Health literacy: addressing the health and education divide

Health literacy: addressing the health and education divide
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DOI:
10.1093/heapro/16.3.289
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发表时间:
2001-09-01
影响因子:
2.7
通讯作者:
Kickbusch, IS
Kickbusch, IS
中科院分区:
医学3区
文献类型:
--
作者:
Kickbusch, IS

文献摘要

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健康素养作为一种独立的素养形式,对于社会、经济和健康发展正变得越来越重要。教育和一般识字对人口健康、特别是妇女健康的积极和倍增效应是众所周知的,并已进行研究。然而,对目前艾滋病毒/艾滋病流行病,特别是非洲艾滋病毒/艾滋病流行病的进一步分析表明,一般扫盲和卫生扫盲之间存在着复杂的相互关系。虽然普遍识字是健康的一个重要决定因素,但不足以应对发展中国家和发达国家社会面临的重大健康挑战。作为健康促进国际健康素养论坛的贡献,本文回顾了扫盲和健康素养的概念和定义,并提出了概念,测量和战略挑战。它建议利用世界各地国家扫盲调查的经验,制定一套量化卫生知识普及的指标。卫生知识普及指数可以成为衡量健康促进和预防活动成果的一个重要综合尺度,可以记录某一国家、社区或群体人口的卫生能力,并将其与一系列卫生、社会和经济成果联系起来。
Health literacy as a discrete form of literacy is becoming increasingly important for social, economic and health development. The positive and multiplier effects of education and general literacy on population health, particularly women's health, are well known and researched. However, a closer analysis of the current HIV/AIDS epidemics, especially in Africa, indicates a complex interface between general literacy and health literacy. While general literacy is an important determinant of health, it is not sufficient to address the major health challenges facing developing and developed societies. As a contribution to the health literacy forum in Health Promotion International, this paper reviews concepts and definitions of literacy and health literacy, and raises conceptual, measurement and strategic challenges. It proposes to develop a set of indicators to quantify health literacy using the experience gained in national literacy surveys around the world. A health literacy index could become an important composite measure of the outcome of health promotion and prevention activities, could document the health competence and capabilities of the population of a given country, community or group and relate it to a set of health, social and economic outcomes.