{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T11:23:42Z","timestamp":1770895422294,"version":"3.50.1"},"reference-count":83,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"vor","delay-in-days":36,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Climate change and rising temperatures are increasingly threatening public health, underscoring the need for effective strategies to manage heat-related risks. Promoting heat-related health literacy (HRHL) is crucial, yet no validated scale exists to measure it. We developed a 20-item HRHL scale and tested it in a cross-sectional survey of 407 adults in Germany (50.6% female, M = 58.0, SD = 12.0 years). The scale was tested using exploratory structural equation modeling with a bootstrapping approach and reduced to 16 items (Cronbach\u2019s alpha = 0.96). A four-factor structure (finding, understanding, appraising, and applying heat-related health information) with a higher first-order factor with good fit indices (CFI = 0.97, TLI = 0.96, RMSEA = 0.06, SRMR = 0.03) was found. About 36% of respondents reported inadequate or problematic HRHL. The scale showed small but significant associations between understanding\/appraising and heat wave knowledge, while all HRHL factors were moderately related to heat wave practice and behavior. The newly developed scale, which has been tested for its psychometric properties, can be used as a basis for epidemiological studies. It would subsequently allow the relationships between the targeted health behavior and constructs, such as heat-related practices and behaviors, to be further substantiated.<\/jats:p>","DOI":"10.1093\/heapro\/daag020","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T12:47:10Z","timestamp":1769690830000},"source":"Crossref","is-referenced-by-count":0,"title":["Coping with heat: exploring psychometric properties and relationships of a heat-related health literacy scale"],"prefix":"10.1093","volume":"41","author":[{"given":"Julian","family":"Friedrich","sequence":"first","affiliation":[{"name":"TUM School of Medicine and Health, Technical University of Munich , Am Olympiacampus 11, Munich 80809 ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joachim","family":"Bachner","sequence":"additional","affiliation":[{"name":"TUM School of Medicine and Health, Technical University of Munich , Am Olympiacampus 11, Munich 80809 ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Blaschke","sequence":"additional","affiliation":[{"name":"TUM School of Medicine and Health, Technical University of Munich , Am Olympiacampus 11, Munich 80809 ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filip","family":"Mess","sequence":"additional","affiliation":[{"name":"TUM School of Medicine and Health, Technical University of Munich , Am Olympiacampus 11, Munich 80809 ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2121-4158","authenticated-orcid":false,"given":"Jan","family":"Schmid-Ellinger","sequence":"additional","affiliation":[{"name":"TUM School of Medicine and Health, Technical University of Munich , Am Olympiacampus 11, Munich 80809 ,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,2,12]]},"reference":[{"key":"2026021205371498500_daag020-B1","doi-asserted-by":"publisher","first-page":"317","DOI":"10.1007\/BF02294359","article-title":"Factor analysis and AIC","volume":"52","author":"Akaike","year":"1987","journal-title":"Psychometrika"},{"key":"2026021205371498500_daag020-B2","doi-asserted-by":"publisher","first-page":"1236319","DOI":"10.3389\/fmed.2023.1236319","article-title":"Climate-specific health literacy in health professionals: an exploratory study","volume":"10","author":"Albrecht","year":"2023","journal-title":"Front Med (Lausanne)"},{"key":"2026021205371498500_daag020-B3","doi-asserted-by":"publisher","first-page":"330","DOI":"10.1080\/00220973.2014.999187","article-title":"Examination of the structure and grade-related differentiation of multidimensional self-concept instruments for children using ESEM","volume":"84","author":"Arens","year":"2016","journal-title":"J Exp Educ"},{"key":"2026021205371498500_daag020-B4","doi-asserted-by":"publisher","first-page":"397","DOI":"10.1080\/10705510903008204","article-title":"Exploratory structural equation modeling","volume":"16","author":"Asparouhov","year":"2009","journal-title":"Struct Equ Modeling"},{"key":"2026021205371498500_daag020-B5","doi-asserted-by":"publisher","first-page":"414","DOI":"10.1504\/IJGW.2017.084789","article-title":"Climate literacy: a systematic review and model integration","volume":"12","author":"Azevedo","year":"2017","journal-title":"Int J Global Warm"},{"key":"2026021205371498500_daag020-B6","doi-asserted-by":"publisher","first-page":"2071","DOI":"10.1016\/j.pec.2016.07.020","article-title":"Perceived health competence predicts health behavior and health-related quality of life in patients with cardiovascular disease","volume":"99","author":"Bachmann","year":"2016","journal-title":"Patient Educ Couns"},{"key":"2026021205371498500_daag020-B7","doi-asserted-by":"publisher","first-page":"1857","DOI":"10.1038\/s41591-023-02419-z","article-title":"Heat-related mortality in Europe during the summer of 2022","volume":"29","author":"Ballester","year":"2023","journal-title":"Nat Med"},{"key":"2026021205371498500_daag020-B8","first-page":"77","article-title":"Tests of significance in factor analysis","volume":"3","author":"Bartlett","year":"1950","journal-title":"Br J Psychol"},{"key":"2026021205371498500_daag020-B9","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1037\/0033-2909.107.2.238","article-title":"Comparative fit indexes in structural models","volume":"107","author":"Bentler","year":"1990","journal-title":"Psychol Bull"},{"key":"2026021205371498500_daag020-B10","doi-asserted-by":"publisher","first-page":"10153","DOI":"10.3390\/ijerph181910153","article-title":"The role of physical activity-related health competence and leisure-time physical activity for physical health and metabolic syndrome: a structural equation modeling approach for German office workers","volume":"18","author":"Blaschke","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"2026021205371498500_daag020-B11","doi-asserted-by":"publisher","first-page":"470","DOI":"10.1186\/s12889-023-15391-7","article-title":"Promoting physical activity-related health competence to increase leisure-time physical activity and health-related quality of life in German private sector office workers","volume":"23","author":"Blaschke","year":"2023","journal-title":"BMC Public Health"},{"key":"2026021205371498500_daag020-B12","doi-asserted-by":"publisher","DOI":"10.25646\/11652","volume-title":"Health Impacts of Extreme Weather Events\u2014Cascading Risks in a Changing Climate","author":"Butsch","year":"2023"},{"key":"2026021205371498500_daag020-B13","volume-title":"Structural Equation Modeling with EQS and EQS\/Windows: Basic Concepts, Applications, and Programming","author":"Byrne","year":"1994"},{"key":"2026021205371498500_daag020-B14","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1080\/19312458.2017.1396583","article-title":"Ten steps in scale development and reporting: a guide for researchers","volume":"12","author":"Carpenter","year":"2018","journal-title":"Commun Methods Meas"},{"key":"2026021205371498500_daag020-B15","author":"Center for Health Care Strategies"},{"key":"2026021205371498500_daag020-B16","doi-asserted-by":"publisher","first-page":"1","DOI":"10.7275\/JYJ1-4868","article-title":"Best practices in exploratory factor analysis: four recommendations for getting the most from your analysis","volume":"10","author":"Costello","year":"2005","journal-title":"Pract Assess Res Eval"},{"key":"2026021205371498500_daag020-B17","doi-asserted-by":"publisher","first-page":"11","DOI":"10.3390\/healthcare12010011","article-title":"Assessment tools for measuring health literacy and digital health literacy in a hospital setting: a scoping review","volume":"12","author":"Dijkman","year":"2024","journal-title":"Healthcare"},{"key":"2026021205371498500_daag020-B18","doi-asserted-by":"publisher","DOI":"10.1201\/9780429246593","volume-title":"An Introduction to the Bootstrap","author":"Efron","year":"1994","edition":"0 Aufl"},{"key":"2026021205371498500_daag020-B19","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1192\/bjp.126.3.237","article-title":"Multivariate analysis: the need for data, and other problems","volume":"126","author":"Everitt","year":"1975","journal-title":"Br J Psychiatry"},{"key":"2026021205371498500_daag020-B20","doi-asserted-by":"publisher","first-page":"004695801875784","DOI":"10.1177\/0046958018757848","article-title":"Organizational health literacy: review of theories, frameworks, guides, and implementation issues","volume":"55","author":"Farmanova","year":"2018","journal-title":"INQUIRY: J Health Care Organ Provision Financ"},{"key":"2026021205371498500_daag020-B21","author":"Federal Statistical Office of Germany"},{"key":"2026021205371498500_daag020-B22","author":"Federal Statistical Office of Germany"},{"key":"2026021205371498500_daag020-B23","doi-asserted-by":"publisher","first-page":"1001","DOI":"10.1093\/eurpub\/ckae120","article-title":"Development and validation of the environmental health literacy Index: a new tool to assess the environmental health literacy among university students","volume":"34","author":"Fiore","year":"2024","journal-title":"Eur J Public Health"},{"key":"2026021205371498500_daag020-B24","doi-asserted-by":"publisher","first-page":"daac182","DOI":"10.1093\/heapro\/daac182","article-title":"Occupational health literacy scale (OHLS): development and validation of a domain-specific measuring instrument","volume":"38","author":"Friedrich","year":"2023","journal-title":"Health Promot Int"},{"key":"2026021205371498500_daag020-B25","doi-asserted-by":"publisher","first-page":"1200798","DOI":"10.3389\/fpsyg.2023.1200798","article-title":"Occupational resource profiles for an addressee orientation in occupational health management: a segmentation analysis","volume":"14","author":"Friedrich","year":"2023","journal-title":"Front Psychol"},{"key":"2026021205371498500_daag020-B26","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1093\/heapro\/dar043","article-title":"Defining and measuring health literacy: how can we profit from other literacy domains?","volume":"27","author":"Frisch","year":"2012","journal-title":"Health Promot Int"},{"key":"2026021205371498500_daag020-B27","doi-asserted-by":"publisher","first-page":"240","DOI":"10.1037\/ipp0000094","article-title":"Mental health literacy: a review of what it is and why it matters","volume":"7","author":"Furnham","year":"2018","journal-title":"Int Perspect Psychol"},{"key":"2026021205371498500_daag020-B28","doi-asserted-by":"publisher","first-page":"3101","DOI":"10.1038\/s41591-024-03186-1","article-title":"Heat-related mortality in Europe during 2023 and the role of adaptation in protecting health","volume":"30","author":"Gallo","year":"2024","journal-title":"Nat Med"},{"key":"2026021205371498500_daag020-B29","doi-asserted-by":"publisher","first-page":"e644","DOI":"10.1016\/S2468-2667(24)00179-8","article-title":"Temperature-related mortality burden and projected change in 1368 European regions: a modelling study","volume":"9","author":"Garc\u00eda-Le\u00f3n","year":"2024","journal-title":"Lancet Public Health"},{"key":"2026021205371498500_daag020-B30","author":"German Weather Service"},{"key":"2026021205371498500_daag020-B31","doi-asserted-by":"publisher","first-page":"111173","DOI":"10.1016\/j.envres.2021.111173","article-title":"The driving influences of human perception to extreme heat: a scoping review","volume":"197","author":"Hass","year":"2021","journal-title":"Environ Res"},{"key":"2026021205371498500_daag020-B32","doi-asserted-by":"publisher","first-page":"1","DOI":"10.7275\/pdz9-th90","article-title":"The Delphi technique: making sense of consensus","volume":"12","author":"Hsu","year":"2007","journal-title":"Pract Assess Res Eval"},{"key":"2026021205371498500_daag020-B33","doi-asserted-by":"publisher","DOI":"10.1017\/9781009157940","volume-title":"Global Warming of 1.5\u00b0C: IPCC Special Report on Impacts of Global Warming of 1.5\u00b0C Above Pre-industrial Levels in Context of Strengthening Response to Climate Change, Sustainable Development, and Efforts to Eradicate Poverty","author":"IPCC","year":"2022","edition":"1. Aufl"},{"key":"2026021205371498500_daag020-B34","doi-asserted-by":"publisher","DOI":"10.1017\/9781009325844","volume-title":"Climate Change 2022\u2014Impacts, Adaptation and Vulnerability: Working Group II Contribution to the Sixth Assessment Report of the Intergovernmental Panel on Climate Change","author":"IPCC","year":"2023","edition":"1. Aufl"},{"key":"2026021205371498500_daag020-B35","doi-asserted-by":"publisher","first-page":"728","DOI":"10.1111\/aphw.12265","article-title":"From ability to behavior: a scenario-based assessment of health competence predicts daily health behaviors","volume":"13","author":"Irvin","year":"2021","journal-title":"Appl Psychol Health Well Being"},{"key":"2026021205371498500_daag020-B36","doi-asserted-by":"publisher","first-page":"755","DOI":"10.55324\/josr.v2i3.726","article-title":"The relationship of mental health literacy to help-seeking behavior: systematic review","volume":"2","author":"Iswanto","year":"2023","journal-title":"J Soc Res"},{"key":"2026021205371498500_daag020-B37","doi-asserted-by":"publisher","first-page":"101207","DOI":"10.1016\/S2542-5196(25)00007-5","article-title":"Community-based heat adaptation interventions for improving heat literacy, behaviours, and health outcomes: a systematic review","volume":"9","author":"Johar","year":"2025","journal-title":"Lancet Planet Health"},{"key":"2026021205371498500_daag020-B38","doi-asserted-by":"publisher","first-page":"710","DOI":"10.3238\/arztebl.m2024.0132","article-title":"Physical activity-related health competence among adults","volume":"121","author":"Jordan","year":"2024","journal-title":"Deutsches \u00c4rzteblatt"},{"key":"2026021205371498500_daag020-B39","doi-asserted-by":"publisher","first-page":"1166","DOI":"10.1080\/10410236.2015.1037423","article-title":"Why we need the concept of \u201cMental Health Literacy\u201d","volume":"30","author":"Jorm","year":"2015","journal-title":"Health Commun"},{"key":"2026021205371498500_daag020-B40","first-page":"296","article-title":"Kaiser-Meyer-Olkin measure for identity correlation matrix","volume":"52","author":"Kaiser","year":"1974","journal-title":"J R Stat Soc"},{"key":"2026021205371498500_daag020-B41","doi-asserted-by":"publisher","first-page":"386","DOI":"10.1097\/00001888-200405000-00006","article-title":"Exploring the gap between knowledge and behavior: a qualitative study of clinician action following an educational intervention","volume":"79","author":"Kennedy","year":"2004","journal-title":"Acad Med"},{"key":"2026021205371498500_daag020-B42","doi-asserted-by":"publisher","first-page":"10365","DOI":"10.3390\/su141610365","article-title":"What triggers climate action: the impact of a climate change education program on students\u2019 climate literacy and their willingness to act","volume":"14","author":"Kolenat\u00fd","year":"2022","journal-title":"Sustainability"},{"key":"2026021205371498500_daag020-B43","doi-asserted-by":"publisher","first-page":"2999","DOI":"10.1016\/j.pec.2022.05.008","article-title":"A bit of everything\u201d: health literacy interventions in chronic conditions\u2014a systematic review","volume":"105","author":"Larsen","year":"2022","journal-title":"Patient Educ Couns"},{"key":"2026021205371498500_daag020-B44","doi-asserted-by":"publisher","first-page":"15","DOI":"10.4236\/ojs.2019.91002","article-title":"Outlier detection based on robust Mahalanobis distance and its application","volume":"09","author":"Li","year":"2019","journal-title":"Open J Stat"},{"key":"2026021205371498500_daag020-B45","doi-asserted-by":"publisher","first-page":"2182","DOI":"10.1377\/hlthaff.2020.01116","article-title":"Developing A Definition Of Climate And Health Literacy: Study seeks to develop a definition of climate and health literacy","volume":"39","author":"Limaye","year":"2020","journal-title":"Health Aff"},{"key":"2026021205371498500_daag020-B46","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1024\/86286-000","volume-title":"Gesundheitsrisiko Klimawandel: Neue Herausforderungen f\u00fcr Sport, Beruf und Alltag","author":"Matzarakis","year":"2024","edition":"1. Aufl"},{"key":"2026021205371498500_daag020-B47","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1186\/1748-5908-6-42","article-title":"The behaviour change wheel: a new method for characterising and designing behaviour change interventions","volume":"6","author":"Michie","year":"2011","journal-title":"Implement Sci"},{"key":"2026021205371498500_daag020-B48","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1080\/10705511.2014.961800","article-title":"A bifactor exploratory structural equation modeling framework for the identification of distinct sources of construct-relevant psychometric multidimensionality","volume":"23","author":"Morin","year":"2016","journal-title":"Struct Equ Modeling"},{"key":"2026021205371498500_daag020-B49","doi-asserted-by":"publisher","first-page":"540","DOI":"10.1016\/j.psychsport.2011.04.003","article-title":"Cross-validation of the short form of the physical self-inventory (PSI-S) using exploratory structural equation modeling (ESEM)","volume":"12","author":"Morin","year":"2011","journal-title":"Psychol Sport Exerc"},{"key":"2026021205371498500_daag020-B50","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1024\/86286-000","volume-title":"Gesundheitsrisiko Klimawandel: Neue Herausforderungen f\u00fcr Sport, Beruf und Alltag [Climate Change as a Health Risk: New Challenges for Sports, Work and Everyday Life]","author":"M\u00fccke","year":"2024","edition":"1. Aufl"},{"key":"2026021205371498500_daag020-B51","doi-asserted-by":"publisher","DOI":"10.25646\/11444","volume-title":"Aktualisierung der Berechnungsgrundlagen f\u00fcr den Index des sozio\u00f6konomischen Status in der Studie Gesundheit in Deutschland aktuell (GEDA) 2019\/2020-EHIS [Update of the Calculation Basis for the Socio-Economic Status Index in the Health in Germany 2019\/2020-EHIS Study]","author":"M\u00fcters","year":"2023"},{"key":"2026021205371498500_daag020-B52","doi-asserted-by":"publisher","first-page":"29","DOI":"10.2478\/pielxxiw-2020-0001","article-title":"Health Literacy\u2014a review of research using the European Health Literacy Questionnaire (HLS-EU-Q16) in 2010\u20132018","volume":"19","author":"Niedorys","year":"2020","journal-title":"Pielegniarstwo XXI Wieku\/Nursing in the 21st Century"},{"key":"2026021205371498500_daag020-B53","doi-asserted-by":"publisher","first-page":"e27","DOI":"10.2196\/jmir.8.4.e27","article-title":"eHEALS: the eHealth Literacy Scale","volume":"8","author":"Norman","year":"2006","journal-title":"J Med Internet Res"},{"key":"2026021205371498500_daag020-B54","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1007\/978-3-319-56129-5_12","volume-title":"Understanding and Investigating Response Processes in Validation Research","author":"Padilla","year":"2017"},{"key":"2026021205371498500_daag020-B55","doi-asserted-by":"crossref","first-page":"115","DOI":"10.51952\/9781447344520.011","volume-title":"International Handbook of Health Literacy: Research, Practice and Policy Across the Lifespan","author":"Pelikan","year":"2019"},{"key":"2026021205371498500_daag020-B56","doi-asserted-by":"publisher","first-page":"546","DOI":"10.1186\/s12888-023-05028-9","article-title":"Exploratory structural equation modeling: a streamlined step by step approach using the R Project software","volume":"23","author":"Prokofieva","year":"2023","journal-title":"BMC Psychiatry"},{"key":"2026021205371498500_daag020-B57","doi-asserted-by":"publisher","first-page":"012072","DOI":"10.1088\/1742-6596\/1132\/1\/012072","article-title":"Bootstrapping technique in structural equation modeling: a Monte Carlo study","volume":"1132","author":"Razak","year":"2018","journal-title":"J Phys Conf Ser"},{"key":"2026021205371498500_daag020-B58","doi-asserted-by":"publisher","first-page":"100072","DOI":"10.1016\/j.joclim.2021.100072","article-title":"Climate-specific health literacy and medical advice: the potential for health co-benefits and climate change mitigation. An exploratory study","volume":"4","author":"Reismann","year":"2021","journal-title":"J Clim Chang Health"},{"key":"2026021205371498500_daag020-B59","author":"Revelle"},{"key":"2026021205371498500_daag020-B60","doi-asserted-by":"publisher","first-page":"1","DOI":"10.18637\/jss.v048.i02","article-title":"Lavaan: an R package for structural equation modeling and more Version 0.5-12 (BETA)","volume":"48","author":"Rosseel","year":"2012","journal-title":"J Stat Softw"},{"key":"2026021205371498500_daag020-B61","doi-asserted-by":"publisher","first-page":"434","DOI":"10.3390\/ijerph22030434","article-title":"Heat illness and extreme weather health literacy: communication preferences and effectiveness for patients living in climate-change-vulnerable communities","volume":"22","author":"Sack","year":"2025","journal-title":"Int J Environ Res Public Health"},{"key":"2026021205371498500_daag020-B62","doi-asserted-by":"publisher","first-page":"e0279259","DOI":"10.1371\/journal.pone.0279259","article-title":"The heat wave knowledge, awareness, practice and behavior scale: scale development, validation and reliability","volume":"17","author":"Sayili","year":"2022","journal-title":"PLoS One"},{"key":"2026021205371498500_daag020-B63","doi-asserted-by":"publisher","DOI":"10.4119\/UNIBI\/2950305","volume-title":"Gesundheitskompetenz der Bev\u00f6lkerung in Deutschland vor und w\u00e4hrend der Corona Pandemie: Ergebnisse des HLS-GER 2 [Health Literacy of the Population in Germany Before and During the COVID-19 Pandemic: Results of the HLS-GER 2]","author":"Schaeffer","year":"2021"},{"key":"2026021205371498500_daag020-B64","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1214\/aos\/1176344136","article-title":"Estimating the dimension of a model","volume":"6","author":"Schwarz","year":"1978","journal-title":"Ann Stat"},{"key":"2026021205371498500_daag020-B65","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1111\/j.1464-0597.2007.00325.x","article-title":"Modeling health behavior change: how to predict and modify the adoption and maintenance of health behaviors","volume":"57","author":"Schwarzer","year":"2008","journal-title":"Applied psychology"},{"key":"2026021205371498500_daag020-B66","doi-asserted-by":"publisher","first-page":"460","DOI":"10.1007\/s10903-008-9135-5","article-title":"The role of culture in health literacy and chronic disease screening and management","volume":"11","author":"Shaw","year":"2009","journal-title":"J Immigr Minor Health"},{"key":"2026021205371498500_daag020-B67","doi-asserted-by":"publisher","first-page":"706","DOI":"10.1037\/hea0001111","article-title":"Does increasing autonomous motivation or perceived competence lead to health behavior change? A meta-analysis","volume":"40","author":"Sheeran","year":"2021","journal-title":"Health Psychology"},{"key":"2026021205371498500_daag020-B68","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1093\/her\/10.1.51","article-title":"The development and validation of the Perceived Health Competence Scale","volume":"10","author":"Smith","year":"1995","journal-title":"Health Educ Res"},{"key":"2026021205371498500_daag020-B69","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 definitions and models","volume":"12","author":"S\u00f8rensen","year":"2012","journal-title":"BMC Public Health"},{"key":"2026021205371498500_daag020-B70","doi-asserted-by":"publisher","first-page":"948","DOI":"10.1186\/1471-2458-13-948","article-title":"Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q)","volume":"13","author":"S\u00f8rensen","year":"2013","journal-title":"BMC Public Health"},{"key":"2026021205371498500_daag020-B71","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1207\/s15327906mbr2502_4","article-title":"Structural model evaluation and modification: an interval estimation approach","volume":"25","author":"Steiger","year":"1990","journal-title":"Multivariate Behav Res"},{"key":"2026021205371498500_daag020-B72","doi-asserted-by":"publisher","first-page":"e0271524","DOI":"10.1371\/journal.pone.0271524","article-title":"Measuring health literacy: a systematic review and bibliometric analysis of instruments from 1993 to 2021","volume":"17","author":"Tavousi","year":"2022","journal-title":"PLoS One"},{"key":"2026021205371498500_daag020-B73","doi-asserted-by":"publisher","first-page":"1968","DOI":"10.3389\/fpsyg.2017.01968","article-title":"An illustration of the exploratory structural equation modeling (ESEM) framework on the passion scale","volume":"8","author":"T\u00f3th-Kir\u00e1ly","year":"2017","journal-title":"Front Psychol"},{"key":"2026021205371498500_daag020-B74","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/BF02291170","article-title":"A reliability coefficient for maximum likelihood factor analysis","volume":"38","author":"Tucker","year":"1973","journal-title":"Psychometrika"},{"key":"2026021205371498500_daag020-B75","doi-asserted-by":"publisher","first-page":"8147","DOI":"10.1007\/s12144-021-02105-8","article-title":"The mediating role of health literacy on the relationship between health care system distrust and vaccine hesitancy during COVID-19 pandemic","volume":"41","author":"Turhan","year":"2022","journal-title":"Curr Psychol"},{"key":"2026021205371498500_daag020-B76","doi-asserted-by":"publisher","first-page":"e495","DOI":"10.1016\/S2468-2667(24)00055-0","article-title":"The 2024 Europe report of the Lancet Countdown on health and climate change: unprecedented warming demands unprecedented action","volume":"9","author":"Van Daalen","year":"2024","journal-title":"Lancet Public Health"},{"key":"2026021205371498500_daag020-B77","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1017\/9781107415188","volume-title":"Methods and Data Analysis for Cross-Cultural Research","author":"Van De Vijver","year":"2021","edition":"2. Aufl"},{"key":"2026021205371498500_daag020-B78","doi-asserted-by":"publisher","first-page":"1388","DOI":"10.1016\/j.vaccine.2013.12.038","article-title":"Overcoming the knowledge\u2013behavior gap: the effect of evidence-based HPV vaccination leaflets on understanding, intention, and actual vaccination decision","volume":"32","author":"Wegwarth","year":"2014","journal-title":"Vaccine"},{"key":"2026021205371498500_daag020-B79","volume-title":"Cognitive Interviewing: A Tool for Improving Questionnaire Design","author":"Willis","year":"2004"},{"key":"2026021205371498500_daag020-B80","doi-asserted-by":"publisher","first-page":"3","DOI":"10.25646\/11651","article-title":"Heat in Germany: Health risks and preventive measures","volume":"8","author":"Winklmayer","year":"2023","journal-title":"J Health Monit"},{"key":"2026021205371498500_daag020-B81","doi-asserted-by":"publisher","first-page":"1946","DOI":"10.1001\/archinte.165.17.1946","article-title":"Health literacy and functional health Status among older adults","volume":"165","author":"Wolf","year":"2005","journal-title":"Arch Intern Med"},{"key":"2026021205371498500_daag020-B82","volume-title":"Klimawirkungs- und Risikoanalyse 2021 f\u00fcr Deutschland | Teilbericht 5: Risiken und Anpassung in den Clustern Wirtschaft und Gesundheit [Climate Impact and Risk Analysis 2021 for Germany | Sub-report 5: Risks and Adaptation in the Economy and Health Clusters]","author":"Wolf","year":"2021"},{"key":"2026021205371498500_daag020-B83","author":"World Health Organization"}],"container-title":["Health Promotion International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/heapro\/article-pdf\/41\/1\/daag020\/66861983\/daag020.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/heapro\/article-pdf\/41\/1\/daag020\/66861983\/daag020.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T10:37:19Z","timestamp":1770892639000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/heapro\/article\/doi\/10.1093\/heapro\/daag020\/8474809"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,7]]},"references-count":83,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1,7]]}},"URL":"https:\/\/doi.org\/10.1093\/heapro\/daag020","relation":{},"ISSN":["0957-4824","1460-2245"],"issn-type":[{"value":"0957-4824","type":"print"},{"value":"1460-2245","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,2]]},"published":{"date-parts":[[2026,1,7]]},"article-number":"daag020"}}