Understanding health literacy: an expanded model
Understanding health literacy: an expanded model
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DOI：
10.1093/heapro/dah609
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发表时间：
2005-06-01
影响因子：
2.7
通讯作者：
Greer, DS
中科院分区：
文献类型：
--
作者：
Zarcadoolas, C;Pleasant, A;Greer, DS
关于个人能力和社会进程如何解释或预测健康的一段漫长但尚未完成的调查历史表明，教育程度低、识字率低、健康状况差和过早死亡在世界各地有着密切的联系。然而，这些关系的复杂性并没有被完全理解。在本文中，我们提出了一个扩展的健康素养模型，其特征包括四个领域：基本素养（阅读、写作、口语和算术）、科学素养、公民素养和文化素养。为了探索这一模型的效用，我们研究了2001年美国炭疽威胁期间主导大众媒体的关于恐怖主义和生物恐怖主义的公共话语的精选片段。我们得出的结论是，这种健康素养模型有助于分析健康传播，有助于构建更容易理解和适当的健康传播，并最终导致开发一种评估个人健康素养技能的新措施。
A long and yet unfinished history of investigating how individual capabilities and social processes explain or predict health indicates that poor education, low literacy, poor health and early death are strongly linked around the world. However, the complexity of those relationships is not fully understood. In this article, we propose an expanded model of health literacy characterized by four domains: fundamental literacy (reading, writing, speaking and numeracy), science literacy, civic literacy and cultural literacy. To explore the utility of this model, we examine selected pieces of the public discourse about terrorism and bioterrorism that dominated the mass media during the anthrax threat in the United States during 2001. We conclude that this model of health literacy is useful to analyze health communication, to aid in constructing more understandable and appropriate health communication, and ultimately can lead to the development of a new measure to assess health literacy skills in individuals.