Health Literacy and Cardiovascular Disease: Fundamental Relevance to Primary and Secondary Prevention: A Scientific Statement From the American Heart Association
Health Literacy and Cardiovascular Disease: Fundamental Relevance to Primary and Secondary Prevention: A Scientific Statement From the American Heart Association
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DOI：
10.1161/cir.0000000000000579
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发表时间：
2018-07-10
期刊：
影响因子：
37.8
通讯作者：
Willey, Joshua Z.
中科院分区：
文献类型：
--
作者：
Magnani, Jared W.;Mujahid, Mahasin S.;Willey, Joshua Z.
卫生知识普及是指个人能够获得和处理基本卫生信息和服务，从而参与与卫生有关的决策的程度。有限的健康素养在美国非常普遍，与患者发病率、死亡率、医疗保健使用和成本密切相关。本美国心脏协会科学声明的目的是：（1）总结健康素养与心血管健康的相关性;（2）介绍健康素养与心血管风险因素、疾病和治疗的不良关联;（3）提出解决有限的健康素养对心血管疾病管理和预防造成的障碍的策略;（4）证明健康素养对健康差距的贡献，因为它与健康的社会决定因素有关;（5）提出未来的方向，如何将健康素养纳入美国心脏协会的任务，以促进心血管治疗和研究，从而改善患者护理和公共卫生。健康素养不足是美国心脏协会实现其2020年影响目标的障碍，本声明阐明了预测和解决与健康素养相关的心血管不良影响的基本原理。
Health literacy is the degree to which individuals are able to access and process basic health information and services and thereby participate in health-related decisions. Limited health literacy is highly prevalent in the United States and is strongly associated with patient morbidity, mortality, healthcare use, and costs. The objectives of this American Heart Association scientific statement are (1) to summarize the relevance of health literacy to cardiovascular health; (2) to present the adverse associations of health literacy with cardiovascular risk factors, conditions, and treatments; (3) to suggest strategies that address barriers imposed by limited health literacy on the management and prevention of cardiovascular disease; (4) to demonstrate the contributions of health literacy to health disparities, given its association with social determinants of health; and (5) to propose future directions for how health literacy can be integrated into the American Heart Association's mandate to advance cardiovascular treatment and research, thereby improving patient care and public health. Inadequate health literacy is a barrier to the American Heart Association meeting its 2020 Impact Goals, and this statement articulates the rationale to anticipate and address the adverse cardiovascular effects associated with health literacy.