Health literacy and public health: a systematic review and integration of definitions and models.

Health literacy and public health: a systematic review and integration of definitions and models.
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DOI:
10.1186/1471-2458-12-80
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发表时间:
2012-01-25
期刊:
影响因子:
4.5
通讯作者:
(HLS-EU) Consortium Health Literacy Project European
(HLS-EU) Consortium Health Literacy Project European
中科院分区:
医学2区
文献类型:
--
作者:
Sørensen K;Van den Broucke S;Fullam J;Doyle G;Pelikan J;Slonska Z;Brand H;(HLS-EU) Consortium Health Literacy Project European

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健康素养涉及人们满足现代社会复杂健康需求的知识和能力。尽管人们日益认识到健康素养的重要性,但对健康素养的定义或其概念层面尚无共识,这限制了衡量和比较的可能性。本研究的目的是审查健康素养的定义和模型,以制定一个综合的定义和概念模型,捕捉健康素养最全面的循证层面。进行了系统的文献综述,以确定健康素养的定义和概念框架。对定义和概念框架进行了内容分析,以确定卫生知识普及的主要方面,并制定一个综合模式。审查产生了17个卫生知识普及定义和12个概念模型。在内容分析的基础上,构建了一个包含12个维度的综合概念模型,分别涉及在医疗保健、疾病预防和健康促进环境中获取、理解、评价和应用健康相关信息的知识、动机和能力。在此基础上,提出了一个模型,整合医疗和公共卫生的健康素养的观点。该模型可作为制定健康素养强化干预措施的基础,并为制定和验证测量工具提供概念基础,从而在医疗保健、疾病预防和健康促进环境中捕捉健康素养的不同层面。
Health literacy concerns the knowledge and competences of persons to meet the complex demands of health in modern society. Although its importance is increasingly recognised, there is no consensus about the definition of health literacy or about its conceptual dimensions, which limits the possibilities for measurement and comparison. The aim of the study is to review definitions and models on health literacy to develop an integrated definition and conceptual model capturing the most comprehensive evidence-based dimensions of health literacy. A systematic literature review was performed to identify definitions and conceptual frameworks of health literacy. A content analysis of the definitions and conceptual frameworks was carried out to identify the central dimensions of health literacy and develop an integrated model. The review resulted in 17 definitions of health literacy and 12 conceptual models. Based on the content analysis, an integrative conceptual model was developed containing 12 dimensions referring to the knowledge, motivation and competencies of accessing, understanding, appraising and applying health-related information within the healthcare, disease prevention and health promotion setting, respectively. Based upon this review, a model is proposed integrating medical and public health views of health literacy. The model can serve as a basis for developing health literacy enhancing interventions and provide a conceptual basis for the development and validation of measurement tools, capturing the different dimensions of health literacy within the healthcare, disease prevention and health promotion settings.
在欧盟中绘制健康素养研究:文献分析。
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