Disparities in COVID-19 related health literacy, knowledge, and the assessment of the measures taken in Germany: a cross-sectional study

Schmidt, Lisa; Götz, Nina-Alexandra; Hannemann, Niels; Babitsch, Birgit

doi:10.1007/s10389-023-01827-2

Cited by 2 publications

(2 citation statements)

References 27 publications

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“…Our results are consistent with this in terms of the age and gender distribution in this study. Other international studies highlighted that better health literacy during the pandemic was associated with adherence to preventive behaviors, which is in line with our results [38].…”

Section: Principal Resultssupporting

confidence: 93%

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Evaluating the Knowledge of and Behavior Toward COVID-19 and the Possibility of Isolating at a City Level: Survey Study

Verot,

Chaux,

Gagnaire

et al. 2024

JMIR Public Health Surveill

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Background Mass testing campaigns were proposed in France during the first wave of the COVID-19 pandemic to detect and isolate asymptomatic individuals infected by SARS-CoV-2. During mass testing in Saint-Étienne (February 2021), we performed a survey of the general population. Objective We evaluated, on the scale of a city’s population, the literacy level about SARS-CoV-2 transmission, barrier gesture respect, and isolation acceptability or possibility in case of SARS-CoV-2 infection. Methods We used the validated CovQuest-CC questionnaire. Data were analyzed and correlated with volunteer characteristics and their SARS-CoV-2 screening results using multivariate analysis. Results In total, 4707 participants completed the CovQuest-CC questionnaire. Multivariate analysis revealed that female sex was a determinant of a higher score of knowledge about SARS-CoV-2 transmission (adjusted β coefficient=0.14, 95% CI 0.04-0.23; corrected P=.02). Older ages of 50-59 years (adjusted β coefficient=0.25, 95% CI 0.19-0.31; corrected P<.001) and ≥60 years (adjusted β coefficient=0.25, 95% CI 0.15-0.34; corrected P<.001) were determinants of a higher score on barrier gesture respect compared to ages 20-49 years considered as reference. Female sex was also a determinant of a higher score on barrier gesture respect (adjusted β coefficient=0.10, 95% CI 0.02-4.63; corrected P<.001). The knowledge score was correlated with the score on barrier gesture respect measures (adjusted β coefficient=0.03, 95% CI 0.001-0.004; corrected P=.001). Older ages of 50-59 years (adjusted β coefficient=0.21, 95% CI 0.13-0.29; corrected P<.001) and ≥60 years (adjusted β coefficient=0.25, 95% CI 0.1-0.38; corrected P<.001) were determinants of a higher score on isolation acceptability or possibility compared to the age of 20-49 years considered as reference. Finally, the knowledge score regarding SARS-CoV-2 transmission was significantly associated with a lower risk of RT-PCR (reverse transcriptase–polymerase chain reaction) positivity (adjusted odds ratio 0.80, 95% CI 0.69-0.94; corrected P<.03), implying that a 1-point increase in the knowledge score lowers the risk of positivity by 20% on average. Conclusions This study identified factors associated with health literacy regarding SARS-CoV-2 infection in asymptomatic individuals in a large French city’s population. We can confirm that in the context of the COVID-19 pandemic, the determinants of better health literacy are not the same as those in other contexts. It seems critical to obtain a more detailed understanding of the determinants of individual citizens’ behavior, as part of a strategy to combat the large-scale spread of the virus. The harsh experience of this pandemic should teach us how to nurture research to structure customized interventions to encourage the adoption of ad hoc behaviors to engage citizens in adapting behaviors more favorable to their health.

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Section: Principal Resultssupporting

confidence: 93%

“…As Schmidt et al [38] recently reported, one of the key elements to be retained from the various recent studies carried out is that the level of health literacy specific to COVID-19 seems to be a strong determinant of the individual's commitment to adopting preventive attitudes and behaviors toward the virus [38].…”

Section: Principal Resultsmentioning

confidence: 99%

Evaluating the Knowledge of and Behavior Toward COVID-19 and the Possibility of Isolating at a City Level: Survey Study

Verot,

Chaux,

Gagnaire

et al. 2024

JMIR Public Health Surveill

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Factors influencing the acceptance of the measures for the containment of Covid-19

Kaltenhäuser

2023

J Public Health (Berl.)

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Aim This study examines the impact of individual factors and personal experiences with Covid-19 on how one views the pandemic and the measures against it. Subject and methods For this, a survey was conducted and evaluated using structural equation modeling and multivariate statistics. Results Hereby, a higher approval was found for measures associated with a high contribution to the confinement of the pandemic but with low restrictions on the people at the same time. Furthermore, the results showed that people rating the pandemic as dangerous show a higher agreement with all measures, and likewise, these people decreasingly rate the measures as worse than the pandemic itself. Also, it could be shown that, especially personal experiences like a quarantaine and personal restrictions, increased the opinion that Covid-19 is a dangerous disease. Also, people informing themselves with alternative press rated Covid-19 as less dangerous. In contrast, age and gender had no influence on the view on the pandemic and the measures against it. Conclusion From the results, mainly two conclusions can be drawn: people can disinguish well between the benefits of single measures and personal experiences play an important role in their rating. Thus, when establishing measures in further pandemics, it might be wise to include the public’s opinion in all decisions.

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Disparities in COVID-19 related health literacy, knowledge, and the assessment of the measures taken in Germany: a cross-sectional study

Cited by 2 publications

References 27 publications

Evaluating the Knowledge of and Behavior Toward COVID-19 and the Possibility of Isolating at a City Level: Survey Study

Evaluating the Knowledge of and Behavior Toward COVID-19 and the Possibility of Isolating at a City Level: Survey Study

Factors influencing the acceptance of the measures for the containment of Covid-19

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