic Gabhainn, S. and Zambon, A. and Boyce, W. and Hurrelmann, Klaus}, title = {Welfare state regimes, health and health inequalities in adolescence: A multilevel analysis in 32 countries}, series = {Sociology of Health and Illness}, volume = {34}, journal = {Sociology of Health and Illness}, number = {6}, publisher = {Wiley-Blackwell}, address = {Hoboken (NJ) [u.a.]}, issn = {1467-9566}, doi = {10.1111/j.1467-9566.2011.01433.x}, pages = {858 -- 879}, abstract = {Comparative research on health and health inequalities has recently started to establish a welfare regime perspective. The objective of this study was to determine whether different welfare regimes are associated with health and health inequalities among adolescents. Data were collected from the 'Health Behaviour in School-aged Children' study in 2006, including 11- to 15-year-old students from 32 countries (N = 141,091). Prevalence rates and multilevel logistic regression models were calculated for self-rated health (SRH) and health complaints. The results show that between 4 per cent and 7 per cent of the variation in both health outcomes is attributable to differences between countries. Compared to the Scandinavian regime, the Southern regime had lower odds ratios for SRH, while for health complaints the Southern and Eastern regime showed high odds ratios. The association between subjective health and welfare regime was largely unaffected by adjusting for individual socioeconomic position. After adjustment for the welfare regime typology, the country-level variations were reduced to 4.6 per cent for SRH and to 2.9 per cent for health complaints. Regarding cross-level interaction effects between welfare regimes and socioeconomic position, no clear regime-specific pattern was found. Consistent with research on adults this study shows that welfare regimes are important in explaining variations in adolescent health across countries.}, language = {en} } @article{HurrelmannRathmannOttovaetal., author = {Hurrelmann, Klaus and Rathmann, Katharina and Ottova, Veronika and de Looze, Margarethe and Levin, Kate and Molcho, Michael and Elgar, Frank and Nic Gabhainn, Saoirse and van Dijk, Jitse P. and Richter, Matthias}, title = {Macro-level determinants of young people's subjective health and health inequalities: A multilevel analysis in 27 welfare states}, series = {Maturitas}, volume = {80}, journal = {Maturitas}, number = {4}, publisher = {Elsevier}, address = {Amsterdam [u.a.]}, issn = {0378-5122}, doi = {10.1016/j.maturitas.2015.01.008}, pages = {414 -- 420}, abstract = {Objectives Cross-national studies have rarely focused on young people. The aim of this study is to investigate whether macro-level determinants are associated with health and socioeconomic inequalities in young people's health. Study design Data were collected from the Health Behaviour in School-aged Children (HBSC) study in 2006, which included 11- to 15-year old adolescents from 27 European and North American countries (n = 134,632). This study includes national income, health expenditure, income inequality, and welfare regime dummy-variables as macro-level determinants, using hierarchical regression modelling. Main outcome measure Psychosomatic health complaints and socioeconomic inequalities in psychosomatic health complaints. Results Adolescents in countries with higher income inequality and with liberal welfare tradition were associated with more health complaints and a stronger relationship between socioeconomic status and macro-level determinants compared to adolescents from countries with lower income inequality or the Social Democratic regime. National income and health expenditure were not related to health complaints. Countries with higher national income, public health expenditure and income inequality showed stronger associations between socioeconomic status and psychosomatic health complaints. Conclusion Results showed that macro-level characteristics are relevant determinants of health and health inequalities in adolescence.}, language = {en} } @article{HurrelmannAndresenSchneekloth, author = {Hurrelmann, Klaus and Andresen, Sabine and Schneekloth, Ulrich}, title = {Care and freedom: Theoretical and empirical aspects of children's wellbeing}, series = {Child Indicators Research}, volume = {5}, journal = {Child Indicators Research}, number = {3}, publisher = {Springer Netherlands}, issn = {1874-897X}, doi = {10.1007/s12187-012-9154-6}, pages = {437 -- 448}, abstract = {In 2007, we published the first survey on children in Germany. In that "1st World Vision Children Study," we decided to perform more than just a representative and standardized questionnaire survey of 1,600 children aged 8-11 years. We also chose to carry out qualitative interviews linked together with a game, and to extend these interviews to include children from the age of 6 years onward. One important finding of the 2007 survey was the devastating impact of social inequality on children's lives and the growing numbers of children who experience poverty. In 2010, we published a new survey of children, the "2nd World Vision Study." This covered a sample of 2,500 children aged 6 to 11 years. We added some questions on the feelings and everyday life experiences children have when they are poor. We also included questions on respect, and self-efficacy. Both studies are based on a concept of child well-being. We consider that the World Vision Study of 2010 delivers one major finding: What contributes to the well-being of children in Germany is the granting of freedoms and the experiences of autonomy embedded among experiences of parental care within committed relationships. Hence, it is precisely a combination of freedom and parental care, of co-determination and protection that leads to a high life satisfaction in 6- to 11-year-olds.(Publishers Information)}, language = {en} }