New Approaches to Health Literacy: Linking Different Perspectives

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In this anthology of health literacy, drawing on New Social Literacy studies and contemporary debates on equity, we discuss health literacy within German regional and cultural contexts as well as in selected non-European regions, such as in Asia and South America. Topics include unique reviews on health literacy, new empirical results on different population groups, in-depth ethnographic insights into social contexts, interventions intended to improve health literacy, and innovative theoretical dialogs. The discussions within this book provide new ideas and intriguing new results, also shedding light on the explanatory power of the health literacy concept as well as its boundaries.

Author(s): Luis A. Saboga-Nunes, Uwe H. Bittlingmayer, Orkan Okan, Diana Sahrai
Series: Gesundheit und Gesellschaft
Publisher: Springer VS
Year: 2021

Language: English
Pages: 333
City: Wiesbaden

Foreword
Contents
Contributors
Linking Different Perspectives: Some Introductory Remarks
State of the Art or Back to the Basics?
Health Literacy in the Context of Health Inequality – A Framing and a Research Overview
1 Introduction
2 Discourse on Health Disparities
Box 1: WHO Shanghai Declaration (Excerpt)
4 Definitory Approaches to Health Literacy
5 Measurement or Recording of Health Literacy
6 Link Between Health Literacy and Health Outcomes
7 Distribution of Health Literacy Among the Population
8 Social Determinants of Health Literacy
References
Health Literacy in Childhood and Adolescence: An Integrative Review
1 Introduction
2 Results
2.1 Focus Area 1: Conceptual Models and Definitions
2.2 Focus Area 2: Measurement Instruments
2.3 Focus Area 3: Review of Empirical Data and Evidence
2.4 Qualitative Research
2.4.1 Conceptual Research
2.4.2 Questionnaire Development
2.5 Quantitative Research
2.5.1 Population-Based Surveys Using Multidimensional Health Literacy Measures
2.5.2 Functional Health Literacy Studies
2.5.3 Health Literacy and Media
3 Discussion and Conclusion
References
Health Literacy and Multimodal Adapted Communication
1 Introduction
2 Health Literacy
3 Status Quo and Goal
4 Language as a Means of Communication
5 Multimodal Adapted Communication
6 Adaptation of Written Language
7 Adaptation of Spoken Language
8 Co-construction
9 Modelling
10 Concluding Remarks and Outlook
References
The Significance of Health Literacy for Public Health and Health Promotion
1 Introduction
2 Public Health
3 How to Maintain and Promote Health?
4 What do we mean when we refer to Health Literacy?
5 Where does Individual Health Literacy Matter? Three Case Studies
6 Discussion and Conclusion
References
Renewing the Conceptual Framework for Health Literacy: The Contribution of Salutogenesis to Tapered the Health Gap
1 Introduction
2 Health, a Concept in Motion
2.1 Health and the Pursuit of Life
2.2 “Without Distinction of Race” and the Persistence Categorization of Racism
2.3 Relativizing the Western Positivist and Negative Construct of Health
2.4 Toward Empowerment
2.5 The Public-Health call to fill the Health Gap
2.6 The Social Dimension of Health
2.7 Health for all
2.8 Health and Social Responsibility
2.9 Bridging the Equity Gap
2.10 The Call for Capacity Building
2.11 The Role of Information and Communication Technologies
2.12 The Highest Attainable Standard of Health
2.13 Health Literacy and Sustainable Development Goals
3 A Renewed Framework for Health
3.1 For a whole Society we need a Sound Theory
3.2 Moving on with Theoretical Foundations in Different Disciplines
3.3 Racism, Prejudice and Health Creation: Theoretical Framework to Move Forward
3.4 The Quest for a Theory of Health Promotion
4 A Renewed Vision of Heath for All
4.1 The Sense of Coherence Construct
4.2 From Ethnocentrism to People Centeredness: Dismantling Racism and Launching Health Creation
5 Conclusion
References
Health Literacy in the Education Setting
Implementing Complex Interventions in Childcare Settings: Potentials and Challenges of Creating Screen Media Sensitive Environments for a Healthier Childhood
1 Introduction
1.1 Growing up in the Digital World
2 Guiding Children in the Digital World
3 Methods
3.1 Design and Recruitment Process
3.2 Data Collection
3.2.1 Childcare Settings
3.2.2 Parents
3.3 Statistical Analysis
3.3.1 Child Care Settings
3.3.2 Parents
4 Results
4.1 The Willingness to Participate in the Study from the Child Care Settings
4.1.1 Structural Characteristics
4.1.2 Reasons for Non-Participation
4.2 Parents
4.2.1 Who Participates in the Parental Survey?
4.2.2 Screen Media Equipment and Use Times
4.2.3 Parents’ Perceived Need for Media Education Support
5 Discussion
References
Towards New Perspectives on Health Literacy for Children: From ‘Health Information’ to Recognizing Young Citizens’ Capacities for Meaning-Making (Debate from a ‘Liquid Network’)
1 Introduction
2 Presenting the main Arguments
3 Health Literacy in Childhood is as much about Childhood and Literacy as it is about Health
4 Health Literacy is more than Individual Processing of ‘Health Information’
5 Understanding Health Literacy is about Capturing Literacy Events and Related Social Practices
6 Health Literacy assessment needs to be Broadened beyond Simple Rankings of ‘High’ and ‘Low’ Health Literacy
7 Disscussion
8 Conclusion
References
Mental Health Literacy―Do We Need Another Health Literacy Concept?
1 Introduction
2 Mental Health Literacy
3 Measuring MHL and Results of the First Assessment
4 Prevention and Intervention
5 Interventions
6 Discussion
References
Health Literacy and its Determinants in 11 and 12-year-old School Children in Germany
1 Introduction
2 Data and Methods
3 Results
4 Discussion
5 Summary and Conclusions
Appendix
References
Some Cultural Dimensions of Health Literacy
The Importance of New Media and eHealth Information in the Everyday Life of Female Adolescents with Turkish Migration Background in Germany
1 Introduction
2 Media Equipment of Adolescents
3 Importance of Hardware and Software in the Everyday Life of Adolescents
4 Timeframes and Reasons for using online offers
5 Internet and (Health) Information Acquisition
6 EHealth & Health Outcome
7 Qualitative Study on the use of New Media and Electronic Health Information by Female Adolescents with a Turkish Migration Background in Germany
8 Conclusion
9 Recommendations for eHealth Promotion Programs
References
Health without formal Education?
1 Introduction
2 Aim and Research Questions
3 Data and Methods
3.1 Research Area
3.2 Sample and Data Collection
3.3 Statistical Analysis
4 Results
4.1 Educational Attainment
4.2 Health Literacy Level
5 Quality of Life
5.1 Association between Education, Health Literacy and Quality of Life
5.2 Determinants of and Factors Associated with Literacy, Health Literacy or Quality of Life
5.3 Health Behavior and its Relationship with Education, Health Literacy, and Quality of Life
6 Discussion
7 Conclusion
References
Reflections on Health Literacy in the European and Colombian Context
1 Introduction
2 The Definition and Conceptualisation of Health Literacy
3 Health Literacy in European Policy
4 Health Literacy, Its Translation(s) and Health Education
5 Public Policies on Educación Para La Salud in Colombia
6 The Meaning of ‘Educación Para La Salud’
7 Conclusion and Closing Remarks
References
Health Literacy in Afghanistan − Astonishing Insights Provoke a Re-Consideration of the Common Concept and Measures of Health Literacy
1 Introduction: Health Literacy Around the World – a Plea for a Fresh Perspective
2 Methods: Suggestions for Adaptation
3 The Process of Applying Health Literacy to Afghanistan
3.1 Health Literacy in Afghanistan
3.2 Overview of Health, Health System and Determinants of Health
3.3 Defining Basic Health Competencies Conceptually
4 Local Experts: Exploring Health Literacy from the Point of View of Practitioners
5 Applying Health Literacy Survey Items and Empirical Findings
5.1 Summarizing the Findings N Health Literacy in Afghanistan
6 Summarizing Findings on Health Literacy in Afghanistan
7 Discussion
7.1 Key Aspects of Interest
7.2 Approaches to Assess Health Literacy
8 Summary and Recommendations
References
Future Perspectives
Health Literacy Champions
1 Introduction
2 Health Literacy Champion Awards
3 The Role of Champions in Developing Health Literacy Policies
4 The Role of Champions in Developing He Alth Literate Organizations
5 Practical Examples of How to Nurture Health Literacy Championship
5.1 The Centers for Disease Control and Prevention (CDC)
5.2 The Nebraska Association of Local Health Directors’ Health Literacy Champion
5.2.1 Designation
5.3 Sydney Local Health District
6 Concluding remarks
References
Health Literacy as a Key Concept for a Healthy Life? I Think There Is a Bigger Picture Here
1 Introduction
2 Health Literacy: A Bunch of Disciplines, but Little Interdisciplinary Concertation
3 Current Conceptions of Health Literacy: Health Literacy as a Set of Skills
4 Health Literacy and Its Social Embeddedness: Health Literacy as a Relational Concept
5 Learning from Literacy and Literacy Learning: Approaching Health Literacy as a Social Practice
6 Choices, Informed Decision Making, and Self-Management
7 Health Lifestyles and the Agency-Structure Issue
8 Health Information and the Digital Transformation
9 Transitions in Population Health and the Transformation of Health to an All-Pervasive Value
10 Conclusions and Outlook
References