As someone who has done some work on the
measurement of health literacy, I agree with Jenny that there is a problem with
the literature/research on health literacy related to how health literacy is
operationalised in much of this literature/research. There is no doubt that
most of the research and literature does focus at the individual level and that
the existing measures (including our own) do not fully capture the essence of
what health literacy is or might be. However, there is a growing realization by
people working in the field that health literacy is more than an individual
phenomenon. As the
I hope this is helpful.
Irv Rootman
Adjunct Professor, Human and Social
Development
From:
"Popay, Jennie" <[log in to unmask]>
To:
Date: 2011-02-04
05:41 AM
Subject: Re: [SDOH]
Heath Literacy as a Key Determiant of Health
Sent by: Social
Determinants of Health <
Agree entirely with Dennis’s
recently reply re Wright Mills on psychologism but there is an additional
dimension to/problem with the literature/research on health literacy whcih
relates to how health literacy is operationalised in much of this research.
I am not totally up to date with research in this area (it has a
tendency to depress me and given where our ConDem coalition are taking us just
now in the UK in terms of the wider determinants of health I have more than
enough triggers for depression without voluntarily adding any more), however
there is a tendency to collective evidence via structured questionnaires with
all the problems associated with the construction of appropriate questions and
to define health ‘illiteracy’ in terms of a lack of more
‘scientific’ knowledge about causes e.g. do people know what
‘healthy food’ is, do they realise how important it is to take
exercise, etc. As research has shown (see our own now dated modest
contribution referenced below) there are key difference between the perspective
obtained on ‘lay’ knowledge about health inequalities/causality
depending on the research methods used to obtain it. Always seemed to me
that health professionals illiteracy about health inequalities and causal
pathways is a much more serious problem for SDOH policies/action that any lack
of quasi-scientific knowledge amongst lay people. But these are just my
prejudices.
Jennie
Popay, J Bennett, S. Thomas, C. Williams, G. Gatrell, A. Bostock, L. (2003)
Beyond Beer, Fags Egg and Chips? Exploring lay understandings of social
inequalities in health, Sociology of Health
and Illness. 25(1)1 – 23
Professor of Sociology and Public health
Lancaster University
Lancaster
From: Social Determinants of Health [mailto:[log in to unmask]] On Behalf Of Stasha Donahue
Sent: 04 February 2011 06:19
To:
Subject: [SDOH] Heath Literacy as a Key Determiant of Health
Hi all SDOH list
participants
I recently read this
statement from an in house not yet released document which was essentially a
literature review on health literacy done by an external consultant in
"Health
literacy is highly correlated with health outcomes and is considered a better predictor
of health status than education, socioeconomic status, employment,
race/ethnicity, or gender".
I have yet to read the full
document as I am too busy conducting focus groups with AHS staff with regards
to Reducing Health Disparities across the province.
I am just wondering how the
rest of the SDOH list thinks about that statement regarding health literacy...
particularly those in Population and Public Health realms?
From what I have read and
reviewed health literacy is a function of determinants such as eduction,
employment, income levels etc? This (health literacy) seems kind of
downstream to me as a previous ground level evidence based population health
practitioner focussed on poverty reduction and SDOH for health equity.
Of course, far be it for me to
criticize AHS...
Any thoughts? And feel
free to challenge me if you think I am incorrect in my thinking...
Stasha
Donahue
Health
Promotion Specialist -Reducing Disparities
Health
Promotion, Disease & Injury Prevention
Population and Public Health
Fort
Macleod Health Care Centre
Box
520
Fort
Macleod, AB T0L 0Z0
Tel:
403-553-5352 Fax: 403-553-2333
From a
population health perspective, I strongly disagree with this statement.
This message and any attached documents are only
for the use of the intended recipient(s), are confidential and may contain
privileged information. Any unauthorized review, use, retransmission, or other
disclosure is strictly prohibited. If you have received this message in error,
please notify the sender immediately, and then delete the original message.
Thank you.
To leave, manage or join list: https://listserv.yorku.ca/cgi-bin/wa?SUBED1=sdoh&A=1
To leave,
manage or join list: https://listserv.yorku.ca/cgi-bin/wa?SUBED1=sdoh&A=1