Chakraverty, Digo ORCID: 0000-0002-8952-8092 (2023). Gender- specific aspects of health literacy in persons with a migration background. PhD thesis, Universität zu Köln.

[img] PDF
Dissertation_Digo_Chakraverty_2022_12_31_print.pdf - Published Version
Bereitstellung unter der CC-Lizenz: Creative Commons Attribution No Derivatives.

Download (1MB)

Abstract

Background: Gender is one of the major factors that shape our social lives. As men and women have been found to handle information differently, gender may also influence the ability to access, understand, appraise, and apply health-related information. This ability is called health literacy. Persons with a migration background consistently report lower health literacy than the general population. Low health literacy, however, is connected to worse health outcomes. Moreover, migration, which continues to take place on a high level worldwide, causes persons to move between different cultures with different understandings of gender and gender roles that may affect their health literacy. Therefore, the aim of this dissertation is to explore how gender influences the health literacy of persons with a migration background. Methods: This dissertation applies a multi-method approach. It entails three studies. Study I, a systematic review and meta-analysis, was conducted to find out whether gender differences of health literacy exist in persons with a migration background, assessed with standardized instruments. For Studies II and III, two different qualitative content analyses of the same focus group discussions with German healthcare professionals were conducted to explore their views on a) how gender as a personal determinant of health literacy affects interactions with migrant patients (Study II) and b) how societal and environmental determinants, situational conditions, and personal factors influence health literacy in transcultural treatment settings (Study III). Results: In Study I, twenty-two studies were meta-analyzed, finding a small, but significant difference in favor of female migrants’ health literacy and a clear shortage of studies on the health literacy of male migrants. Study II found gender aspects such as severe language issues in women of the first Turkish immigrant generation, or husbands restricting their wives to receive treatment by male healthcare professionals, to hinder the effective exchange of health information. Study III revealed general issues, e.g., systemic lack of time, cost pressure and a high workload as especially detrimental to the communication between healthcare professionals and migrant patients. Healthcare professionals reported to need more time and funding for translators and cultural mediators. Discussion Five main findings were derived from the joint examination of the three studies: 1) Health literacy seems higher in female than in male migrants, 2) health literacy is gender-specific, with men and women facing different challenges and especially women providing gender-specific solutions to these challenges, 3) the genders’ health literacies are interdependent, as men’s and women’s health literacy can limit (husbands restricting access of their wife) or enhance (women as pioneers for the acceptance psychotherapy also by men) each other, 4) there is little known about men’s health literacy, and 5) health literacy issues concerning the general population can be seen in persons with a migration background as if under a magnifying glass. More gender-sensitive, participative research on health literacy in migrants is necessary to explore the particular advantages of females and males and shortcomings in this realm. This allows to investigate the concrete interactions of the genders’ health literacies, to shed light on the neglected health literacy of male migrants, and to learn about health literacy-related challenges and solutions that concern the whole population but may be seen clearer and earlier in migrants.

Item Type: Thesis (PhD thesis)
Translated title:
TitleLanguage
Gender-spezifische Aspekte der Gesundheitskompetenz bei Menschen mit MigrationshintergrundGerman
Translated abstract:
AbstractLanguage
Hintergrund: Das Geschlecht ist einer der wichtigsten Faktoren, die unser soziales Leben prägen. Da Männer und Frauen nachweislich unterschiedlich mit Informationen umgehen, kann das Geschlecht auch die Fähigkeit beeinflussen, auf gesundheitsbezogene Informationen zuzugreifen, sie zu verstehen, zu bewerten und anzuwenden. Diese Fähigkeit wird als Gesundheitskompetenz bezeichnet. Personen mit Migrationshintergrund weisen durchweg eine geringere Gesundheitskompetenz auf als die Allgemeinbevölkerung. Geringe Gesundheitskompetenz ist jedoch mit schlechteren Gesundheitsergebnissen verbunden. Darüber hinaus führt die weltweit anhaltende Migration dazu, dass Menschen zwischen verschiedenen Kulturen mit einem unterschiedlichen Verständnis von Geschlecht und Geschlechterrollen wechseln, was sich auf ihre Gesundheitskompetenz auswirken kann. Ziel dieser Dissertation ist es daher, zu untersuchen, wie das Geschlecht die Gesundheitskompetenz von Personen mit Migrationshintergrund beeinflusst. Methoden: In dieser Dissertation wird ein multimethodischer Ansatz verfolgt. Sie umfasst drei Studien. Studie I, eine systematische Übersichtsarbeit und Meta-Analyse, wurde durchgeführt, um herauszufinden, ob es geschlechtsspezifische Unterschiede in der Gesundheitskompetenz von Personen mit Migrationshintergrund gibt, die mit standardisierten Instrumenten erfasst wurden. Für die Studien II und III wurden zwei verschiedene qualitative Inhaltsanalysen derselben Fokusgruppendiskussionen mit deutschen Fachkräften des Gesundheitswesens durchgeführt, um deren Ansichten darüber zu erforschen, a) wie sich das Geschlecht als persönliche Determinante der Gesundheitskompetenz auf die Interaktionen mit Patienten mit Migrationshintergrund auswirkt (Studie II) und b) wie gesellschaftliche und umweltbedingte Determinanten, situative Bedingungen und persönliche Faktoren die Gesundheitskompetenz in transkulturellen Behandlungssituationen beeinflussen (Studie III). Ergebnisse: In Studie I wurden zweiundzwanzig Studien meta-analytisch ausgewertet, wobei ein kleiner, aber signifikanter Unterschied zugunsten der Gesundheitskompetenz von Migrantinnen und ein deutlicher Mangel an Studien zur Gesundheitskompetenz von Migranten festgestellt wurde. Studie II ergab, dass geschlechtsspezifische Aspekte wie schwerwiegende Sprachprobleme bei Frauen der ersten türkischen Einwanderergeneration oder die Tatsache, dass Ehemänner ihre Frauen nur von männlichen Fachkräften behandeln lassen, den wirksamen Austausch von Gesundheitsinformationen behindern. Studie III ergab, dass allgemeine Probleme, z. B. systemischer Zeitmangel, Kostendruck und eine hohe Arbeitsbelastung, die Kommunikation zwischen Angehörigen der Gesundheitsberufe und Migrantenpatienten besonders beeinträchtigen. Die Angehörigen der Gesundheitsberufe gaben an, dass sie mehr Zeit und finanzielle Mittel für Übersetzer und Kulturmittler benötigen. Diskussion Aus der gemeinsamen Untersuchung der drei Studien wurden fünf Hauptergebnisse abgeleitet: 1) Die Gesundheitskompetenz scheint bei Migrantinnen höher zu sein als bei Migranten, 2) die Gesundheitskompetenz ist geschlechtsspezifisch, wobei Männer und Frauen mit unterschiedlichen Herausforderungen konfrontiert sind und insbesondere Frauen geschlechtsspezifische Lösungen für diese Herausforderungen anbieten, 3) die Gesundheitskompetenz der Geschlechter ist voneinander abhängig, 3) die Gesundheitskompetenz der Geschlechter voneinander abhängt, da die Gesundheitskompetenz von Männern und Frauen sich gegenseitig einschränken (Ehemänner, die den Zugang ihrer Frau einschränken) oder verstärken kann (Frauen als Wegbereiterinnen für die Akzeptanz von Psychotherapie auch durch Männer), 4) wenig über die Gesundheitskompetenz von Männern bekannt ist und 5) Gesundheitskompetenzprobleme, die die Allgemeinbevölkerung betreffen, bei Personen mit Migrationshintergrund wie unter einem Vergrößerungsglas gesehen werden können. Eine geschlechtersensible, partizipative Forschung zur Gesundheitskompetenz von Migrantinnen und Migranten ist notwendig, um die besonderen Vorteile und Defizite von Frauen und Männern in diesem Bereich zu untersuchen. Dies ermöglicht es, die konkreten Wechselwirkungen zwischen den Gesundheitskompetenzen der Geschlechter zu untersuchen, die vernachlässigte Gesundheitskompetenz männlicher Migranten zu beleuchten und mehr über Herausforderungen und Lösungen im Zusammenhang mit der Gesundheitskompetenz zu erfahren, die die gesamte Bevölkerung betreffen, aber bei Migranten möglicherweise deutlicher und früher sichtbar werden.German
Creators:
CreatorsEmailORCIDORCID Put Code
Chakraverty, Digodigo@chakraverty.deorcid.org/0000-0002-8952-8092UNSPECIFIED
Contributors:
ContributionNameEmail
CensorStahl, Juttajutta.stahl@uni-koeln.de
CensorKalbe, Elkeelke.kalbe@uk-koeln.de
URN: urn:nbn:de:hbz:38-646468
Date: 12 January 2023
Place of Publication: Köln
Language: English
Faculty: Faculty of Human Sciences
Divisions: Faculty of Human Sciences > Department Psychologie
Subjects: Psychology
Social sciences
Medical sciences Medicine
Uncontrolled Keywords:
KeywordsLanguage
Gender; gender differences; health literacy; migration; migrants; refugees; systematic review; meta-analysis; qualitative research; content analysis; health care professionals; health careEnglish
Gender; Geschlecht; Geschlechterunterschiede; Gesundheitskompetenz; Migration; Migrationshintergrund; Migranten; Migrantinnen; Geflüchtete; Systematische Übersichtsarbeit; Meta-Analyse; Qualitative Forschung; Inhaltsanalyse; Gesundheit; Gesundheitsdienstleister; GesundheitsdienstleisterinnenGerman
Date of oral exam: 15 December 2022
Referee:
NameAcademic Title
Stahl, JuttaProf. Dr.
Kalbe, ElkeProf. Dr.
References: References Abdel-Latif, M. M. M. (2020). The enigma of health literacy and COVID-19 pandemic. Public Health, 185, 95–96. https://doi.org/10.1016/j.puhe.2020.06.030 Aberdeen, T. (2015). “Research with” instead of “Research on”: Action research with “vulnerable” participants: A guest editorial. Canadian Journal of Action Research, 16(2), 1–5. Ainsworth, C. (2015). Sex redefined. Nature, 518(7539), 288–291. https://doi.org/10.1038/518288a Aldin, A., Chakraverty, D., Baumeister, A., Monsef, I., Noyes, J., Jakob, T., . . . Skoetz, N. (2019). Gender differences in health literacy of migrants: A synthesis of qualitative evidence. Cochrane Database of Systematic Reviews, 5(1), 8. https://doi.org/10.1002/14651858.CD013302 Alexandridi, M., Mazej, J., Palermo, E., & Hiscott, J. (2022). The Coronavirus pandemic – 2022: Viruses, variants & vaccines. Cytokine & Growth Factor Reviews, 63, 1–9. https://doi.org/10.1016/j.cytogfr.2022.02.002 American Psychological Association (2021). Psychology: APA dictionary of psychology. Retrieved from https://dictionary.apa.org/psychology Anderson, B., & Blinder, S. (2019). Who counts as a migrant? Definitions and their consequences (Migration Observatory briefing, COMPAS). Oxford, United Kingdom: University of Oxford. Arboleda, V. A., Sandberg, D. E., & Vilain, E. (2014). Dsds: Genetics, underlying pathologies and psychosexual differentiation. Nature Reviews. Endocrinology, 10(10), 603–615. https://doi.org/10.1038/nrendo.2014.130 Arendt, F., & Karadas, N. (2019). Ethnic concordance in patient-physician communication: Experimental evidence from Germany. Journal of Health Communication, 24(1), 1–8. https://doi.org/10.1080/10810730.2018.1549624 Armitage, R. (2022). War in Ukraine and the inverse care law. The Lancet Regional Health Europe, 100401. https://doi.org/10.1016/j.lanepe.2022.100401 Aultman, B. (2014). Cisgender. TSQ: Transgender Studies Quarterly, 1(1-2), 61–62. https://doi.org/10.1215/23289252-2399614 Baccolini, V., Isonne, C., Salerno, C., Giffi, M., Migliara, G., Mazzalai, E., . . . Villari, P. (2022). The association between adherence to cancer screening programs and health literacy: A systematic review and meta-analysis. Preventive Medicine, 155, 106927. https://doi.org/10.1016/j.ypmed.2021.106927 Baker, D. W., Gazmararian, J. A., Williams, M. V., Scott, T., Parker, R. M., Green, D., . . . Peel, J. (2002). Functional health literacy and the risk of hospital admission among Medicare managed care enrollees. American Journal of Public Health, 92(8), 1278–1283. https://doi.org/10.2105/ajph.92.8.1278 Baker, P. (2020). Men's health policy: It is time for action. Trends in Urology & Men's Health, 11(6), 11–13. https://doi.org/10.1002/tre.774 Barnes, M. W. (2015). Fetal sex determination and gendered prenatal consumption. Journal of Consumer Culture, 15(3), 371–390. https://doi.org/10.1177/1469540513505606 Barua, Z., Barua, S., Aktar, S., Kabir, N., & Li, M. (2020). Effects of misinformation on COVID-19 individual responses and recommendations for resilience of disastrous consequences of misinformation. Progress in Disaster Science, 8, 100119. https://doi.org/10.1016/j.pdisas.2020.100119 Bauer, P. J., & Coyne, M. J. (1997). When the name says it all: Preschoolers' recognition and use of the gendered nature of common proper names. Social Development, 6(3), 271–291. https://doi.org/10.1111/j.1467-9507.1997.tb00106.x Baur, C. (2011). Calling the nation to act: Implementing the national action plan to improve health literacy. Nursing Outlook, 59(2), 63–69. https://doi.org/10.1016/j.outlook.2010.12.003 Beauchamp, A., Buchbinder, R., Dodson, S., Batterham, R. W., Elsworth, G. R., McPhee, C., . . . Osborne, R. H. (2015). Distribution of health literacy strengths and weaknesses across socio-demographic groups: A cross-sectional survey using the Health Literacy Questionnaire (HLQ). BMC Public Health, 15, 678. https://doi.org/10.1186/s12889-015-2056-z Bednaschewsky, R., & Supik, L. (2018). Vielfältig Deutschsein. Von Deutschen of Color und Deutschen mit Migrationshintergrund in der Statistik. In M. Gomolla, E. Kollender, & M. Menk (Eds.), Rassismus und Rechtsextremismus in Deutschland: Figurationen und Interventionen in Gesellschaft und staatlichen Institutionen (Vol. 1, pp. 179–194). Weinheim, Germany: Beltz. Beery, T. A. (1995). Gender bias in the diagnosis and treatment of coronary artery disease. Heart & Lung, 24(6), 427–435. Bem, S. L. (1993). The lenses of gender: Transforming the debate on sexual inequality. New Haven, CT: Yale University Press. Benyamini, Y., Leventhal, E. A., & Leventhal, H. (2000). Gender differences in processing information for making self-assessments of health. Psychosomatic Medicine, 62(3), 354–364. https://doi.org/10.1097/00006842-200005000-00009 Berens, E.‑M., Klinger, J., Mensing, M., Carol, S., & Schaeffer, D. (2022). Gesundheitskompetenz von Menschen mit Migrationshintergrund in Deutschland. Ergebnisse des HLS-MIG. Bielefeld, Germany: Universität Bielefeld, Interdisziplinäres Zentrum für Gesundheitskompetenzforschung (IZGK). Berens, E.‑M., Yilmaz-Aslan, Y., Spallek, J., & Razum, O. (2016). Determinants of mammography screening participation among Turkish immigrant women in Germany – a qualitative study reflecting key informants’ and women’s perspectives. European Journal of Cancer Care, 25(1), 38–48. https://doi.org/10.1111/ecc.12334 Berger, R. (2015). Now I see it, now I don’t: Researcher’s position and reflexivity in qualitative research. Qualitative Research, 15(2), 219–234. https://doi.org/10.1177/1468794112468475 Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. (2011). Low health literacy and health outcomes: An updated systematic review. Annals of Internal Medicine, 155(2), 97–107. https://doi.org/10.7326/0003-4819-155-2-201107190-00005 Best, D. L., & Puzio, A. R. (2019). Gender and culture. In D. R. Matsumoto & H. C. Hwang (Eds.), The handbook of culture and psychology (pp. 235–291). New York, NY: Oxford University Press. https://doi.org/10.1093/oso/9780190679743.003.0009 Bidmon, S., & Terlutter, R. (2015). Gender differences in searching for health information on the internet and the virtual patient-physician relationship in Germany: Exploratory results on how men and women differ and why. Journal of Medical Internet Research, 17(6), e156. https://doi.org/10.2196/jmir.4127 Binder, P., Borné, Y., Johnsdotter, S., & Essén, B. (2012). Shared language is essential: Communication in a multiethnic obstetric care setting. Journal of Health Communication, 17(10), 1171–1186. https://doi.org/10.1080/10810730.2012.665421 Birkhäuer, J., Gaab, J., Kossowsky, J., Hasler, S., Krummenacher, P., Werner, C., & Gerger, H. (2017). Trust in the health care professional and health outcome: A meta-analysis. PLoS ONE, 12(2), e0170988. https://doi.org/10.1371/journal.pone.0170988 Bischoff, A., Bovier, P. A., Isah, R., Françoise, G., Ariel, E., & Louis, L. (2003). Language barriers between nurses and asylum seekers: Their impact on symptom reporting and referral. Social Science & Medicine, 57(3), 503–512. https://doi.org/10.1016/S0277-9536(02)00376-3 Blau, F. (2015). Immigrants and gender roles: Assimilation vs. culture. Cambridge, MA: National Bureau of Economic Research. https://doi.org/10.3386/w21756 Booth, A. [Alison], Clarke, M., Dooley, G., Ghersi, D., Moher, D., Petticrew, M., & Stewart, L. (2012). The nuts and bolts of PROSPERO: An international prospective register of systematic reviews. Systematic Reviews, 1, 2. https://doi.org/10.1186/2046-4053-1-2 Bose, A. von, & Terpstra, J. (Eds.) (2012). Muslimische Patienten pflegen: Praxisbuch für Betreuung und Kommunikation. Berlin, Germany: Springer. Brabete, A. C. (2017). Examining migrants’ health from a gender perspective. In M. P. Sánchez-López (Ed.), The psychology of gender and health: Conceptual and applied global concerns (pp. 231–250). Saint Louis: Elsevier Science. https://doi.org/10.1016/B978-0-12-803864-2.00008-0 Bretz, J., Sahin, D., Brandl, E. J., & Schouler-Ocak, M. (2019). Kulturabhängigkeit der Einstellung gegenüber psychotherapeutischer Behandlung bei Türkeistämmigen und Personen ohne Migrationshintergrund. Psychotherapie, Psychosomatik, medizinische Psychologie, 69(5), 176–181. https://doi.org/10.1055/a-0583-1093 Brücker, H., Goßner, L., Hauptmann, A., Jaschke, P., Kassam, K., Kosyakova, Y., & Stepanok, I. (2022). Die Folgen des Ukraine-Kriegs für Migration und Integration: Eine erste Einschätzung. IAB-Forschungsbericht: Vol. 2. Nürnberg, Germany: Institut für Arbeitsmarkt- und Berufsforschung der Bundesagentur für Arbeit. https://doi.org/10.48720/IAB.FB.2202 Bryman, A. (2006). Integrating quantitative and qualitative research: How is it done? Qualitative Research, 6(1), 97–113. https://doi.org/10.1177/1468794106058877 Bueter, A. (2017). Androcentrism, feminism, and pluralism in medicine. Topoi, 36(3), 521–530. https://doi.org/10.1007/s11245-015-9339-y Buhr, E. de, & Tannen, A. (2020). Parental health literacy and health knowledge, behaviours and outcomes in children: A cross-sectional survey. BMC Public Health, 20(1), 1096. https://doi.org/10.1186/s12889-020-08881-5 Bundesamt für Migration und Flüchtlinge (2017). BAMF – Bundesamt für Migration und Flüchtlinge: Glossar – Migrationshintergrund. Retrieved from https://www.bamf.de/DE/Service/Left/Glossary/_function/glossar.html?lv3=3198544 Buu, A., Dabrowska, A., Heinze, J. E., Hsieh, H.‑F., & Zimmerman, M. A. (2015). Gender differences in the developmental trajectories of multiple substance use and the effect of nicotine and marijuana use on heavy drinking in a high-risk sample. Addictive Behaviors, 50, 6–12. https://doi.org/10.1016/j.addbeh.2015.06.015 Centre for Open Science (2021). Open Science Framework (OSF). Retrieved from https://osf.io/ Chaiken, S., & Ledgerwood, A. (2011). A theory of heuristic and systematic information processing. In Lange, P.A., Kruglanski, Arie W. & E. T. Higgins (Eds.), SAGE Social Psychology Program. Handbook of theories of social psychology: Collection: Volumes 1 & 2 (1st ed., 264-266). London, United Kingdom: SAGE Publications. Chakraverty, D. (2013). My name is Chakraverty. In U. Goel (Ed.), InderKinder: Vol. 2. InderKinder.: Über das Aufwachsen und Leben in Deutschland. Ein virtueller Sammelband im Entstehen (Vol. 2013). Berlin: Urmila Goel. Retrieved from http://www.urmila.de/inderkinder/online/IK_Digo.pdf Chakraverty, D., Baumeister, A., Aldin, A., Jakob, T., Monsef, I., Woopen, C., & Kalbe, E. (2018). Gender-specific aspects of health literacy in individuals with migration background. Retrieved from https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=85555 Chen, X., Hay, J. L., Waters, E. A., Kiviniemi, M. T., Biddle, C., Schofield, E., . . . Orom, H. (2018). Health literacy and use and trust in health information. Journal of Health Communication, 23(8), 724–734. https://doi.org/10.1080/10810730.2018.1511658 Chesney-Lind, M., & Hadi, S. T. (2017). Patriarchy, abortion, and the criminal system: Policing female bodies. Women & Criminal Justice, 27(1), 73–88. https://doi.org/10.1080/08974454.2016.1259601 Chew, L. D., Bradley, K. A., & Boyko, E. J. (2004). Brief questions to identify patients with inadequate health literacy. Family Medicine, 36(8), 588–594. Clasen, S. (2019). Wer bestimmt über den weiblichen Körper? Worum es in der Auseinandersetzung um §219a StGB wirklich geht. Femina Politica – Zeitschrift Für Feministische Politikwissenschaft, 28(2), 146–149. https://doi.org/10.3224/feminapolitica.v28i2.14 Clouston, S. A. P., Manganello, J. A., & Richards, M. (2017). A life course approach to health literacy: The role of gender, educational attainment and lifetime cognitive capability. Age and Ageing, 46(3), 493–499. https://doi.org/10.1093/ageing/afw229 The Cochrane Collaboration (2020). Review Manager (RevMan)[Computer Program].: Version 5.4. Coşan, D. (2015). The perception of psychotherapy in Turkey. The European Journal of Social and Behavioural Sciences, 8(2), 220–230. https://doi.org/10.15405/ejsbs.165 Criado-Perez, C. (2020). Invisible women: Exposing data bias in a world designed for men. London, United Kingdom: Vintage. Cudjoe, J., Delva, S., Cajita, M., & Han, H.‑R. (2020). Empirically tested health literacy frameworks. Health Literacy Research and Practice, 4(1), e22-e44. https://doi.org/10.3928/24748307-20191025-01 Czaika, M., & Di Lillo, A. (2018). The geography of anti-immigrant attitudes across Europe, 2002–2014. Journal of Ethnic and Migration Studies, 44(15), 2453–2479. https://doi.org/10.1080/1369183X.2018.1427564 Dahal, P. K., & Hosseinzadeh, H. (2019). Association of health literacy and diabetes self-management: A systematic review. Australian Journal of Primary Health, 25(6), 526–533. https://doi.org/10.1071/PY19007 Daly, A. (2021). The Declaration of interdependence! Feminism, grounding and enactivism. Human Studies, 1–20. https://doi.org/10.1007/s10746-020-09570-3 D'Cruz, A. M., & Shankar Aradhya, M. R. (2013). Health literacy among Indian adults seeking dental care. Dental Research Journal, 10(1), 20–24. https://doi.org/10.4103/1735-3327.111760 Deeks, J. J., Higgins, J. P. T., & Altman, D. G. (2022). Chapter 10: Analysing data and undertaking meta-analyses: In: Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA (editors). Cochrane Handbook for Systematic Reviews of Interventions version 6.3. Retrieved from www.training.cochrane.org/handbook Deepak, A. C. (2005). Parenting and the process of migration: Possibilities within South Asian families. Child Welfare, 84(5), 585–604. Downes, M. J., Brennan, M. L., Williams, H. C., & Dean, R. S. (2016). Development of a critical appraisal tool to assess the quality of cross-sectional studies (AXIS). BMJ Open, 6(12), e011458. https://doi.org/10.1136/bmjopen-2016-011458 Dworkin, S. L. (1989). Not in man's image: Lesbians and the cultural oppression of body image. Women & Therapy, 8(1-2), 27–39. https://doi.org/10.1300/J015v08n01_03 Eagly, A. H. (1987). Sex differences in social behavior: A social-role interpretation. Hillsdale, NJ: Lawrence Erlbaum Associates. Eichler, K., Wieser, S., & Brügger, U. (2009). The costs of limited health literacy: A systematic review. International Journal of Public Health, 54(5), 313–324. https://doi.org/10.1007/s00038-009-0058-2 Ek, S. (2015). Gender differences in health information behaviour: A Finnish population-based survey. Health Promotion International, 30(3), 736–745. https://doi.org/10.1093/heapro/dat063 El-Mafaalani, A. (2012). BildungsaufsteigerInnen aus benachteiligten Milieus: Habitustransformation und soziale Mobilität bei Einheimischen und Türkeistämmigen. Wiesbaden, Germany: VS Verlag für Sozialwissenschaften. https://doi.org/10.1007/978-3-531-19320-5 El-Mafaalani, A. (2017). Diskriminierung von Menschen mit Migrationshintergrund. In A. Scherr, A. El-Mafaalani, & G. Yüksel (Eds.), Handbuch Diskriminierung (pp. 465–478). Wiesbaden, Germany: Springer. https://doi.org/10.1007/978-3-658-10976-9_26 Elrick, J., & Farah Schwartzman, L. (2015). From statistical category to social category: Organized politics and official categorizations of ‘persons with a migration background‘ in Germany. Ethnic and Racial Studies, 38(9), 1539–1556. European Commission (2019). Person with a migratory background. Retrieved from https://ec.europa.eu/home-affairs/what-we-do/networks/european_migration_network/glossary_search/person-migratory-background_en Fauri, F., & Tedeschi, P. (2018). Introduction: The economic and social influence of migrants as job seekers and entrepreneurs in host countries. In F. Fauri & P. Tedeschi (Eds.), Palgrave pivot: Vol. 1. Integration and entrepreneurship among migrant workers: A long-term view (1st ed., pp. 1–10). Cham, Switzerland: Palgrave Macmillan. https://doi.org/10.1007/978-3-319-90587-7_1 Fausto-Sterling, A. (2005). The problem with sex/gender and nature/nurture. In G. Bendelow, L. Birke, & S. Williams (Eds.), Debating biology: Sociological reflections on health, medicine and society (pp. 133–142). London, United Kingdom: Routledge. https://doi.org/10.4324/9780203987681-12 Fekete, L. (2004). Anti-Muslim racism and the European security state. Race & Class, 46(1), 3–29. https://doi.org/10.1177/0306396804045512 Fiske, S. T., Cuddy, A. J. C., Glick, P., & Xu, J. (2002). A model of (often mixed) stereotype content: Competence and warmth respectively follow from perceived status and competition. Journal of Personality and Social Psychology, 82(6), 878–902. https://doi.org/10.1037/0022-3514.82.6.878 Forney, K. J., Keel, P. K., O'Connor, S., Sisk, C., Burt, S. A., & Klump, K. L. (2019). Interaction of hormonal and social environments in understanding body image concerns in adolescent girls. Journal of Psychiatric Research, 109, 178–184. https://doi.org/10.1016/j.jpsychires.2018.12.008 Gausman Benson, J., & Forman, W. B. (2002). Comprehension of written health care information in an affluent geriatric retirement community: Use of the Test of Functional Health Literacy. Gerontology, 48(2), 93–97. https://doi.org/10.1159/000048933 Gaye, A., Klugman, J., Kovacevic, M., Twigg, S., & Zambrano, E. (2010). Measuring key disparities in human development: The gender inequality index (Human Development Reports Research Paper No. 46). Geboers, B., Reijneveld, S. A., Jansen, C. J. M., & Winter, A. F. de (2016). Health literacy is associated with health behaviors and social factors among older adults: Results from the lifelines cohort study. Journal of Health Communication, 21(sup2), 45–53. https://doi.org/10.1080/10810730.2016.1201174 Geçer, E., Yıldırım, M., & Akgül, Ö. (2022). Sources of information in times of health crisis: Evidence from Turkey during COVID-19. Z. Gesundh. Wiss. (Zeitschrift Für Gesundheitswissenschaften. Journal of Public Health), 30(5), 1113–1119. https://doi.org/10.1007/s10389-020-01393-x Geltman, P. L., Adams, J. H., Cochran, J., Doros, G., Rybin, D., Henshaw, M., . . . Paasche-Orlow, M. (2013). The impact of functional health literacy and acculturation on the oral health status of Somali refugees living in Massachusetts. American Journal of Public Health, 103(8), 1516–1523. https://doi.org/10.2105/AJPH.2012.300885 Gemmati, D., Varani, K., Bramanti, B., Piva, R., Bonaccorsi, G., Trentini, A., . . . Bellini, T. (2019). "Bridging the gap" Everything that could have been avoided if we had applied gender medicine, pharmacogenetics and personalized medicine in the gender-omics and sex-omics era. International Journal of Molecular Sciences, 21(1), 296. https://doi.org/10.3390/ijms21010296 Gerstendörfer, M., & Jütte, R. (1996). Der § 218 — Das Bundesverfassungsgericht und seine Geschlechterpolitik. In P. Imbusch & R. Zoll (Eds.), Friedens- und Konfliktforschung: Eine Einführung mit Quellen (pp. 351–381). Wiesbaden, Germany: VS Verlag für Sozialwissenschaften. https://doi.org/10.1007/978-3-322-97349-8_9 Ghisi, G. L. d. M., Da Chaves, G. S. S., Britto, R. R., & Oh, P. (2018). Health literacy and coronary artery disease: A systematic review. Patient Education and Counseling, 101(2), 177–184. https://doi.org/10.1016/j.pec.2017.09.002 Göktürk, D., Gramling, D., & Kaes, A. (2007). Germany in transit: Nation and migration, 1955 - 2005. Berkeley: Univ. of California Press. Goldstein, M. C., Schuler, S., & Ross, J. L. (1983). Social and economic forces affecting intergenerational relations in extended families in a third world country: A cautionary tale from South Asia. Journal of Gerontology, 38(6), 716–724. González-Morales, M. G., Peiró, J. M., Rodríguez, I., & Greenglass, E. R. (2006). Coping and distress in organizations: The role of gender in work stress. International Journal of Stress Management, 13(2), 228–248. https://doi.org/10.1037/1072-5245.13.2.228 Grissom, N. M., & Reyes, T. M. (2019). Let's call the whole thing off: Evaluating gender and sex differences in executive function. Neuropsychopharmacology, 44(1), 86–96. https://doi.org/10.1038/s41386-018-0179-5 Grove, N. J., & Zwi, A. B. (2006). Our health and theirs: Forced migration, othering, and public health. Social Science & Medicine, 62(8), 1931–1942. https://doi.org/10.1016/j.socscimed.2005.08.061 Guest, G., Namey, E., & McKenna, K. (2016). How many focus groups are enough? Building an evidence base for nonprobability sample sizes. Field Methods, 29(1), 3–22. Guntzviller, L. M., King, A. J., Jensen, J. D., & Davis, L. A. (2017). Self-efficacy, health literacy, and nutrition and exercise behaviors in a low-income, Hispanic population. Journal of Immigrant and Minority Health, 19(2), 489–493. https://doi.org/10.1007/s10903-016-0384-4 Hadziabdic, E., Albin, B., & Hjelm, K. (2014). Arabic-speaking migrants' attitudes, opinions, preferences and past experiences concerning the use of interpreters in healthcare: A postal cross-sectional survey. BMC Research Notes, 7, 71. https://doi.org/10.1186/1756-0500-7-71 Hankivsky, O. (2012). Women’s health, men's health, and gender and health: Implications of intersectionality. Social Science & Medicine, 74(11), 1712–1720. https://doi.org/10.1016/j.socscimed.2011.11.029 Harden, A., Thomas, J., Cargo, M., Harris, J., Pantoja, T., Flemming, K., . . . Noyes, J. (2018). Cochrane Qualitative and Implementation Methods Group guidance series – paper 5: Methods for integrating qualitative and implementation evidence within intervention effectiveness reviews. Journal of Clinical Epidemiology, 97, 70–78. https://doi.org/10.1016/j.jclinepi.2017.11.029 Harnett, S. (2017). Health literacy tool shed: A source for validated health literacy instruments. Journal of Consumer Health on the Internet, 21(1), 78–86. https://doi.org/10.1080/15398285.2017.1280344 Harris, L. H. (2022). Navigating Loss of Abortion Services - A Large Academic Medical Center Prepares for the Overturn of Roe v. Wade. The New England Journal of Medicine, 386(22), 2061–2064. https://doi.org/10.1056/NEJMp2206246 Haug, S. (2008). Sprachliche Integration von Migranten in Deutschland (Working Paper). Nürnberg, Germany: Bundesamt für Migration und Flüchtlinge; Forschungszentrum Migration, Integration und Asyl: Bundesamt für Migration und Flüchtlinge; Forschungszentrum Migration, Integration und Asyl, 14. Hearn, J. (2019). So what has been, is, and might be going on in studying men and masculinities? Some continuities and discontinuities. Men and Masculinities, 22(1), 53–63. https://doi.org/10.1177/1097184X18805550 Hedges, L. V. (1983). A random effects model for effect sizes. Psychological Bulletin, 93(2), 388–395. https://doi.org/10.1037/0033-2909.93.2.388 Higgins, J. P. T., Thomas, J., Chandler, J., Cumpston, M., Li, T., Page, M. J., & Welch, V. A. (Eds.) (2022). Cochrane handbook for systematic reviews of interventions (6.3th ed.). Cochrane. Retrieved from www.training.cochrane.org/handbook Higgins, J. P. T., & Thompson, S. G. (2002). Quantifying heterogeneity in a meta-analysis. Statistics in Medicine, 21(11), 1539–1558. https://doi.org/10.1002/sim.1186 Hiller, J., Schatz, K., & Drexler, H. (2017). Gender influence on health and risk behavior in primary prevention: A systematic review. Zeitschrift Fur Gesundheitswissenschaften / Journal of Public Health, 25(4), 339–349. https://doi.org/10.1007/s10389-017-0798-z Holmes, J. (1991). Language and gender. Language Teaching, 24(4), 207–220. https://doi.org/10.1017/S0261444800006455 Holter, Ø. G. (2014). “What’s in it for Men?”. Men and Masculinities, 17(5), 515–548. https://doi.org/10.1177/1097184X14558237 Hopkins, P. E. (2006). Youthful Muslim masculinities: Gender and generational relations. Transactions of the Institute of British Geographers, 31(3), 337–352. https://doi.org/10.1111/j.1475-5661.2006.00206.x Howard, D. H., Gazmararian, J., & Parker, R. M. (2005). The impact of low health literacy on the medical costs of Medicare managed care enrollees. The American Journal of Medical Electronics, 118(4), 371–377. https://doi.org/10.1016/j.amjmed.2005.01.010 Hyde, J. S. (2014). Gender similarities and differences. Annual Review of Psychology, 65, 373–398. https://doi.org/10.1146/annurev-psych-010213-115057 International Organization for Migration (2018). Key Migration Terms. Retrieved from https://www.iom.int/key-migration-terms#Migrant International Organization for Migration (2019). World migration report 2020. Geneva, Switzerland. Retrieved from https://publications.iom.int/system/files/pdf/wmr_2020.pdf Jackson, L. A., Ervin, K. S., Gardner, P. D., & Schmitt, N. (2001). Gender and the internet: Women communicating and men searching. Sex Roles, 44(5), 363–379. https://doi.org/10.1023/A:1010937901821 Jacobs, E. A., Shepard, D. S., Suaya, J. A., & Stone, E.‑L. (2004). Overcoming language barriers in health care: Costs and benefits of interpreter services. American Journal of Public Health, 94(5), 866–869. https://doi.org/10.2105/ajph.94.5.866 Jagosh, J., Macaulay, A. C., Pluye, P., Salsberg, J., Bush, P. L., Henderson, J., . . . Greenhalgh, T. (2012). Uncovering the benefits of participatory research: Implications of a realist review for health research and practice. The Milbank Quarterly, 90(2), 311–346. https://doi.org/10.1111/j.1468-0009.2012.00665.x Jaljaa, A., Caminada, S., Tosti, M. E., D'Angelo, F., Angelozzi, A., Isonne, C., . . . Marceca, M. (2022). Risk of SARS-CoV-2 infection in migrants and ethnic minorities compared with the general population in the European WHO region during the first year of the pandemic: A systematic review. BMC Public Health, 22(1), 143. https://doi.org/10.1186/s12889-021-12466-1 Jensen, E. A., Pfleger, A., Herbig, L., Wagoner, B., Lorenz, L., & Watzlawik, M. (2021). What drives belief in vaccination conspiracy theories in Germany? Frontiers in Communication, 6. https://doi.org/10.3389/fcomm.2021.678335 Johnson, B. T., Scott-Sheldon, L. A. J., & Carey, M. P. (2010). Meta-synthesis of health behavior change meta-analyses. American Journal of Public Health, 100(11), 2193–2198. https://doi.org/10.2105/AJPH.2008.155200 Johnson, J. L., Oliffe, J. L., Kelly, M. T., Galdas, P., & Ogrodniczuk, J. S. (2012). Men's discourses of help-seeking in the context of depression. Sociology of Health & Illness, 34(3), 345–361. https://doi.org/10.1111/j.1467-9566.2011.01372.x Kaczan, D. J., & Orgill-Meyer, J. (2020). The impact of climate change on migration: A synthesis of recent empirical insights. Climatic Change, 158(3-4), 281–300. https://doi.org/10.1007/s10584-019-02560-0 Karakayali, S. (2018). The Flüchtlingskrise in Germany: Crisis of the refugees, by the refugees, for the refugees. Sociology, 52(3), 606–611. https://doi.org/10.1177/0038038518760224 Kawar, L. N. (2013). Barriers to breast cancer screening participation among Jordanian and Palestinian American women. European Journal of Oncology Nursing, 17(1), 88–94. https://doi.org/10.1016/j.ejon.2012.02.004 Kayser, L., Hansen-Nord, N. S., Osborne, R. H., Tjønneland, A., & Hansen, R. D. (2015). Responses and relationship dynamics of men and their spouses during active surveillance for prostate cancer: Health literacy as an inquiry framework. BMC Public Health, 15, 741. https://doi.org/10.1186/s12889-015-2068-8 Kickbusch, I. S. (2001). Health literacy: Addressing the health and education divide. Health Promotion International, 16(3), 289–297. https://doi.org/10.1093/heapro/16.3.289 Kizilhan, J. I. (2012). Changes in disease perception, coping strategies and diagnoses in the case of first and fourth generations of Turkish migrants in Germany. Europe’s Journal of Psychology, 8(3), 352–362. https://doi.org/10.23668/PSYCHARCHIVES.1339 Koenig, L. L. (2000). Laryngeal factors in voiceless consonant production in men, women, and 5-year-olds. Journal of Speech, Language, and Hearing Research, 43(5), 1211–1228. https://doi.org/10.1044/jslhr.4305.1211 Kommunale Gesundheitskonferenz Köln, Arbeitsgruppe Migration und Gesundheit (2013). Kölner Gesundheitswegweiser für Migrantinnen und Migranten. Retrieved from https://www.stadt-koeln.de/mediaasset/content/pdf53/gesundheitswegweiser_migranten.pdf Kuchynka, S. L., Bosson, J. K., Vandello, J. A., & Puryear, C. (2018). Zero-sum thinking and the masculinity contest: Perceived intergroup competition and workplace gender bias. The Journal of Social Issues, 74(3), 529–550. https://doi.org/10.1111/josi.12281 Kuckartz, U. (2019). Qualitative Inhaltsanalyse: Von Kracauers Anfängen zu heutigen Herausforderungen. Forum Qualitative Sozialforschung, 20(3). https://doi.org/10.17169/fqs-20.3.3370 Kutner, M., Greenberg, E., Jin, Y., & Paulsen, C. (2006). The health literacy of America’s adults: Results from the 2003 national assessment of adult literacy. Washington, D.C. Lee, H. Y., Lee, J. [Jiwoo], & Kim, N. K. (2014). Gender differences in health literacy among Korean adults: Do women have a higher level of health literacy than men? American Journal of Men's Health, 9(5), 370–379. https://doi.org/10.1177/1557988314545485 Loof, A. de (2018). Only two sex forms but multiple gender variants: How to explain? Communicative & Integrative Biology, 11(1), e1427399. https://doi.org/10.1080/19420889.2018.1427399 Lundström, M. (2022). Synchronization of the Corona crisis. Time & Society, 0961463X2110576. https://doi.org/10.1177/0961463X211057622 Mackenzie, C. (2019). Feminist innovation in philosophy: Relational autonomy and social justice. Women's Studies International Forum, 72, 144–151. https://doi.org/10.1016/j.wsif.2018.05.003 Mackert, M., Champlin, S., Su, Z., & Guadagno, M. (2015). The many health literacies: Advancing research or fragmentation? Health Communication, 30(12), 1161–1165. https://doi.org/10.1080/10410236.2015.1037422 Marchese, V., Formenti, B., Cocco, N., Russo, G., Testa, J., Castelli, F., & Mazzetti, M. (2022). Examining the pre-war health burden of Ukraine for prioritisation by European countries receiving Ukrainian refugees. The Lancet Regional Health Europe, 15, 100369. https://doi.org/10.1016/j.lanepe.2022.100369 Marcos-Marcos, J., Gasch-Gallén, A., Mateos, J. T., & Álvarez-Dardet, C. (2021). Advancing gender equ(al)ity, lifting men's health: Dealing with the spirit of our time. Journal of Epidemiology and Community Health, 75(1), 100–104. https://doi.org/10.1136/jech-2019-213165 Martin, R., Martinelli, F., & Clifton, J. (2022). Rethinking spatial policy in an era of multiple crises. Cambridge Journal of Regions, Economy and Society, 15(1), 3–21. https://doi.org/10.1093/cjres/rsab037 Mawhinney, M., & Mariotti, A. (2013). Physiology, pathology and pharmacology of the male reproductive system. Periodontology 2000, 61(1), 232–251. https://doi.org/10.1111/j.1600-0757.2011.00408.x McCaffery, K. J., Dodd, R. H., Cvejic, E., Ayrek, J., Batcup, C., Isautier, J. M., . . . Wolf, M. S. (2020). Health literacy and disparities in COVID-19-related knowledge, attitudes, beliefs and behaviours in Australia. Public Health Research & Practice, 30(4). https://doi.org/10.17061/phrp30342012 McCarthy, M. M., & Arnold, A. P. (2011). Reframing sexual differentiation of the brain. Nature Neuroscience, 14(6), 677–683. https://doi.org/10.1038/nn.2834 McDonald, M., & Shenkman, L. (2018). Health literacy and health outcomes of adults in the united states: Implications for providers. The Internet Journal of Allied Health Sciences and Practice. Advance online publication. https://doi.org/10.46743/1540-580X/2018.1689 McLeman, R. (2018). Thresholds in climate migration. Population and Environment, 39(4), 319–338. https://doi.org/10.1007/s11111-017-0290-2 Merchant, R. C., Marks, S. J., Clark, M. A., Carey, M. P., & Liu, T. (2020). Limited ability of three health literacy screening items to identify adult English- and Spanish-speaking emergency department patients with lower health literacy. Annals of Emergency Medicine, 75(6), 691–703. https://doi.org/10.1016/j.annemergmed.2020.01.019 Merone, L., Tsey, K., Russell, D., & Nagle, C. (2021). Sex and gender gaps in medicine and the androcentric history of medical research. Australian and New Zealand Journal of Public Health. Advance online publication. https://doi.org/10.1111/1753-6405.13139 Merten, S., Martin Hilber, A., Biaggi, C., Secula, F., Bosch-Capblanch, X., Namgyal, P., & Hombach, J. (2015). Gender determinants of vaccination status in children: Evidence from a meta-ethnographic systematic review. PLoS ONE, 10(8), e0135222. https://doi.org/10.1371/journal.pone.0135222 Mills, M. (2010). Gender roles, gender (in)equality and fertility: An empirical test of five gender equity indices. Canadian Studies in Population, 37(3-4), 445. https://doi.org/10.25336/P6131Q Moffitt, U., Juang, L. P., & Syed, M. (2018). Being both German and other: Narratives of contested national identity among white and Turkish German young adults. The British Journal of Social Psychology, 57(4), 878–896. https://doi.org/10.1111/bjso.12268 Moher, D., Shamseer, L., Clarke, M., Ghersi, D., Liberati, A., Petticrew, M., . . . Stewart, L. A. (2015). Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Systematic Reviews, 4, 1. https://doi.org/10.1186/2046-4053-4-1 Moore, P. M., Rivera, S., Bravo-Soto, G. A., Olivares, C., & Lawrie, T. A. (2018). Communication skills training for healthcare professionals working with people who have cancer. The Cochrane Database of Systematic Reviews, 7, CD003751. https://doi.org/10.1002/14651858.CD003751.pub4 Murray, T. S., Hagey, J., Willms, D., Shillington, R., & Desjardins, R. Health literacy in Canada: A healthy understanding. Ottawa, Canada: Canadian Council on Learning. Nachtschatt, U., Steinboeck, S., & Hochleitner, M. (2018). The integration of gender medicine in medical education at Austrian universities – the status quo. MedEdPublish, 7(1). https://doi.org/10.15694/mep.2018.0000013.1 Naveed, M. A., & Shaukat, R. (2021). Health literacy predicts Covid-19 awareness and protective behaviours of university students. Health Information and Libraries Journal. Advance online publication. https://doi.org/10.1111/hir.12404 Ng, E., & Omariba, D. W. R. (2011). Health literacy and immigrants in Canada: Determinants and effects on health outcomes. Canadian Council on Learning. Retrieved from http://en.copian.ca/library/research/ccl/health_lit_immigrants_canada/health_lit_immigrants_canada.pdf Nguyen, H. T., Do, B. N., Pham, K. M., Kim, G. B., Dam, H. T. B., Nguyen, T. T., . . . van Duong, T. (2020). Fear of Covid-19 scale-associations of its scores with health literacy and health-related behaviors among medical students. International Journal of Environmental Research and Public Health, 17(11), 4164. https://doi.org/10.3390/ijerph17114164 Nutbeam, D. [D.] (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259–267. https://doi.org/10.1093/heapro/15.3.259 Okan, O. (2019). From Saranac Lake to Shanghai: A brief history of health literacy. In O. Okan, U. Bauer, D. Levin-Zamir, P. Pinheiro, & K. Sørensen (Eds.), International handbook of health literacy: Research, practice and policy across the lifespan (pp. 21–38). Bristol, United Kingdom: Policy Press. Oliffe, J. L., Hannan-Leith, M. N., Ogrodniczuk, J. S., Black, N., Mackenzie, C. S., Lohan, M., & Creighton, G. (2016). Men's depression and suicide literacy: A nationally representative Canadian survey. Journal of Mental Health, 25(6), 520–526. https://doi.org/10.1080/09638237.2016.1177770 Oliffe, J. L., Rossnagel, E., Kelly, M. T., Bottorff, J. L., Seaton, C., & Darroch, F. (2020). Men's health literacy: A review and recommendations. Health Promotion International, 35(5), 1037–1051. https://doi.org/10.1093/heapro/daz077 Paakkari, L., & Okan, O. (2020). COVID-19: Health literacy is an underestimated problem. The Lancet. Public Health, 5(5), e249-e250. https://doi.org/10.1016/S2468-2667(20)30086-4 Paasche-Orlow, M. K., Parker, R. M., Gazmararian, J. A., Nielsen-Bohlman, L. T., & Rudd, R. R. (2005). The prevalence of limited health literacy. Journal of General Internal Medicine, 20(2), 175–184. https://doi.org/10.1111/j.1525-1497.2005.40245.x Padela, A. I., Gunter, K., Killawi, A., & Heisler, M. (2012). Religious values and healthcare accommodations: Voices from the American Muslim community. Journal of General Internal Medicine, 27(6), 708–715. https://doi.org/10.1007/s11606-011-1965-5 Palumbo, R. (2017). Examining the impacts of health literacy on healthcare costs. An evidence synthesis. Health Services Management Research, 30(4), 197–212. https://doi.org/10.1177/0951484817733366 Park, J., An, J., Stodolska, M., & Santos, C. A. (2021). Transnational leisure, ethnic identity conflict and life satisfaction among fourth-generation young adult Korean ethnic minority in China. Journal of Leisure Research, 52(4), 446–468. https://doi.org/10.1080/00222216.2021.1880874 Park, L. S.‑H. (2016). Continuing significance of the model minority myth: The second generation. In M. Zhou & A. C. Ocampo (Eds.), Contemporary Asian America: A Multidisciplinary Reader (3rd ed., pp. 497–507). New York University Press. https://doi.org/10.18574/9781479849994-027 Parker, R., & Ratzan, S. C. [Scott C.] (2010). Health literacy: A second decade of distinction for Americans. Journal of Health Communication, 15 Suppl 2, 20–33. https://doi.org/10.1080/10810730.2010.501094 Pattyn, E., Verhaeghe, M., & Bracke, P. (2015). The gender gap in mental health service use. Social Psychiatry and Psychiatric Epidemiology, 50(7), 1089–1095. https://doi.org/10.1007/s00127-015-1038-x Pavela Banai, I., Banai, B., & Mikloušić, I. (2021). Beliefs in COVID-19 conspiracy theories, compliance with the preventive measures, and trust in government medical officials. Current Psychology, 1–11. https://doi.org/10.1007/s12144-021-01898-y Pelikan, J. [J.] (2012). HLS-EU-Q: Measurement of health literacy in Europe: HLS-EU-Q47; HLS-EU-Q16; and HLS-EU-Q86. Pelters, P., Lindgren, E.‑C., Kostenius, C., Lydell, M., & Hertting, K. (2021). Health-related integration interventions for migrants by civil society organizations: An integrative review. International Journal of Qualitative Studies on Health and Well-Being, 16(1), 1927488. https://doi.org/10.1080/17482631.2021.1927488 Perales, F., Lee, R., Forrest, W., Todd, A., & Baxter, J. (2021). Employment prospects of humanitarian migrants in Australia: Does gender inequality in the origin country matter? Journal of Immigrant & Refugee Studies, 1–15. https://doi.org/10.1080/15562948.2021.1984622 Pilnick, A., & Dingwall, R. (2011). On the remarkable persistence of asymmetry in doctor/patient interaction: A critical review. Social Science & Medicine, 72(8), 1374–1382. https://doi.org/10.1016/j.socscimed.2011.02.033 Pitt, R., Davis, T., Manganello, J., Massey, P., Okan, O., McFarlane, E., . . . Sentell, T. (2019). Health literacy in a social context: A meta-narrative review. In O. Okan, U. Bauer, D. Levin-Zamir, P. Pinheiro, & K. Sørensen (Eds.), International handbook of health literacy: Research, practice and policy across the lifespan (pp. 665–681). Bristol, United Kingdom: Policy Press. Pleasant, A., Maish, C., O’Leary, C., & Carmona, R. (2019). Measuring health literacy in adults: An overview and discussion of current tools. In O. Okan, U. Bauer, D. Levin-Zamir, P. Pinheiro, & K. Sørensen (Eds.), International handbook of health literacy: Research, practice and policy across the lifespan (pp. 67–82). Bristol, United Kingdom: Policy Press. Pleasant, A., Rudd, R. E., O'Leary, C., Paasche-Orlow, M. K., Allen, M. P., Alvarado-Little, W., . . . Rosen, S. (2016). Considerations for a new definition of health literacy. NAM Perspectives, 6(4). https://doi.org/10.31478/201604a Pountain, C., Kattan-Ibarra, J., Pountain, C. J., & Kattán-Ibarra, J. (2004). Modern Spanish grammar. London, United Kingdom: Routledge. https://doi.org/10.4324/9780203428313 Qi, S., Hua, F., Xu, S., Zhou, Z., & Liu, F. (2021). Trends of global health literacy research (1995-2020): Analysis of mapping knowledge domains based on citation data mining. PLoS ONE, 16(8), e0254988. https://doi.org/10.1371/journal.pone.0254988 Quenzel, G., & Schaeffer, D. (2016). Health Literacy – Gesundheitskompetenz vulnerabler Bevölkerungsgruppen: Ergebnisbericht. Bielefeld. Retrieved from https://www.uni-bielefeld.de/fakultaeten/gesundheitswissenschaften/ag/ag6/publikationen/QuenzelSchaeffer_GesundheitskompetenzVulnerablerGruppen_Ergebnisbericht_2016.pdf Ramírez, C., & Durón, R. M. (2022). The Russia-Ukraine war could bring catastrophic public-health challenges beyond COVID-19. International Journal of Infectious Diseases, 120, 44–45. https://doi.org/10.1016/j.ijid.2022.04.016 Ratzan, S. C. [S. C.] (2001). Health literacy: Communication for the public good. Health Promotion International, 16(2), 207–214. https://doi.org/10.1093/heapro/16.2.207 Ricciardelli, L. A., & Williams, R. J. (2011). Role of masculinity and femininity in the development and maintenance of health risk behaviors. In C. Blazina & D. S. Shen-Miller (Eds.), An international psychology of men: Theoretical advances, case studies, and clinical innovations (pp. 57–98). Routledge. Rothman, B. K. (1987). The tentative pregnancy: Prenatal diagnosis and the future of motherhood. New York, NY: Penguin. Rowley, J., Johnson, F., & Sbaffi, L. (2017). Gender as an influencer of online health information-seeking and evaluation behavior. Journal of the Association for Information Science and Technology, 68(1), 36–47. https://doi.org/10.1002/asi.23597 Rudman, L. A., & Glick, P. (2008). The social psychology of gender: How power and intimacy shape gender relations. Texts in social psychology. New York: Guilford Press. Ruthig, J. C., Kehn, A., Gamblin, B. W., Vanderzanden, K., & Jones, K. (2017). When women’s gains equal men’s losses: Predicting a zero-sum perspective of gender status. Sex Roles, 76(1-2), 17–26. https://doi.org/10.1007/s11199-016-0651-9 Ruyssen, I., & Salomone, S. (2018). Female migration: A way out of discrimination? Journal of Development Economics, 130, 224–241. https://doi.org/10.1016/j.jdeveco.2017.10.010 Sanchis-Segura, C., & Becker, J. B. (2016). Why we should consider sex (and study sex differences) in addiction research. Addiction Biology, 21(5), 995–1006. https://doi.org/10.1111/adb.12382 Sandelowski, M. J. (2008). Justifying qualitative research. Research in Nursing & Health, 31(3), 193–195. https://doi.org/10.1002/nur.20272 Sander, N., Abel, G., & Riosmena, A. (2013). The future of international migration: Developing expert-based assumptions for global population projections (Vienna Institute of Demography Working Papers No. 7). Wien. Santalahti, M., Sumit, K., & Perkiö, M. (2020). Barriers to accessing health care services: A qualitative study of migrant construction workers in a southwestern Indian city. BMC Health Services Research, 20(1), 619. https://doi.org/10.1186/s12913-020-05482-1 Sauer, M. (2010). Mediennutzungsmotive türkeistämmiger Migranten in Deutschland. Publizistik, 55(1), 55–76. https://doi.org/10.1007/s11616-010-0074-5 Schaeffer, D., Gille, S., Vogt, D., & Hurrelmann, K. (2021). National action plan health literacy in Germany origin, development and structure. Zeitschrift Fur Gesundheitswissenschaften / Journal of Public Health. Advance online publication. https://doi.org/10.1007/s10389-021-01616-9 Scherer, M., Hierdeis, H., & Berghold, J. (2020). Medizinische Versorgung zwischen Fortschritt und Zeitdruck: Auswirkungen gesellschaftlicher Beschleunigungsprozesse auf das Gesundheitswesen. Göttingen, Germany: Vandenhoeck & Ruprecht. https://doi.org/10.13109/9783666403965 Schlittler, R. (2015). Guidelines for psychological practice with transgender and gender nonconforming people. The American Psychologist, 70(9), 832–864. https://doi.org/10.1037/a0039906 Sentell, T., Vamos, S., & Okan, O. (2020). Interdisciplinary perspectives on health literacy research around the world: More important than ever in a time of Covid-19. International Journal of Environmental Research and Public Health, 17(9), 3010. https://doi.org/10.3390/ijerph17093010 Shai, A., Koffler, S., & Hashiloni-Dolev, Y. (2021). Feminism, gender medicine and beyond: A feminist analysis of "gender medicine". International Journal for Equity in Health, 20(1), 177. https://doi.org/10.1186/s12939-021-01511-5 Shaw, S. M., & Lee, J. [Janet] (Eds.) (2019). Gendered voices, feminist visions: Classic and contemporary readings (7th ed.). New York: Oxford University Press. Simonds, S. K. (1974). Health education as social policy. Health Education Monographs, 2(1_suppl), 1–10. https://doi.org/10.1177/10901981740020S102 Son, Y.‑J., & Won, M. H. (2020). Gender differences in the impact of health literacy on hospital readmission among older heart failure patients: A prospective cohort study. Journal of Advanced Nursing, 76(6), 1345–1354. https://doi.org/10.1111/jan.14328 Sørensen, K. [Kristine] (2019). Defining health literacy: Exploring differences and commonalities. In O. Okan, U. Bauer, D. Levin-Zamir, P. Pinheiro, & K. Sørensen (Eds.), International handbook of health literacy: Research, practice and policy across the lifespan. Bristol, United Kingdom: Policy Press. Sørensen, K. [Kristine], Pelikan, J. M., Röthlin, F., Ganahl, K., Slonska, Z., Doyle, G., . . . Brand, H. (2015). Health literacy in Europe: Comparative results of the European health literacy survey (HLS-EU). European Journal of Public Health, 25(6), 1053–1058. Sørensen, K. [Kristine], van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., & Brand, H. (2012). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 12(1), 80. https://doi.org/10.1186/1471-2458-12-80 Sørensen, K. [Kristine], van den Broucke, S., Pelikan, J. M., Fullam, J., Doyle, G., Slonska, Z., . . . Brand, H. (2013). Measuring health literacy in populations: Illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). BMC Public Health, 13, 948. https://doi.org/10.1186/1471-2458-13-948 Spaich, S., Weiss, C., & Sütterlin, M. (2019). Altered patient perceptions and preferences regarding male and female gynecologists: A comparison between 1997 and 2018. Archives of Gynecology and Obstetrics, 300(5), 1331–1341. https://doi.org/10.1007/s00404-019-05315-5 Srinivas, M. N. (1957). Caste in modern India. The Journal of Asian Studies, 16(4), 529–548. Srinivasan, D., Sinden, K. E., Mathiassen, S. E., & Côté, J. N. (2016). Gender differences in fatigability and muscle activity responses to a short-cycle repetitive task. European Journal of Applied Physiology, 116(11-12), 2357–2365. https://doi.org/10.1007/s00421-016-3487-7 Statistisches Bundesamt Deutschland (2021). GENESIS-Online: Ergebnis 12521-0002. Retrieved from https://www-genesis.destatis.de/genesis/online?operation=abruftabelleBearbeiten&levelindex=2&levelid=1630410295785&auswahloperation=abruftabelleAuspraegungAuswaehlen&auswahlverzeichnis=ordnungsstruktur&auswahlziel=werteabruf&code=12521-0002&auswahltext=&nummer=6&variable=6&name=GES&nummer=5&variable=5&name=STAAG6&werteabruf=Werteabruf#abreadcrumb Steinhardt, M. F. (2016). The dimensions and effects of EU labour migration in Germany. In B. Galgóczi & J. Leschke (Eds.), EU Labour Migration since Enlargement (pp. 117–142). London, United Kingdom: Routledge. Stepanikova, I. (2012). Racial-ethnic biases, time pressure, and medical decisions. Journal of Health and Social Behavior, 53(3), 329–343. https://doi.org/10.1177/0022146512445807 Stormacq, C., van den Broucke, S., & Wosinski, J. (2019). Does health literacy mediate the relationship between socioeconomic status and health disparities? Integrative review. Health Promotion International, 34(5), e1-e17. https://doi.org/10.1093/heapro/day062 Sultana, A. (2012). Patriarchy and women's subordination: A theoretical analysis. Arts Faculty Journal, 4, 1–18. https://doi.org/10.3329/afj.v4i0.12929 Suphanchaimat, R., Kantamaturapoj, K., Putthasri, W., & Prakongsai, P. (2015). Challenges in the provision of healthcare services for migrants: A systematic review through providers’ lens. BMC Health Services Research, 15, 390. https://doi.org/10.1186/s12913-015-1065-z Terkessidis, M. (2015). Die Banalität des Rassismus: Migranten zweiter Generation entwickeln eine neue Perspektive. Bielefeld, Germany: transcript Verlag. Timmis, K., & Verstraete, W. (2022). Multiple intertwined crises facing humanity necessitate a European environmental research organization. Microbial Biotechnology, 15(4), 1031–1034. https://doi.org/10.1111/1751-7915.14054 Toçi, E., Burazeri, G., Sørensen, K. [K.], Jerliu, N., Ramadani, N., Roshi, E., & Brand, H. (2013). Health literacy and socioeconomic characteristics among older people in transitional Kosovo. British Journal of Medicine and Medical Research, 3(4), 1646–1658. https://doi.org/10.9734/BJMMR/2013/3972 Trezona, A., Rowlands, G., & Nutbeam, D. [Don] (2018). Progress in implementing national policies and strategies for health literacy-what have we learned so far? International Journal of Environmental Research and Public Health, 15(7), 1554. https://doi.org/10.3390/ijerph15071554 Tsuda, T. G. (2015). Recovering heritage and homeland: Ethnic revival among fourth-generation Japanese Americans. Sociological Inquiry, 85(4), 600–627. https://doi.org/10.1111/soin.12095 Tulsky, J. A., Beach, M. C., Butow, P. N., Hickman, S. E., Mack, J. W., Morrison, R. S., . . . Pollak, K. I. (2017). A research agenda for communication between health care professionals and patients living with serious illness. JAMA Internal Medicine, 177(9), 1361–1366. https://doi.org/10.1001/jamainternmed.2017.2005 U.S. Department of Health and Human Services, & Office of Disease Prevention and Health Promotion (2010). Healthy people 2020 — disparities. Retrieved from: http://www.healthypeople.gov/2020/about/foundation-health-measures/Disparities Ullah, I., Khan, K. S., Tahir, M. J., Ahmed, A., & Harapan, H. (2021). Myths and conspiracy theories on vaccines and COVID-19: Potential effect on global vaccine refusals. Vacunas, 22(2), 93–97. https://doi.org/10.1016/j.vacun.2021.01.001 United Nations Development Programme (2020). Human development report 2020: The next frontier—human development and the anthropocene. New York, New York. Retrieved from United Nations Development Programme website: http://hdr.undp.org/en/2020-report United Nations Economic And Social Council (2009). Ministerial declaration – 2009 High-level segment: Implementing the internationally agreed goals and commitments in regard to global public health. Retrieved from United Nations website: https://www.un.org/en/ecosoc/julyhls/pdf09/ministerial_declaration-2009.pdf United Nations General Assembly (1948). Universal declaration of human rights. New York, NY: UN General Assembly. Retrieved from https://www.un.org/sites/un2.un.org/files/udhr.pdf Vamos, S., Okan, O., Sentell, T., & Rootman, I. (2020). Making a case for "Education for health Llteracy": An international perspective. International Journal of Environmental Research and Public Health, 17(4), 1436. https://doi.org/10.3390/ijerph17041436 Van Anders, S. M., & Watson, N. V. (2006). Social neuroendocrinology. Human Nature, 17(2), 212–237. Van den Muijsenbergh, M. E. T. C., LeMaster, J. W., Shahiri, P., Brouwer, M., Hussain, M., Dowrick, C., . . . MacFarlane, A. (2020). Participatory implementation research in the field of migrant health: Sustainable changes and ripple effects over time. Health Expectations, 23(2), 306–317. https://doi.org/10.1111/hex.13034 Vila-Candel, R., Martínez-Arnau, F. M., La Cámara-de Las Heras, J. M. de, Castro-Sánchez, E., & Pérez-Ros, P. (2020). Interventions to improve health among reproductive-age women of low health literacy: A systematic review. International Journal of Environmental Research and Public Health, 17(20). https://doi.org/10.3390/ijerph17207405 Villadsen, S. F., Hadi, H., Ismail, I., Osborne, R. H., Ekstrøm, C. T., & Kayser, L. (2020). Ehealth literacy and health literacy among immigrants and their descendants compared with women of Danish origin: A cross-sectional study using a multidimensional approach among pregnant women. BMJ Open, 10(5), e037076. https://doi.org/10.1136/bmjopen-2020-037076 Wångdahl, J., Lytsy, P., Martensson, L., & Westerling, R. (2014). Health literacy among refugees in Sweden - a cross-sectional study. BMC Public Health, 14, 1030. https://doi.org/10.1186/1471-2458-14-1030 Ward, M., Kristiansen, M., & Sørensen, K. [Kristine] (2019). Migrant health literacy in the European Union: A systematic literature review. Health Education Journal, 78(1), 81–95. https://doi.org/10.1177/0017896918792700 Webster, F. (2000). The Politics of sex and gender: Benhabib and Butler debate subjectivity. Hypatia, 15(1), 1–22. https://doi.org/10.1111/j.1527-2001.2000.tb01077.x Weishaar, H., Hurrelmann, K., Okan, O., Horn, A., & Schaeffer, D. (2019). Framing health literacy: A comparative analysis of national action plans. Health Policy, 123(1), 11–20. https://doi.org/10.1016/j.healthpol.2018.11.012 Widiasih, R., & Nelson, K. (2018). Muslim husbands’ roles in women’s health and cancer: The perspectives of muslim women in Indonesia. Asian Pacific Journal of Cancer Prevention, 19(6), 1703–1709. https://doi.org/10.22034/APJCP.2018.19.6.1703 Will, A.‑K. (2019). The German statistical category “migration background”: Historical roots, revisions and shortcomings. Ethnicities, 19(3), 535–557. https://doi.org/10.1177/1468796819833437 Will, A.‑K., & Nowicka, M. (2021). Der „Migrationshintergrund“ und seine Fallstricke: Wie weiter in der interkulturellen Öffnung des öffentlichen Dienstes in Deutschland? (WISO Direkt No. 18). Bonn. Retrieved from Friedrich-Ebert-Stiftung website: http://library.fes.de/pdf-files/wiso/17900.pdf Wilson, R. S., Yu, L., James, B. D., Bennett, D. A., & Boyle, P. A. (2017). Association of financial and health literacy with cognitive health in old age. Neuropsychology, Development, and Cognition, 24(2), 186–197. https://doi.org/10.1080/13825585.2016.1178210 Wu, Y., Wang, L., Cai, Z., Bao, L., Ai, P., & Ai, Z. (2017). Prevalence and risk factors of low health literacy: A community-based study in Shanghai, China. International Journal of Environmental Research and Public Health, 14(6), 628. https://doi.org/10.3390/ijerph14060628 Wulkotte, E., Schmid-Küpke, N., Neufeind, J., & Wichmann, O. (2022). COVID-19-Impfquotenmonitoring in Deutschland als Einwanderungsgesellschaft (COVIMO-Fokuserhebung). Berlin, Germany. Yousaf, O., Grunfeld, E. A., & Hunter, M. S. (2015). A systematic review of the factors associated with delays in medical and psychological help-seeking among men. Health Pychology Review, 9(2), 264–276. https://doi.org/10.1080/17437199.2013.840954 Yudell, M., Roberts, D., DeSalle, R., & Tishkoff, S. (2016). Science and society. Taking race out of human genetics. Science, 351(6273), 564–565. https://doi.org/10.1126/science.aac4951 Yuen, E. Y. N., Knight, T., Ricciardelli, L. A., & Burney, S. (2018). Health literacy of caregivers of adult care recipients: A systematic scoping review. Health & Social Care in the Community, 26(2), e191-e206. https://doi.org/10.1111/hsc.12368
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/64646

Downloads

Downloads per month over past year

Export

Actions (login required)

View Item View Item