自我效能感
德国的
健康素养
读写能力
自评健康
人口学
心理学
多元统计
临床心理学
人口
医学
贝叶斯多元线性回归
回归分析
老年学
环境卫生
医疗保健
社会心理学
地理
考古
机器学习
经济
社会学
统计
经济增长
计算机科学
数学
教育学
作者
Eva-Maria Berens,Jürgen M. Pelikan,Doris Schaeffer
出处
期刊:Health Promotion International
[Oxford University Press]
日期:2021-06-11
卷期号:37 (1)
被引量:14
标识
DOI:10.1093/heapro/daab085
摘要
Concerning the determinants of health literacy (HL) mostly socio-demographic or -economic factors have been considered, much less so psychological factors such as self-efficacy. To date, it has mostly been considered to explain the relationship of HL and health outcomes. However, self-efficacy could also be an important determinant for HL. This study therefore examines the effect of self-efficacy on comprehensive HL within the general population in Germany. Data from the German HL Survey (HLS-GER), a cross-sectional, computer-assisted personal interview study among 2000 respondents aged 15+ years in 2014 were used. Self-efficacy was measured using the German version of general self-efficacy short scale (ASKU), comprehensive HL was measured using the German version of the European Health Literacy Survey Questionnaire (HLS-EU-Q47). Correlation and multi-variate linear regression analyses were performed to analyze independent effects of socio-demographic factors-age, gender, social status, educational level and migration background-functional HL and self-efficacy on comprehensive HL. Self-efficacy and comprehensive HL are statistically significantly correlated (Spearman's Rho = 0.405; p < 0.01), respondents with better self-efficacy had better HL scores. Both concepts are significantly associated with most socio-demographic factors and functional HL. Self-efficacy showed the strongest association with HL in the multivariate analyses (model 2: β =0.310, p < 0.001). The effect size of the other predictors decreased, when adding self-efficacy into the equation, but remained statistically significant. Self-efficacy is a rather strong predictor of comprehensive HL. Future research and measures to improve HL should therefore take self-efficacy adequately into account.
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