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Prior findings linking literacy and health are extended by analyzing the role of digital spaces in acquiring health knowledge and skills. Results indicate that low literacy skills have no strong direct effect on health status, while social vulnerability, including limited participation and low social recognition, strongly predicts subjectively perceived health.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/the-relationship-of-social-vulnerability-to-health-related-digital-practices-a-quantitative-analysis-based-on-the-german-leo-literacy-assessment/589304/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/the-relationship-of-social-vulnerability-to-health-related-digital-practices-a-quantitative-analysis-based-on-the-german-leo-literacy-assessment/589304.png","ImageObject",300,407,{"name":92,"@type":93},"Đào","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-01","2026-10-15",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What dataset is used for the quantitative analysis?","Question",{"text":112,"@type":113},"The study uses data from the German-based LEO literacy assessment (LEO 2018).","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Do low literacy skills directly affect health status in this study?",{"text":117,"@type":113},"No. Low literacy skills do not show a strong direct effect on health status in the findings reported.",{"name":119,"@type":110,"acceptedAnswer":120},"Which factor shows a strong impact on subjectively perceived health status?",{"text":121,"@type":113},"Social vulnerability—such as low social participation and low social recognition—shows a strong effect on subjectively perceived health status.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},589304,1792230397,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":41,"preview_page_count":4},1374402968488,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","ADULT LITERACY EDUCATION SUMMER 2024  \n| [http://doi.org/10.35847/KSkowranek.KBuddeberg.KCafantaris.LHeilmann.6.2.18](http://doi.org/10.35847/KSkowranek.KBuddeberg.KCafantaris.LHeilmann.6.2.18) |  |\n| --- | --- |\n|  | Research Article |\n\nThe Relationship of Social Vulnerability to HealthRelated Digital Practices: A Quantitative Analysis Based on the German LEO Literacy Assessment  \nKristin Skowranek, Hamburg University Klaus Buddeberg, Hamburg University Karola Cafantaris, Hamburg University Lisanne Heilmann, Bremen University  \nAbstract  \nA link between literacy and health has already been demonstrated in various national and international surveys. Previous research has shown that adults with low literacy are very frequent users of social media. Increasingly, people are gaining their health-related knowledge and skills by being in digital spaces and consuming health-related content across platforms. In this article, we explored the relationship between digital health practices and the health of people with low literacy skills using data from the German-based LEO assessment. We found that low literacy skills do not have a strong direct effect on health status, but social vulnerability, such as low social participation and low social recognition, has a strong effect on a person’s subjectively perceived health status.  \nKeywords: literacy; vulnerability; health literacy; digital literacy  \nInternational studies such as the Programme for the International Assessment of Adult Competencies (PIAAC) or the International Adult Literacy Survey (IALS) (Organization for Economic Co-operation and Development [OECD], 2019; OECD & Statistics Canada, 2011) have shown that health knowledge is linked to literacy in the sense of reading literacy (health-related literacy) . This link is particularly evident in the question of how knowledge and information are generated. During the COVID-19 pandemic, health information and medical treatment have increasingly moved into the digital space, for example in the form of video medical consultations. At the same time, health-related news and so-called fake news were disseminated through digital media, requiring skills to distinguish between real and fake information and legitimate knowledge providers. This example showed that low literacy and critical thinking skills can lead to  \nexclusion from social participation and vulnerability in health issues (Heilmann & Grotlüschen, 2020) . At the same time, the digitalization of the (German) health care system is advancing, and dealing with it requires digital literacy (Bundesministerium für Gesundheit, 2023) .  \nThese examples show the relevance of questions of social participation/vulnerability when it comes to the intersection of literacy, health, and digitalization, as well as a current interest in further research in this area (fora brief introduction to the relationship between basic education and vulnerability see Gal et al., 2020) . Empirical results from an assessment of reading and writing skills in Germany (LEO 2018 – Living with Low Literacy; in the following: LEO 2018) have shown that adults with very limited reading and writing skills use social media more frequently than average. Moreover, social media is seen critically when it comes to the discourse about health and  \nCorrespondence: klaus. buddeberg@uni-hamburg. de 18  \nknowledge gain. Often, they are regarded negatively (e.g., fake news, COVID-19 infodemic) .  \nFollowing on from this, we want to explore which digital platforms and formats (low literate) adults use when seeking information about health issues (or if they do not use them at all) . We want to take a closer look at the specific educational needs of adults with low reading and writing skills regarding health-related digital information and their social vulnerability (as shown by Heilmann & Grotlüschen, 2020) .  \nThe paper is based on a review of the research literature, as well as empirical data from LEO 2018. We link the concepts","cbCaisfB3MNO3xLj","https://ap.wps.com/l/cbCaisfB3MNO3xLj","pdf",138757,12,"English","# Abstract\n# Introduction\n## Digital health practices and literacy\n## Social vulnerability and health outcomes\n# Literature Review\n## Literacy and adult basic proficiencies\n## Digitalization research and health","[{\"question\":\"What dataset is used for the quantitative analysis?\",\"answer\":\"The study uses data from the German-based LEO literacy assessment (LEO 2018).\"},{\"question\":\"Do low literacy skills directly affect health status in this study?\",\"answer\":\"No. Low literacy skills do not show a strong direct effect on health status in the findings reported.\"},{\"question\":\"Which factor shows a strong impact on subjectively perceived health status?\",\"answer\":\"Social vulnerability—such as low social participation and low social recognition—shows a strong effect on subjectively perceived health status.\"}]","The Relationship of Social Vulnerability to HealthRelated Digital Practices - A Quantitative Analysis Based on the German LEO Literacy Assessment | PDF",1792066938]