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Health Literacy

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Encyclopedia of Global Bioethics

Abstract

Health literacy is an increasingly essential competency required of today’s citizens. Similar in nature to literacy, in general, adequate health literacy is associated with better health outcomes than inadequate or low health literacy. Encompassing a broad array of overlapping skills, health literacy can impact one’s ability to obtain health services, especially high-quality timely and tailored health services, as well as the ability to act on desirable health recommendations. In the context of health equity issues, and the notion of health as a human right, health literacy is increasingly identified to be of paramount importance, and those who lack the will to foster a health-literate citizenry are likely to see wider health gaps and disparities than we see today. This essay describes the concept of health literacy, its importance as a health access and management issue, and the bioethics of failing to counter low health literacy wherever it exists.

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References

  • Clark, B. (2011). Using law to fight a silent epidemic: The role of health literacy in health care access, quality, & cost. Annals of Health Law, 20(2), 253–327. 5 p preceding i.

    Google Scholar 

  • Gazmarian, J. A., Curran, J. W., Parker, R. M., Bernhardt, J. M., & DeBuono, B. A. (2005). Public health literacy in America. An ethical imperative. American Journal of Preventive Medicine, 28, 317–322.

    Article  Google Scholar 

  • Gordon, E., & Wolf, M. (2007). Beyond the basics: Designing a comprehensive response to low health literacy. American Journal of Bioethics, 7(11), 11–13.

    Article  Google Scholar 

  • Hasnain-Wynia, R., & Wolf, M. S. (2010). Promoting health care equity: Is health literacy a missing link? Health Services Research, 45(4), 897–903. doi:10.1111/j.1475-6773.2010.01134.x.

    Article  Google Scholar 

  • Jotkowitz, A., & Porath, A. (2007). Health literacy, access to care and outcomes of care. American Journal of Bioethics, 7(11), 25–27; discussion W1-2.

    Article  Google Scholar 

  • Lubetkin, E., Zabor, E., Isaac, K., Brennessel, D., Kemeny, M., & Hay, J. (2015). Health literacy, information seeking, and trust in information in Haitians. American Journal of Health Behavior, 39(3), 441–450.

    Article  Google Scholar 

  • Marks, R. (2009). Ethics and patient education: Health literacy and cultural dilemmas. Health Promotion Practice, 10(3), 328–332.

    Article  Google Scholar 

  • McCarthy, D. M., Waite, K. R., Curtis, L. M., Engel, K. G., Baker, D. W., & Wolf, M. S. (2012). What did the doctor say? Health literacy and recall of medical instructions. Medical Care, 50(4), 277–282. doi:10.1097/MLR.0b013e318241e8e1.

    Article  Google Scholar 

  • Misra-Hebert, A. D., & Isaacson, J. H. (2012). Overcoming health care disparities via better cross-cultural communication and health literacy. Cleveland Clinical Journal of Medicine, 79(2), 127–133. doi:10.3949/ccjm.79a.11006.

    Article  Google Scholar 

  • Nairn, F. T. (2014). What we have here is a failure to communicate. The ethical dimension of health literacy. Health Progress. Retrieved from http://www.chausa.org/publications/health-progress/article/july-august-2014/ethics---the-ethical-dimension-of-health-literacy

  • Schillinger, D. (2007). Literacy and health communication: Reversing the “inverse care law”. American Journal of Bioethics, 7(11), 15–18.

    Article  Google Scholar 

  • Volandes, A., & Paasche-Orlow, M. (2007). Health Literacy, health inequality and a just healthcare system. American Journal of Bioethics, 7(11), 5–10.

    Article  Google Scholar 

  • Williams, M. V., Baker, D. W., Parker, R. M., & Nurss, J. R. (1998a). Relationship of functional health literacy to patients’ knowledge of their chronic disease. A study of patients with hypertension and diabetes. Archives of Internal Medicine, 158(2), 166–172.

    Article  Google Scholar 

  • Williams, M. V., Baker, D. W., Honig, E. G., Lee, T. M., & Nowlan, A. (1998b). Inadequate literacy is a barrier to asthma knowledge and self-care. Chest, 114(4), 1008–1015.

    Article  Google Scholar 

  • Williams, M. V., Davis, T., Parker, R. M., & Weiss, B. D. (2002). The role of health literacy in patient-physician communication. Family Medicine, 34(5), 383–389.

    Google Scholar 

Further reading

  • Bo, A., Friis, K., Osborne, R. H., & Maindal, H. T. (2014). National indicators of health literacy: Ability to understand health information and to engage actively with healthcare providers – A population-based survey among Danish adults. BMC Public Health, 14, 1095. doi:10.1186/1471-2458-14-1095.

    Article  Google Scholar 

  • Physicians Foundation, & SDSMA Center of Physician Resources. (2014). Low health literacy: A hidden epidemic. South Dakota Medicine, 67(6), 239.

    Google Scholar 

  • Sentell, T. (2012). Implications for reform: Survey of California adults suggests low health literacy predicts likelihood of being uninsured. Health Affairs (Millwood), 31(5), 1039–1048. doi:10.1377/ hlthaff.2011.0954.

    Article  Google Scholar 

  • Tamariz, L., Palacio, A., Robert, M., & Marcus, E. N. (2013). Improving the informed consent process for research subjects with low literacy: A systematic review. Journal of General Internal Medicine, 28(1), 121–126. doi:10.1007/s11606-012-2133-2.

    Article  Google Scholar 

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Marks, R. (2015). Health Literacy. In: ten Have, H. (eds) Encyclopedia of Global Bioethics. Springer, Cham. https://doi.org/10.1007/978-3-319-05544-2_455-1

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  • DOI: https://doi.org/10.1007/978-3-319-05544-2_455-1

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