IDEAS home Printed from https://ideas.repec.org/a/zbw/espost/267177.html
   My bibliography  Save this article

Differences in health literacy domains among migrants and their descendants in Germany

Author

Listed:
  • Berens, Eva-Maria
  • Klinger, Julia
  • Carol, Sarah
  • Schaeffer, Doris

Abstract

Background: Health literacy (HL) is considered to be an important precondition for health. HL research often identifies migrants as vulnerable for low HL. However, in-depth data on HL among migrants especially in its domains of health care, disease prevention and health promotion and its determinants are still scarce. Objective: The aim of this study was therefore to analyse the current status of HL among migrants and their descendants from Turkey and from the former Soviet Union (FSU) in Germany and factors associated with it. This has not been studied using large-scale data and bilingual interviews. We differentiate between dimensions of HL, namely the domains of health care, disease prevention and health promotion which goes beyond many previous studies. In addition, we explore new mechanisms by testing the explanatory power of self-efficacy and interethnic contacts for migrants' HL. Methods: The study includes 825 first- and second-generation adult migrants from two of the largest immigration groups in Germany, from Turkey and FSU, who were interviewed face-to-face in German, Turkish or Russian in late summer 2020. HL was measured using the HLS 19 -Q47 instrument. Age, gender, educational level, social status and financial deprivation, chronic illness, health-related literacy skills, self-efficacy, interethnic contacts, migration generation, duration of stay and region of origin were considered as possible determinants. Ordinary least square regressions were estimated. Results: The average general HL score was 65.5. HL in health promotion and disease prevention was lower than in health care. Low financial deprivation, health-related literacy skills, and self-efficacy were positively correlated with each HL domain. Educational level, social status, age, gender, duration of stay and interethnic contacts were positively correlated with HL in some domains. Region of origin was only correlated with the domain of disease prevention until interethnic contact was accounted for. Conclusion: Our study contributes to the existing knowledge by analyzing different domains of HL and testing its correlations with self-efficacy and interethnic contact among migrants. We reveal that migrants cannot generally be considered as vulnerable for low HL, as oftentimes outlined. There is a need for interventions e.g. to enhance the understanding of health information among subgroups with lower HL.

Suggested Citation

  • Berens, Eva-Maria & Klinger, Julia & Carol, Sarah & Schaeffer, Doris, 2022. "Differences in health literacy domains among migrants and their descendants in Germany," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 10, pages 1-14.
    • Handle: RePEc:zbw:espost:267177
    DOI: 10.3389/fpubh.2022.988782
    as

    Download full text from publisher

    File URL: https://www.econstor.eu/bitstream/10419/267177/1/Full-text-article-Berens-et-al-Differences-in-health.pdf
    Download Restriction: no
    File URL: https://libkey.io/10.3389/fpubh.2022.988782?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Alberto Abadie & Susan Athey & Guido W Imbens & Jeffrey M Wooldridge, 2023. "When Should You Adjust Standard Errors for Clustering?," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 138(1), pages 1-35.
    2. Klaus Eichler & Simon Wieser & Urs Brügger, 2009. "The costs of limited health literacy: a systematic review," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(5), pages 313-324, October.
    3. Alexandra Fretian & Torsten Michael Bollweg & Orkan Okan & Paulo Pinheiro & Ullrich Bauer, 2020. "Exploring Associated Factors of Subjective Health Literacy in School-Aged Children," IJERPH, MDPI, vol. 17(5), pages 1-13, March.
    4. Samerski, Silja, 2019. "Health literacy as a social practice: Social and empirical dimensions of knowledge on health and healthcare," Social Science & Medicine, Elsevier, vol. 226(C), pages 1-8.
    5. Uliana Kostareva & Cheryl L. Albright & Eva-Maria Berens & Patricia Polansky & Deborah E. Kadish & Luba L. Ivanov & Tetine L. Sentell, 2021. "A Multilingual Integrative Review of Health Literacy in Former Soviet Union, Russian-Speaking Immigrants," IJERPH, MDPI, vol. 18(2), pages 1-18, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Patrizio Zanobini & Marco Del Riccio & Chiara Lorini & Guglielmo Bonaccorsi, 2024. "Empowering Sustainable Healthcare: The Role of Health Literacy," Sustainability, MDPI, vol. 16(10), pages 1-12, May.
    2. Mikel Bedayo & Gabriel Jiménez & José-Luis Peydró & Raquel Vegas, 2020. "Screening and Loan Origination Time: Lending Standards, Loan Defaults and Bank Failures," Working Papers 1215, Barcelona School of Economics.
    3. Clément de Chaisemartin & Jaime Ramirez-Cuellar, 2024. "At What Level Should One Cluster Standard Errors in Paired and Small-Strata Experiments?," American Economic Journal: Applied Economics, American Economic Association, vol. 16(1), pages 193-212, January.
    4. Tal Gross & Timothy J. Layton & Daniel Prinz, 2022. "The Liquidity Sensitivity of Healthcare Consumption: Evidence from Social Security Payments," American Economic Review: Insights, American Economic Association, vol. 4(2), pages 175-190, June.
    5. Timothy J. Bartik & Nathan Sotherland, 2019. "Local Job Multipliers in the United States: Variation with Local Characteristics and with High-Tech Shocks," Upjohn Working Papers 19-301, W.E. Upjohn Institute for Employment Research.
    6. Francis,David C. & Kubinec ,Robert, 2022. "Beyond Political Connections : A Measurement Model Approach to Estimating Firm-levelPolitical Influence in 41 Economies," Policy Research Working Paper Series 10119, The World Bank.
    7. Sauermann, Jan, 2015. "Worker Reciprocity and the Returns to Training: Evidence from a Field Experiment," IZA Discussion Papers 9179, Institute of Labor Economics (IZA).
    8. Joo, Hailey Hayeon & Lee, Jungmin, 2018. "Encountering female politicians," Journal of Economic Behavior & Organization, Elsevier, vol. 151(C), pages 88-122.
    9. J. Michelle Brock & Ralph De Haas, 2023. "Discriminatory Lending: Evidence from Bankers in the Lab," American Economic Journal: Applied Economics, American Economic Association, vol. 15(2), pages 31-68, April.
    10. Matilde Cappelletti & Leonardo M. Giuffrida, 2024. "Targeted Bidders in Government Tenders," CESifo Working Paper Series 11142, CESifo.
    11. Biewen, Martin & Erhardt, Pascal, 2024. "Using Post-Regularization Distribution Regression to Measure the Effects of a Minimum Wage on Hourly Wages, Hours Worked and Monthly Earnings," IZA Discussion Papers 16894, Institute of Labor Economics (IZA).
    12. Matthew H. Lee & Molly I. Beck, 2021. "Assessing the Impact of Holocaust Education on Adolescents’ Civic Values: Experimental Evidence from Arkansas," Evaluation Review, , vol. 45(6), pages 334-358, December.
    13. Moura, Ana, 2022. "Do subsidized nursing homes and home care teams reduce hospital bed-blocking? Evidence from Portugal," Journal of Health Economics, Elsevier, vol. 84(C).
    14. Mérel, Pierre & Ortiz-Bobea, Ariel & Paroissien, Emmanuel, 2021. "How big is the “lemons” problem? Historical evidence from French wines," European Economic Review, Elsevier, vol. 138(C).
    15. Lopez, Claude & Kim, Bumyang & Sacks, Katherine, 2022. "Health Literacy in the United States: Enhancing Assessments and Reducing Disparities," MPRA Paper 114019, University Library of Munich, Germany.
    16. Sunghun Lim, 2021. "Global Agricultural Value Chains and Structural Transformation," NBER Chapters, in: Risks in Agricultural Supply Chains, pages 29-57, National Bureau of Economic Research, Inc.
    17. Hilary Byerly Flint & Paul Cada & Patricia A. Champ & Jamie Gomez & Danny Margoles & James R. Meldrum & Hannah Brenkert-Smith, 2022. "You vs. us: framing adaptation behavior in terms of private or social benefits," Climatic Change, Springer, vol. 174(1), pages 1-17, September.
    18. Araujo, Aloisio & Ferreira, Rafael & Lagaras, Spyridon & Moraes, Flavio & Ponticelli, Jacopo & Tsoutsoura, Margarita, 2023. "The labor effects of judicial bias in bankruptcy," Journal of Financial Economics, Elsevier, vol. 150(2).
    19. Nicole B. Simpson & Chad Sparber, 2020. "Estimating the Determinants of Remittances Originating from US Households Using CPS Data," Eastern Economic Journal, Palgrave Macmillan;Eastern Economic Association, vol. 46(1), pages 161-189, January.
    20. Koima, Josephat, 2024. "School electrification and academic outcomes in rural Kenya," Journal of Development Economics, Elsevier, vol. 166(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:zbw:espost:267177. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: ZBW - Leibniz Information Centre for Economics (email available below). General contact details of provider: https://edirc.repec.org/data/zbwkide.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.