{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T17:32:51Z","timestamp":1787938371521,"version":"build-2784847793"},"reference-count":27,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gesundheitswesen"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Ziel In dem Artikel werden die Ergebnisse von zwei Erhebungen der\n                    Gesundheitskompetenz (GK) der Bev\u00f6lkerung in Deutschland im\n                    Zeitvergleich analysiert. Die erste Erhebung erfolgte 2014, die zweite 2020.\n                    Untersucht werden die Ver\u00e4nderungen der GK, gemessen \u00fcber den\n                    Grad der subjektiv eingesch\u00e4tzten Schwierigkeiten bei einzelnen\n                    Informationsaufgaben in den drei Bereichen\n                    Krankheitsbew\u00e4ltigung\/Versorgung, Pr\u00e4vention,\n                    Gesundheitsf\u00f6rderung, in der Gesamtbev\u00f6lkerung und in einzelnen\n                    Teilgruppen.<\/jats:p><jats:p>\n          Methodik Die Analysen basieren auf\n                    bev\u00f6lkerungsrepr\u00e4sentativen Querschnittsdaten, die 2014 im\n                    HLS-GER 1 und 2020 im HLS-GER 1\u2018 erhoben wurden. Dabei kam das\n                    international abgestimmte Instrument HLS-EU-Q47 zur Messung der GK zum Einsatz.\n                    Ver\u00e4nderungen in den Bev\u00f6lkerungsgruppen wurden in einer\n                    Trendanalyse sowohl uni- und bivariat als auch multivariat analysiert.<\/jats:p><jats:p>\n          Ergebnisse Die GK der Bev\u00f6lkerung in Deutschland hat sich im\n                    Zeitvergleich innerhalb von sechs Jahren statistisch signifikant verschlechtert.\n                    Dies l\u00e4sst sich in allen drei untersuchten Handlungsbereichen\n                    beobachten. Der Effekt zeigt sich besonders bei Menschen mit niedrigem\n                    Sozialstatus und finanzieller Deprivation.<\/jats:p><jats:p>\n          Schlussfolgerung Im Zeitverlauf ist der Umgang mit gesundheits- und\n                    krankheitsbezogenen Informationen schwieriger geworden. Diese Entwicklung ist\n                    besonders stark bei sozio\u00f6konomisch benachteiligten\n                    Bev\u00f6lkerungsgruppen zu beobachten, was die soziale Ungleichheit im\n                    Gesundheitsbereich verst\u00e4rkt. Die F\u00f6rderung der GK ist \u2013\n                    wie diese und andere Studien zeigen \u2013 gesellschaftlich wichtiger denn je\n                    und sollte den genannten Bev\u00f6lkerungsgruppen besondere Beachtung\n                    schenken.<\/jats:p>","DOI":"10.1055\/a-1709-1011","type":"journal-article","created":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T06:10:41Z","timestamp":1643609441000},"page":"314-322","source":"Crossref","is-referenced-by-count":22,"title":["Gesundheitskompetenz der Bev\u00f6lkerung in Deutschland im\n                    Zeitvergleich der Jahre 2014 und 2020"],"prefix":"10.1055","volume":"85","author":[{"given":"Klaus","family":"Hurrelmann","sequence":"additional","affiliation":[{"name":"Public Health and Education, Hertie School of Governance, Berlin,\n                    Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Klinger","sequence":"additional","affiliation":[{"name":"Wirtschafts- und Sozialwissenschaftliche Fakult\u00e4t der\n                    Universit\u00e4t zu K\u00f6ln, Universit\u00e4t zu K\u00f6ln\n                    Institut f\u00fcr Soziologie und Sozialpsychologie, K\u00f6ln,\n                    Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doris","family":"Schaeffer","sequence":"additional","affiliation":[{"name":"Raum U6-147, Universit\u00e4t Bielefeld, Bielefeld,\n                    Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,1,28]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1186\/1471-2458-12-80","article-title":"Health literacy and public health: a systematic review and integration of\n                    definitions and models","volume":"12","author":"K S\u00f8rensen","year":"2012","journal-title":"BMC Public Health"},{"key":"ref2","first-page":"93","volume-title":"Die europ\u00e4ische Gesundheitskompetenzstudie. 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