Improving health literacy in a population involvesmore than the transmission of health information, althoughthat remains a fundamental task.
analogous to scicomm - "one-way" transmission
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- Jun 2020
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If we accept the idea that health literacy is anindependent concept that reflects the skills and capacitiesthat enable people to exert greater control over theirhealth, this has important implications for measurement.
if literacy reflects the ability of individual's' to possess agency, new measurements will be required.
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Conceptualizin
Important paragraph - how treating health literacy as asset changes health education / communication approach
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health literacy can becategorized into different levels that progressively reflectgreater autonomy and personal empowerment in decision-making
a thought not necessarily related to this passage - asset model is treating people's (a community's, perhaps) existing literacy as a tool to further increase literacy. it reminds me of naturopathic medicine, which leverages the body's pre-existing ability to heal itself, as opposed to an over-reliance on pharmaceuticals which mostly mitigate symptoms
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different ‘‘types’’ of literacy
three tiers of literacy - functional, interactive, critical - in increasing levels of advanced.
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xert a higher degree of control over everydayevents.
agency
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IOM definition, WHO has adopteda definition of health literac
IOM (USA) - WHO (International)
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greaterempowerment
an outcome which supports individuals' empowerment to make health decisions
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health literacy isseen as an asset to be built
"An asset to be built"
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Itbegins with assessment
Descriptive walkthrough of Fig. 1 - health literacy as risk factor
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health literacy influences healthoutcomes at three critical points, namely, access to healthcare, the interaction between patients and their health careprofessionals, and self-care.
modification 2 - three important touchpoints to consider in terms of when an individual's health literacy interacts with broader system
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if healthliteracy depends on the relationship between individualcommunication capacities, the health care system, andbroader society, measures at the individual level are clearlyinadequate.
modification 1 - when considering the larger system, measurement of individuals is inadequate
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healthliteracy as a set of individual capabilities in the fourdomains of cultural and conceptual knowledge, speakingand listening skills, writing and reading skills andnumeracy. This conceptualization of health literacy as a setof capacities also implies that health literacy is partlyknowledge based, and may be developed through educa-tional intervention.
More detailed conceptualization of literacy as knowledge-based. This is same conceptualization as "risk" factor
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based on the interaction of the individual’s skills withhealth contexts.and broad social and cultural factors athome, at work and in the community.
Again, analogous to scicomm - see NAS (2017) Communicating Science Effectively
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effects of poor literacy can be mitigated by improvingboth the quality of health communications, and greatersensitivity among health professionals to the potentialimpact of low literacy on individuals and in populations.
Effects of low literacy can be mitigated through better health communication and increased sensitivity from health professionals. This might be observed in mediated mass communication settings or interpersonally.
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he science ofhealth literacy
Like, "the science of science communication"?
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In this context, poorliteracy skills are seen as a potential risk factor
conceptualizing poor literacy as a "risk" factor
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‘health literacy’’ iscommonly used to describe the set of individual literacy
1st definition of "health literacy"
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A recently published statement from the WHOCommission on the Social Determinants of Health identi-fied literacy as having a ‘‘central role’’ in determininginequities in health in both rich and poor countries (WHOCommission on the Social Determinants of Health, 2007)
Literacy at the root of health inequities (both rich and poor countries).
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improved interaction between researchers workingwithin the two health literacy perspectives, and further research on the measurement ofhealth literacy
Researchers from both perspectives should work together, measurement needs to improve.
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both conceptualizations are importan
Not one over the other
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The relationship between poor literacy skills and health status is now well recognized andbetter understood.
Analogous to "science literacy" and pro-science attitudes / beliefs / trust.
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The conceptualization of healthliteracy as an asset has its roots in educational research into literacy, concepts of adultlearning, and health promotion.
Asset model comes from educational, adult learning, and health promotion research.
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