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Gesundheit und Gesellschaft Luis A. Saboga-Nunes · Uwe H. Bittlingmayer Orkan Okan · Diana Sahrai Editors New Approaches to Health Literacy Linking Different Perspectives Gesundheit und Gesellschaft Series Editors Ullrich Bauer, Fakultät für Erziehungswissenschaft, Universität Bielefeld, Bielefeld, Germany Matthias Richter, Institut für Medizinische Soziologie, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Germany Uwe H. Bittlingmayer, Institut für Soziologie, Pädagogische Hochschule Freiburg, Freiburg, Germany Der Forschungsgegenstand Gesundheit ist trotz reichhaltiger Anknüpfungspunkte zu einer Vielzahl sozialwissenschaftlicher Forschungsfelder – z. B. Sozialstruk- turanalyse, Lebensverlaufsforschung, Alterssoziologie, Sozialisationsforschung, politische Soziologie, Kindheits- und Jugendforschung – in den Referenzpro- fessionen bisher kaum präsent. Komplementär dazu schöpfen die Gesund- heitswissenschaften und Public Health, die eher anwendungsbezogen arbeiten, die verfügbare sozialwissenschaftliche Expertise kaum ernsthaft ab. Die Reihe „Gesundheit und Gesellschaft“ setzt an diesem Vermittlungsdefizit an und sys- tematisiert eine sozialwissenschaftliche Perspektive auf Gesundheit. Die Beiträge der Buchreihe umfassen theoretische und empirische Zugänge, die sich in der Schnittmenge sozial- und gesundheitswissenschaftlicher Forschung befinden. Inhaltliche Schwerpunkte sind die detaillierte Analyse u. a. von Gesundheit- skonzepten, gesundheitlicher Ungleichheit und Gesundheitspolitik. More information about this series at http://www.springer.com/series/12229 Luis A. Saboga-Nunes · Uwe H. Bittlingmayer · Orkan Okan · Diana Sahrai Editors New Approaches to Health Literacy Linking Different Perspectives Editors Luis A. Saboga-Nunes Uwe H. Bittlingmayer Institut für Soziologie Institut für Soziologie | Pädagogische Hochschule Freiburg Pädagogische Hochschule Freiburg im Breisgau, Germany Freiburg im Breisgau, Germany Orkan Okan Diana Sahrai Fakultat für Erziehungswissenschaft Institut für Spezielle Pädagogik und Universitat Bielefeld Psychologie, Pädagogische Hochschule Bielefeld, Germany Fachhochschule Nordwestschweiz Basel, Switzerland ISSN 2626-6172 ISSN 2626-6180 (electronic) Gesundheit und Gesellschaft ISBN 978-3-658-30908-4 ISBN 978-3-658-30909-1 (eBook) https://doi.org/10.1007/978-3-658-30909-1 © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Fachmedien Wiesbaden GmbH, part of Springer Nature 2021 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Responsible Editor: Katrin Emmerich This Springer VS imprint is published by the registered company Springer Fachmedien Wiesbaden GmbH part of Springer Nature. The registered company address is: Abraham-Lincoln-Str. 46, 65189 Wiesbaden, Germany Foreword Over the last twenty years, scientific publications on health literacy have increased exponentially, also including books. The legitimate question arises: Is there a need for another book on health literacy? Even if it were to face the dan- gers of being lost in a market that has recently been flooded with books dedicated to this topic, the present publication will place itself in a niche that has not been inhabited before. Two arguments underpin this relevance and they will persuade the reader that this book is worth to be taken into consideration: First, it is essential to raise awareness of the fact that health literacy is far from being the theoretically convincing and empirical, robust concept of public health science referred to in so many publications. Therefore, this book raises questions that are otherwise hard to find within the contemporary mainstream discourse relating to health literacy. Germany has evolved into what seems to be a natural epicenter for further investigating and exploring the debates surrounding the theo- retical assumptions and developments regarding health literacy, not only because there is a remarkable growth of attention for the topic in German speaking coun- tries, but there are still very few contributions in English available from within these countries, creating a gap which demands closing. While health literacy is definitely a topic that appeals as a zeitgeist topic, this particular discussion aims at stimulating a brightgeist discussion related to health literacy. Second, the explorations of health literacy within this book embrace cultural aspects critical to the concept, which seem peripheral but are in fact most impor- tant as they address questions pertaining to health literacy and multiculturalism, inclusion and diversity. In this sense we shift away from the sole focus on the health- and Western-centered discussion to grasp topics and cultures that are not part of the dominant Anglo-Saxon rainbow where health literacy was born and which determines most of the mainstream discourse surrounding health literacy. v vi Foreword In order to do so and widen both the concept and its discussion, both the author and the reader need to have an open mindset towards such thinking, which in particular is what this book wants to facilitate, acknowledge and contribute to. To achieve this, the reader will be provided with unique perspectives on health literacy from Afghanistan and Columbia. The book also contains discussions on the relationship between health literacy and multimodal adapted communication, which is especially important in rapidly changing societies and digitization of health and information. Some contributions to this book set out to challenge the mainstream theoretical model of health literacy, which inherently suggests that being health literate all by itself contributes to informed rational health behaviour, better health decisions and positive health outcomes. Other contributions chal- lenge the measurement and operationalization procedures by which health liter- acy levels are being assessed, and some contributions endeavor to link the health literacy concept directly to health policy issues. In short, this book shows the wide range and great diversity of current health literacy research, critically engages with intriguing thinking and emphasizes much needed further debates in the field. The contributions explore the fruitful- ness of the health literacy concept as well as its limitations and raises open ques- tions. In this sense, we hope that this book will stimulate further discussion on the topic, contribute to a reflection on the concept of health literacy and facilitate new theoretical developments. This book is closely linked to the international research network “Health Lit- eracy of Childhood and Adolescence” lead by Ullrich Bauer, Paulo Pinheiro and Orkan Okan from Bielefeld University (www.hlca-consortium.de/en). We are very grateful for their support. Furthermore, we want to thank all the authors for their trust that this endeavor would one day be published successfully. Addition- ally, we want to thank Katrin Emmerich from Springer VS for her support. Last but not least we want to thank Alla Dinges from University of Education Freiburg for her extraordinary support during the stressful procedure of formatting the con- tributions under time pressure and Dr. Konrad Jocksch for his reliable and valua- ble help in proofreading and language editing this book, as publishing in English is still a huge challenge to non-native speakers. Lisbon, Freiburg, Bielefeld and Muttenz (near Basel) Luis A. Saboga-Nunes May 2020 Uwe H. Bittlingmayer Orkan Okan Diana Sahrai Contents Linking Different Perspectives: Some Introductory Remarks ......... 1 Luis A. Saboga-Nunes State of the Art or Back to the Basics? Health Literacy in the Context of Health Inequality – A Framing and a Research Overview ....................................... 11 Uwe H. Bittlingmayer, Stefanie Harsch and Zeynep Islertas Health Literacy in Childhood and Adolescence: An Integrative Review ...................................................... 45 Orkan Okan, Torsten M. Bollweg and Janine Bröder Health Literacy and Multimodal Adapted Communication ........... 65 Anja Blechschmidt The Significance of Health Literacy for Public Health and Health Promotion ............................................. 83 Eva Maria Bitzer and Hanna E. Schwendemann Renewing the Conceptual Framework for Health Literacy: The Contribution of Salutogenesis to Tapered the Health Gap ........ 99 Luis A. Saboga-Nunes, Didier Jourdain and Uwe H. Bittlingmayer vii viii Contents Health Literacy in the Education Setting Implementing Complex Interventions in Childcare Settings: Potentials and Challenges of Creating Screen Media Sensitive Environments for a Healthier Childhood .................. 123 Hanna E. Schwendemann, Simone Flaig, Lea Kuntz, Anja Stiller, Paula Bleckmann, Thomas Mößle and Eva Maria Bitzer Towards New Perspectives on Health Literacy for Children: From ‘Health Information’ to Recognizing Young Citizens’ Capacities for Meaning-Making (Debate from a ‘Liquid Network’) .... 145 Paulo Pinheiro, Shanti George, Orkan Okan, Elise Sijthoff, Uwe H. Bittlingmayer, Rahel Kahlert, Almas Merchant, Dirk Bruland, Janine Bröder and Ullrich Bauer Mental Health Literacy―Do We Need Another Health Literacy Concept? ............................................. 167 Dirk Bruland and Patricia Graf Health Literacy and its Determinants in 11 and 12-year-old School Children in Germany .................................... 183 Agnes Santha, Uwe H. Bittlingmayer, Torsten M. Bollweg, Jürgen Gerdes, Orkan Okan, Gözde Ökcu, Paulo Pinheiro, Igor Osipov and Diana Sahrai Some Cultural Dimensions of Health Literacy The Importance of New Media and eHealth Information in the Everyday Life of Female Adolescents with Turkish Migration Background in Germany .............................. 203 Zeynep Islertas Health without formal Education? ............................... 223 Stefanie Harsch, Asadullah Jawid, M. Ebrahim Jawid, Luis A. Saboga-Nunes, Uwe H. Bittlingmayer, Diana Sahrai and Kristine Sørensen Reflections on Health Literacy in the European and Colombian Context ............................................ 247 Isabella C. Bertschi and Lilliana Villa-Vélez Contents ix Health Literacy in Afghanistan Astonishing Insights Provoke − a Re-Consideration of the Common Concept and Measures of Health Literacy ............................................. 261 Asadullah Jawid, Stefanie Harsch and M. Ebrahim Jawid Future Perspectives Health Literacy Champions ..................................... 291 Kristine Sørensen Health Literacy as a Key Concept for a Healthy Life? I Think There Is a Bigger Picture Here ........................... 303 Paulo Pinheiro and Ullrich Bauer

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