Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century
Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century
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DOI：
10.1093/heapro/15.3.259
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发表时间：
2000-09-01
影响因子：
2.7
通讯作者：
Nutbeam, D
中科院分区：
文献类型：
--
作者：
Nutbeam, D
健康素养是健康促进中一个相对较新的概念。IR是描述健康教育和传播活动的一系列结果的综合术语。从这个角度来看，健康教育是直接奖励提高健康素养的。本文确定了过去的教育计划，以解决健康的社会和经济决定因素的失败，并跟踪随后减少健康教育在当代健康促进的作用。这些明显的缺陷可能导致人们严重低估了健康教育在解决健康的社会决定因素方面的潜在作用。提出了一种“健康结果模型”。这一模式强调健康素养是健康教育的一个关键成果。对健康素养概念的研究确定了功能性健康素养、互动性健康素养和关键性健康素养之间的区别。通过这一分析，提高卫生知识水平不仅仅意味着传递信息，并发展能够阅读小册子和成功预约的技能。通过改善人们获得健康信息和他们有效利用它的能力，有人认为，提高健康素养是赋予权力的关键。当代健康教育和传播的内容和方法的影响，然后考虑。重点是更加个人化的交流形式、以社区为基础的教育推广以及健康教育的政治内容，重点是使人们更好地克服健康方面的结构性障碍。
Health literacy is a relatively new concept in health promotion. Ir is a composite term to describe a range of outcomes to health education and communication activities From this perspective, health education is directed rewards improving health literacy. This paper identifies the failings of past educational programs to address social and economic determinants of health, and traces the subsequent reduction in the role of health education in contemporary health promotion. These perceived failings may have led to significant underestimation of the potential role of health education in addressing the social determinants of health. A 'health outcome model' is presented. This model highlights health literacy as a key outcome from health education. Examination of the concept of health literacy identifies distinctions between functional health literacy, interactive health literacy and critical health literacy. Through this analysis, improving health literacy meant more than transmitting information, and developing skills to be able to read pamphlets and successfully make appointments. By improving people's access to health information and their capacity to use it effectively, it is argued that improved health literacy is critical to empowerment The implications for the content and method of contemporary health education and communication are then considered. Emphasis is given to more personal forms of communication, and community-based educational outreach, as well as the political content of health education, focussed on better equipping people to overcome structural barriers to health.