Search

Your search keyword '"Anne-Kathrin M. Loer"' showing total 7 results
Start Over Author "Anne-Kathrin M. Loer"
7 results on '"Anne-Kathrin M. Loer"'

1. Investigating associated factors of primary and specialist health care utilization among people with selected nationalities: results of a multilingual survey in two German federal states

Author

Anne-Kathrin M. Loer, Carmen Koschollek, and Claudia Hövener

Subjects
Migration history, Utilization of health services, General and specialist medical care, Access to care, Public aspects of medicine, RA1-1270
Abstract

Abstract Background Approximately every fourth person in Germany has a migration background. Health research on the use of primary and specialist health care in this group is still scarce. Few studies have suggested a difference in the use of primary and specialist health care among people with a migration background. Potential resources and barriers to health care access should be investigated as they are critical to health equity. This study investigates associated sociodemographic, migration-sensitive, and health-related factors of primary and specialist health care utilization among people with a migration background as defined by nationality. Methods Analyses are based on data from a feasibility study of the project “Improving Health Monitoring in Migrant Populations” (IMIRA), conducted by the Robert Koch Institute. The sample (n = 1055) included persons with Croatian, Polish, Romanian, Syrian, and Turkish nationalities living in the federal states of Berlin and Brandenburg, Germany. Descriptive and bivariate analyses as well as multiple binary logistic regression analyses were carried out to assess sociodemographic (sex, age, socioeconomic position), health-related (self-rated health), and migration-sensitive factors (duration of residence in Germany, residence status, German language proficiency) associated with the use of primary and specialist health care services in the past 12 months. Results Of the total study population, 79.62% visited a general practitioner and 59.53% a specialized physician in the past 12 months. Participants who were female sex, aged 65 and older, and with moderate/poor/very poor self-rated health had higher odds of visiting a general practitioner and a specialized physician, with the strongest impact from self-rated health. After controlling for sociodemographic and health-related factors, duration of residence in Germany and residence status were associated with primary but not with specialist health care utilization. Conclusions Our results suggest that migration-sensitive characteristics, such as duration of residence, should be considered in a differentiated manner in health services research to gain detailed insights into health care utilization and its potential barriers among the heterogenous group of people with a migration background. Further research needs to be done to evaluate how to get people into contact with a general practitioner.

Published
2022
Full Text
View/download PDF

2. SARS-CoV-2 Transmissibility Within Day Care Centers—Study Protocol of a Prospective Analysis of Outbreaks in Germany

Author

Anja Schienkiewitz, Susanne Jordan, Anselm Hornbacher, Hanna Perlitz, Marie-Luise Zeisler, Anna Sandoni, Ulrike Kubisch, Barbara Wess, Tim Kuttig, Angelika Schaffrath-Rosario, Stefan Damerow, Petra Rattay, Gianni Varnaccia, Anne-Kathrin M. Loer, Jan Wormsbächer, Carolin Cohrdes, Matthias Wetzstein, Stefan Albrecht, Isabell Hey, Janine Michel, Livia Schrick, Antje Gößwald, Jennifer Allen, Martin Schlaud, Markus A. Busch, Hans Butschalowsky, Jörg Wernitz, Eveline Otte im Kampe, Udo Buchholz, Walter Haas, Lars Schaade, Lothar H. Wieler, Thomas Ziese, Thomas Lampert, and Julika Loss

Subjects
children, day care center, SARS-CoV-2, COVID-19, symptoms, susceptibility, Public aspects of medicine, RA1-1270
Abstract

Introduction: Until today, the role of children in the transmission dynamics of SARS-CoV-2 and the development of the COVID-19 pandemic seems to be dynamic and is not finally resolved. The primary aim of this study is to investigate the transmission dynamics of SARS-CoV-2 in child day care centers and connected households as well as transmission-related indicators and clinical symptoms among children and adults.Methods and Analysis: COALA (“Corona outbreak-related examinations in day care centers”) is a day care center- and household-based study with a case-ascertained study design. Based on day care centers with at least one reported case of SARS-CoV-2, we include one- to six-year-old children and staff of the affected group in the day care center as well as their respective households. We visit each child's and adult's household. During the home visit we take from each household member a combined mouth and nose swab as well as a saliva sample for analysis of SARS-CoV-2-RNA by real-time reverse transcription polymerase chain reaction (real-time RT-PCR) and a capillary blood sample for a retrospective assessment of an earlier SARS-CoV-2 infection. Furthermore, information on health status, socio-demographics and COVID-19 protective measures are collected via a short telephone interview in the subsequent days. In the following 12 days, household members (or parents for their children) self-collect the same respiratory samples as described above every 3 days and a stool sample for children once. COVID-19 symptoms are documented daily in a symptom diary. Approximately 35 days after testing the index case, every participant who tested positive for SARS-CoV-2 during the study is re-visited at home for another capillary blood sample and a standardized interview. The analysis includes secondary attack rates, by age of primary case, both in the day care center and in households, as well as viral shedding dynamics, including the beginning of shedding relative to symptom onset and viral clearance.Discussion: The results contribute to a better understanding of the epidemiological and virological transmission-related indicators of SARS-CoV-2 among young children, as compared to adults and the interplay between day care and households.

Published
2021
Full Text
View/download PDF

3. Gesundheitskompetenz und Gesundheitsverhalten im Jugendalter: Ergebnisse einer bundesweiten Online-Befragung Jugendlicher

Author

Anne-Kathrin M. Loer, Susanne Jordan, Christiane Stock, and Olga Domanska

Subjects
Gynecology, medicine.medical_specialty, Political science, Public Health, Environmental and Occupational Health, medicine
Abstract

Zusammenfassung Hintergrund Für Deutschland fehlen Informationen zum Zusammenhang zwischen Gesundheitskompetenz und Gesundheitsverhalten Jugendlicher, obwohl in der Stärkung von Gesundheitskompetenz besonders im Jugendalter ein vielversprechender Ansatz zur Förderung des Gesundheitsverhaltens gesehen wird. Ziel der Arbeit Es wird – unter Berücksichtigung von soziodemografischen Merkmalen und Selbstwirksamkeit – untersucht, ob verschiedene Dimensionen der allgemeinen Gesundheitskompetenz mit dem Gesundheitsverhalten Jugendlicher assoziiert sind. Material und Methoden Datengrundlage bildet die bundesweite Online-Befragung zur „Gesundheitskompetenz von Jugendlichen“ (GeKoJu) mit 1235 Jugendlichen zwischen 14–17 Jahren in Deutschland. Vier Dimensionen allgemeiner Gesundheitskompetenz wurden mit dem „Measurement of Health Literacy Among Adolescents Questionnaire“ (MOHLAA-Q) durch Selbstangaben erfasst. Gesundheitsverhalten wurde mit Fragen zu Sport, Ernährung, Alkoholkonsum und Rauchen erhoben. Es wurden uni- und bivariate Analysen sowie multiple Regressionsanalysen durchgeführt. Ergebnisse Jugendliche mit niedrigen Leveln in allen untersuchten Gesundheitskompetenzdimensionen haben eine erhöhte Chance, kein Obst und Gemüse täglich zu konsumieren. Auch die Chance zu rauchen oder keinen Sport zu treiben war höher bei Personen mit geringer ausgeprägten Kommunikations- und Interaktionsfähigkeiten und passiven Einstellungen zur Gesundheit und Gesundheitsinformationen. Riskanter Alkoholkonsum wies keinen Zusammenhang mit Gesundheitskompetenz auf. Schlussfolgerung Die Ergebnisse legen die Stärkung von aktiven Einstellungen zu Gesundheit und Gesundheitsinformationen und Kommunikations- und Interaktionsfähigkeiten rund um das Thema Gesundheit für die Förderung des Gesundheitsverhaltens Jugendlicher nahe.

Published
2021
Full Text
View/download PDF

4. [A guideline on discrimination-sensitive language in research on migration and health]

Author

Leman, Bilgic, Navina, Sarma, Anne-Kathrin M, Loer, Carmen, Koschollek, Kayvan, Bozorgmehr, Oliver, Razum, Claudia, Hövener, and Katja, Kajikhina

Subjects
Transients and Migrants, Germany, Humans, Public Health, Language
Abstract

Public health research has increasingly focused on migration as a determinant of health. Responsible research in this area requires an anti-discriminatory approach in its conduct, reporting and dissemination. A discrimination-sensitive use of language is a central element. Guidelines in this regard do not yet exist for the field of public health in German-speaking countries.Within the framework of the project Improving Health Monitoring in Migrant Populations (IMIRA) at the Robert Koch Institute, a guideline on anti-discriminatory language in research on migration and health was developed. It consists of a manual and an overview of relevant terms and concepts. The needs, content and form of the guideline were developed in an action research process with project staff from the IMIRA project.The manual shows the following five basic principles for anti-discriminatory language use: (1) avoid generalisations, (2) formulate in a discrimination-sensitive way, (3) use self-designations and external designations, (4) recognise that terms are subject to constant change and (5) openly communicate one's own uncertainties. The overview, which is available online as a "living document", contains terms and concepts that are frequently used in association with the topic of migration.The guideline is intended to support researchers in using language in an anti-discriminatory way. This goes hand in hand with a reflection on one's own language use and strengthens responsible research on the topic of migration and health.HINTERGRUND: In der Public-Health-Forschung ist Migration als eine Determinante von Gesundheit zunehmend in den Fokus gerückt. Verantwortungsvolle Forschung in diesem Bereich setzt eine antidiskriminierende Vorgehensweise in der Durchführung, Berichterstattung und Ergebnisdissemination voraus. Ein diskriminierungssensibler Sprachgebrauch ist dabei ein zentrales Element. Handreichungen hierzu gibt es im deutschsprachigen Raum für den Bereich Public Health bisher nicht.Im Rahmen des Projektes Improving Health Monitoring in Migrant Populations (IMIRA) am Robert Koch-Institut wurde eine Handreichung zu antidiskriminierender Sprache in der Forschung zu Migration und Gesundheit entwickelt, die aus einem Leitfaden und einer Übersicht über relevante Begriffe und Konzepte besteht. Die Bedarfe, Inhalte und Form dazu wurden in einem Aktionsforschungsprozess mit Projektmitarbeitenden aus dem IMIRA-Projekt erarbeitet.Der Leitfaden zeigt 5 Grundprinzipien für einen antidiskriminierenden Sprachgebrauch auf: 1. Generalisierungen und Verallgemeinerungen vermeiden, 2. diskriminierungssensibel formulieren, 3. Selbst- und Fremdbezeichnungen berücksichtigen, 4. Begriffe unterliegen einem ständigen Wandel und 5. eigene Unsicherheiten offen kommunizieren. Die Übersicht, welche online als „Living Document“ zur Verfügung steht, beinhaltet Begriffe und Konzepte, die im Zusammenhang mit dem Thema Gesundheit und Migration häufig verwendet werden.Die Handreichung soll Forschende dafür sensibilisieren und dabei unterstützen, Sprache antidiskriminierend anzuwenden. Dies geht mit einer Reflexion der eigenen Sprache einher und stärkt verantwortungsvolle Forschung zum Thema Migration und Gesundheit. Die Nutzung und der Nutzen der Handreichung können Gegenstand zukünftiger Evaluationen sein.

Published
2022

5. Development and Psychometric Properties of a Questionnaire Assessing Self-Reported Generic Health Literacy in Adolescence

Author

Olga Domanska, Anne-Kathrin M. Loer, Susanne Jordan, Liane Schenk, Christine Holmberg, and Torsten Michael Bollweg

Subjects
Male, Self-assessment, Adolescent, Psychometrics, Health, Toxicology and Mutagenesis, lcsh:Medicine, Health literacy, Disease, MOHLAA-Questionnaire, Article, 03 medical and health sciences, 0302 clinical medicine, Cronbach's alpha, Surveys and Questionnaires, Humans, 030212 general & internal medicine, adolescents, Child, Reliability (statistics), validation, 030505 public health, questionnaire, lcsh:R, Public Health, Environmental and Occupational Health, Reproducibility of Results, Cognition, subjective measurement, self-assessment, Focus group, Confirmatory factor analysis, Female, Self Report, 0305 other medical science, Psychology, health literacy, Clinical psychology
Abstract

Health literacy is a promising approach to promoting health and preventing disease among children and adolescents. Promoting health literacy in early stages of life could contribute to reducing health inequalities. However, it is difficult to identify concrete needs for action as there are few age-adjusted measures to assess generic health literacy in young people. Our aim was to develop a multidimensional measure of health literacy in German to assess generic health literacy among 14- to 17-year-old adolescents, namely, the &ldquo, Measurement of Health Literacy Among Adolescents Questionnaire&rdquo, (MOHLAA-Q). The development process included two stages. Stage 1 comprised the development and validation using a literature review, two rounds of cognitive interviews, two focus groups and two rounds of expert assessments by health literacy experts. Stage 2 included a standard pretest (n = 625) of the questionnaire draft to examine the psychometric properties, reliability and different validity aspects. The MOHLAA-Q consists of 29 items in four scales: (A) &ldquo, Dealing with health-related information (HLS-EU-Q12-adolescents-DE)&rdquo, (B) &ldquo, Communication and interaction skills&rdquo, (C) &ldquo, Attitudes toward one&rsquo, s own health and health information&rdquo, and (D) &ldquo, Health-related knowledge&rdquo, The confirmatory factor analysis indicated a multidimensional structure of the MOHLAA-Q. The internal consistency coefficients (Cronbach&rsquo, s &alpha, ) of the scales varied from 0.54 to 0.77. The development of the MOHLAA-Q constitutes a significant step towards the comprehensive measurement of adolescents&rsquo, health literacy. However, further research is necessary to re-examine its structural validity and to improve the internal consistency of two scales.

Published
2020
Full Text
View/download PDF

6. Subjective Generic Health Literacy and Its Associated Factors among Adolescents: Results of a Population-Based Online Survey in Germany

Author

Susanne Jordan, Anne Kathrin M. Loer, Olga Domanska, and Christiane Stock

Subjects
Gerontology, Male, Mikrozensus 2017, health literacy, MOHLAA-Questionnaire, subjective measurement, population-based survey, Health, Toxicology and Mutagenesis, Health Status, Psychological intervention, Online-Befragung, lcsh:Medicine, Logistic regression, Jugendsoziologie, Soziologie der Kindheit, Literacy, Sociology & anthropology, 0302 clinical medicine, health behavior, Mikrozensus, soziale Faktoren, Germany, Surveys and Questionnaires, Medical Sociology, 030212 general & internal medicine, adolescents, media_common, Jugendlicher, demographic factors, health, Gesundheitsverhalten, Female, ddc:301, 0305 other medical science, Psychology, self-efficacy, Adolescent health, Kompetenz, demographische Faktoren, Adolescent, media_common.quotation_subject, competence, Health literacy, Adoleszenz, Population based, Bivariate analysis, Article, 03 medical and health sciences, Social support, Humans, microcensus, ddc:610, social factors, 030505 public health, Sociology of the Youth, Sociology of Childhood, lcsh:R, Gesundheit, Public Health, Environmental and Occupational Health, Selbstwirksamkeit, Cross-Sectional Studies, Soziologie, Anthropologie, adolescent, adolescence, online survey, 610 Medizin und Gesundheit, Medizinsoziologie
Abstract

Profound data on adolescent health literacy are needed as a requirement for the development of health literacy promoting interventions. This paper aims to study the level of generic health literacy among adolescents and to explore associations between health literacy and socio-demographic (age, sex, family affluence, migration background), social (social support by family and friends) and personal (self-efficacy) factors. We conducted a representative cross-sectional online survey. Four health literacy dimensions were captured among 14&ndash, 17 years old adolescents living in Germany (n = 1235) with the &ldquo, Measurement of Health Literacy Among Adolescents-Questionnaire&rdquo, (MOHLAA-Q). Descriptive, bivariate and multiple logistic regression analyses were used to analyse the data (n = 1202). We found poor health literacy levels&mdash, to varying degrees&mdash, in all examined health literacy dimensions: dealing with health-related information (8.41% with many difficulties), health-related communication skills (28.13% with low skills), attitudes toward one&rsquo, s own health and health information (8.81% with passive attitudes) and health-related knowledge (22.73% with low levels). We identified significant associations between poor health literacy levels and all factors studied except for age. Our results indicate a need for the implementation of evidence-based health literacy-related promoting interventions, preferentially in education and training institutions.

Published
2020

7. Online Survey for the Assessment of Generic Health Literacy among Adolescents in Germany (GeKoJu): Study Protocol

Author

Susanne Jordan, Anne-Kathrin M. Loer, Ronny Kuhnert, Olga Domanska, Robin Houben, and Stefan Albrecht

Subjects
Male, Gerontology, Adolescent, representativeness, Cross-sectional study, Health Status, Health, Toxicology and Mutagenesis, media_common.quotation_subject, lcsh:Medicine, 030209 endocrinology & metabolism, Health literacy, Literacy, 03 medical and health sciences, 0302 clinical medicine, Germany, Surveys and Questionnaires, Health care, Protocol, Humans, cross-sectional study, 030212 general & internal medicine, media_common, business.industry, lcsh:R, Public Health, Environmental and Occupational Health, youths, Health Literacy, Cross-Sectional Studies, Life course approach, Female, Cluster sampling, Residence, measurement, Psychology, business, Adolescent health
Abstract

The promotion of health literacy at a young age can protect, maintain and improve health across the life course. Yet to date, a sound data basis on adolescent health literacy as a requirement for the development of strategies to promote health literacy has not been given. This paper presents a study protocol for the online survey “Health Literacy Among Adolescents” (GeKoJu) that collects the first nation-wide representative data on self-reported generic health among adolescents aged 14−17 years in Germany. The objectives of the survey are (1) to assess the distribution of generic health literacy among adolescents in Germany, (2) to identify socio-demographic and social factors in regard to health literacy and (3) to assess the association of health literacy and health-related outcomes. The cross-sectional survey was conducted from September 2019 through December 2019. A two-stage stratified cluster sampling strategy was applied. Individuals invited to participate in the survey (N = 6608) were randomly selected among German-speaking adolescents aged 14−17 years, with permanent residence in Germany. Generic health literacy is measured with the “Measurement of Health Literacy Among Adolescents-Questionnaire” (MOHLAA-Q). Data collection also covers questions on health behavior, subjective health status, personal and social resources, socio-demographic and social factors and health services use. Results of the GeKoJu survey will provide data for the development of strategies to promote generic health literacy among families, in schools, communities and health care.

Published
2020
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results