Health literacy

1. AstonishingnewinsightsintotherelationshipbetweenhealthliteracyandhealthpracticesofadolescentswithTurkishmigrationbackground in Germany Edingburgh, 19 May 2018 Zeynep Islertas M.A.; Prof. Dr. Uwe H. Bittlingmayer University of Education Freiburg/ Germany 1st World Congress on Migration, Ethnicity, RaceandHealth DiversityandHealth

2. Health literacy „Health literacy is linked to literacy and entail´s people´s knowledge, motivation and competences to access, understand, appraise and apply health information in order to make judgements and take decisions in everyday life concerning healthcare, disease prevention and health promotion to maintain or improve quality of life during the course” (Sørensen et al. 2012, S.3) eHealth literacy “e-Health literacy is the ability to seek, find, understand and appraise health information from electronic sources and to apply the gained knowledge to addressing or solving a health problem” (Norman; Skinner 2006, S. 1) 1st World Congress on Migration, Ethnicity, RaceandHealth DiversityandHealth

3. Healthliteracyofadolescents in Germany • At present, thereishardlyanyknowledgeon etiology, genesisandexpressionofhealthliteracy in youngeragegroups • From references to the significance of health literacy for the adult population, analogous conclusions are drawn for children and adolescents Youth with a Turkish migration background: • have a low economic status • acquire a low educational qualification • have a low Health literacy level • are often affected by overweight • spend a lot of time with watching TV and on the Internet • drink less alcohol and smoke less than the autochthonous adolescents (Okan 2015; Quenzel et al. 2015; Horn et al. 2015; Schaefer et al. 2015; Messer et al. 2015, RKI 2008, Zwick 2011, Stiksrud 1994, Butterwegge 2010, Bonfadelli et al. 2008, Blasius et al. 2008, Kratzmann 2011, Unger 2000, Hepp 2011, Brettschenider et al., 2015) 1st World Congress on Migration, Ethnicity, RaceandHealth DiversityandHealth

4. Research questions What routines can be observed in the everyday life of adolescents regarding to health-relevant practices? How can the health-related relationship or interaction between family members and young people be described? How can the health-related relationship or the interaction between adolescents be described? In which way do the adolescents describe health? Is health picked out as a central topic in the family setting and/or in the peer group directly and if so, along with which subject areas? Which health competencies do young people, family members and / or members of the peer group have? Are adolescents using new media to get health-related information? Are adolescents using health related apps or/and homepages to structure their daily lives? 1st World Congress on Migration, Ethnicity, RaceandHealth DiversityandHealth

5. Methods: participatoryobservation, ethnographic(narrative) Interviews, documentanalysis • „everythingisdata“ (Geertz 2011) 1st World Congress on Migration, Ethnicity, RaceandHealth DiversityandHealth

6. Shortlyabouttheparticipants: 1st World Congress on Migration, Ethnicity, RaceandHealth DiversityandHealth

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8. Places/ Settings on the field phase with female adolescents Percentage of total hours Meetings in total: 59 1st World Congress on Migration, Ethnicity, RaceandHealth DiversityandHealth

9. Understanding of Health “so we can understand health physically thatthe organs and thus function and are in the good state and spiritually that one can learn normally and can act” (Participant Z) “[….]one just has no illnesses. But now, for example, influenza does not belong to it if one lies now thus for one week in the bed because the influenza, that leaves again. And thus right illnesses, they do not leave again. Or only with a right therapy.” (Participant L) “to feel fine I need time for family, friends and for the religion. If I want to feel fine, I cannot learn incessantly” (Participant Z) “for the mind, friends and family, so social contacts, and for the body food/ drinks” (Participant L) 1st World Congress on Migration, Ethnicity, RaceandHealth DiversityandHealth

10. „Religion is important. It brings inner peace.“ (Participant Z) 1st World Congress on Migration, Ethnicity, RaceandHealth DiversityandHealth

11. The role of New Media on the health- related every day life of female adolescents “So first of all, I check my social media sites, like Instagram, Snapchat [...]. And then, if there was not that much going on, I watch my shows mostly on the notebook and when I'm too lazy to start my notebook, I prefer my mobile phone.” (Participant L) “So my first point of reference is actually Google, since I enter my question and mostly get answers, but it is hard to find a homepage, which is easy to understand” (Participant L)

12. Summary • theknowledgewhichstandswiththehealthliteracy in connection limitsitselfnot onlytothe formal education. Informallyacquired knowledgeespeciallyfromfemalefriendswiththe same migration backgroundand also fromthemotherstand in thenarrow connectionwiththehealthbehaviour • thesocialnetwork + religiousnorms/rulescandescribethe scopeforthemeaningmakingprocesseswithinthehealthbehaviour • theadolescentsmiss a easy wayto find healthrelatedhomepages whichareeasy tounderstand 1st World Congress on Migration, Ethnicity, RaceandHealth DiversityandHealth

13. References: Sørensen et al. (2012). Healthliteracyandpublichealth: A systematicreview an integrationofdefinitions ans models. In Pelikan J.(2013) Gesundheitskompetenz – Die HLS-EU Studie und ihre Folgen für die Gesundheitspolitik in Österreich Norman et al. (2006): eHealth Literacy: Essential Skills for Consumer Health in a Networked World. http://www.jmir.org/2006/2/e9/ Horn et al. (2015). HealthLiteracy von Menschen mit Migrationshintergrund in der Patientenberatung stärken: Ergebnisse einer qualitativen Evaluation;577–83. Okan et al. (2015). HealthLiteracy bei Kindern und Jugendlichen. Ein Überblick über den aktuellen Forschungsstand, Springer-Verlag Quenzel et al. (2015). Gesundheitskompetenz bildungsferner Jugendlicher. Einflussfaktoren und Folgen. Springer-Verlag Messer et al. (2015). HealthLiteracy bei Menschen mit Migrationshintergrund. De Gruyter Verlag Schaeffer et al. (2016). Gesundheitskompetenz der Bevölkerung in Deutschland. http://www.uni-bielefeld.de/gesundhw/ag6/downloads/Ergebnisbericht_HLS-GER.pdf Robert Koch Institut (2008). Migration und Gesundheit. https://www.rki.de/DE/Content/Gesundheitsmonitoring/Gesundheitsberichterstattung/ GBEDownloadsT/migration.pdf?__blob=publicationFile Zwick et al. (2011). Übergewicht und Adipositas bei Kindern und Jugendlichen. http://www.springer.com/de/book/9783531175683 Stiksrud(1994). Jugend im Generationen-Kontext. Opladen: Westdeutscher Verlag Butterwegge (2010). Armut von Kindern mit Migrationshintergrund. http://www.springer.com/de/book/9783531171760 Bonfadelli et al (2008). Jugend, Medien und Migration Blasius et al (2008). Doppelt benachteiligt. Leben in einem deutsch-türkischen Stadtteil. http://www.springer.com/de/book/9783531161822 Kratzmann (2011). Türkische Familien beim Übergang vom Kindergarten in die Grundschule. Waxmann Verlag Unger (2000). Alltagswelten und Alltagsbewältigung türkischer Jugendlicher. Opladen-Verlag. Hepp (2011). Medienkultur. Die Kultur medialisierter Welten. VS Geertz (1987). Dichte Beschreibung. Suhrkamp Verlag Beushausen ( 2012). Genogramm,- und Netzwerkanalyse. Die Visualisierung familiärer und sozialer Strukturen. Vadenhoeck & ruprecht Brettscheider et al., (2015). Psychische Gesundheit von Jugendlichen in Deutschland: Ein Vergleich nach Migrationshintergrund und Herkunftsland 1st World Congress on Migration, Ethnicity, RaceandHealth DiversityandHealth

14. ThankYouForYour Attention! Contact: Zeynep Islertas zeynep.islertas@ph-freiburg.de 1st World Congress on Migration, Ethnicity, RaceandHealth DiversityandHealth