Health literacy as a social practice: Social and empirical dimensions of knowledge on health and healthcare

Samerski, Silja

doi:10.1016/j.socscimed.2019.02.024

Cited by 121 publications

(95 citation statements)

References 30 publications

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“…As Harris et al (2015), argue, a health education model that emphasises only information not allowing for barriers and facilitators to the use of information that may be T his with critical health literacy which they own T towards a more nuanced picture. However, building upon work by Fairbrother et al, (2016) Samerski (2019 critiques a conceptualisation of critical health literacy which often an individualistic approach depicting citizens as cognitive agents instead of as emotional, " in many cases, is prompted and "…”

Section: Discussionmentioning

confidence: 99%

Children’s learning from a Smokefree Sports programme: Implications for health education

Fairbrother

Curtis

Kirkcaldy

2020

Health Education Journal

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Objective: This paper reports on a qualitative evaluation of the Love Life Smokefree Sports primary school pilot. This eight-week programme delivered sports and physical activity sessions to convey Smokefree messages to 120 children aged ten and eleven in two primary schools in Sheffield in 2018. The participating in the programme. Its objectives were to promotion mes perceptions of the meaningfulness of those messages in the context of their everyday lives and/or the meaningfulness of the Smokefree messages. Methods: Qualitative data were generated with 25 children via focus groups after the programme concluded. Data were analysed thematically using cross-sectional, categorical indexing. Results: Learning from the programme was particularly likely to be described as meaningful by children when they could interact with material and visual representations of complex ideas and when sessions involved strongly embodied experiences. However, children did not always find it easy to relate learning to their everyday lives and sometimes struggled to reconcile pre-existing, contextualised understandings with intervention messages. We mobilise the concept of critical health literacy as a theoretical lens through which to interpret these findings. Conclusion H lives. Starting from the premise that children are active critical health literacy practitioners and working with them to design and evaluate health education initiatives can promote this.

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Section: Discussionmentioning

confidence: 99%

Children’s learning from a Smokefree Sports programme: Implications for health education

Fairbrother

Curtis

Kirkcaldy

2020

Health Education Journal

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“…Despite the ubiquitous presence of HL, there is a fundamental lack of consensus about the definition, the conceptualisation, and the scope of the term [5]. For the purpose of this contribution, we are drawing on a more comprehensive, resource-oriented approach [6]; following Samerski, we conceive of HL as a situational, multidimensional, and dynamic process, including a variety of sources and forms of knowledge, which is co-produced in social relations [7]. In this light, HL can be considered as being closely interwoven with processes of shared decision making (SDM) concerning medical interventions.…”

Section: Health Literacymentioning

confidence: 99%

Health Literacy as Communicative Action—A Qualitative Study among Persons at Risk in the Context of Predictive and Preventive Medicine

Harzheim

Lorke

Woopen

et al. 2020

IJERPH

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Predictive and preventive medicine play an increasingly important role in public debates on health, providing cutting-edge technologies with the potential to measure and predict individual risks of getting ill. This leads to an ever-expanding definitional space between being “healthy” and being “ill”, challenging the individual’s everyday life, attitudes and perceptions towards the self and the process of health-related decision-making. “How do the condition of ‘being at risk’ and individual health literacy interrelate?” is the leading question of the current contribution. Drawing on empirical qualitative data, collected by means of narrative interviews with persons at risk in four clinical fields, a bottom-up ethnographic and health sciences perspective on health literacy (with an emphasis on critical health literacy) is employed. The findings will be embedded within theoretical approaches dealing with power relations and communication in healthcare encounters, particularly Habermas’ theory of communicative action. The core outcome of our study is a concept for an overarching model of health literacy in the context of health-related risk prediction across indications, based on empirical insights gained through interpretative analysis of the four clinical domains.

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“…Health literacy critically re ects an individual's comprehensive ability in coping with health problems under different circumstances [2]. Previous studies showed that patients with low health literacy have worse outcomes and occupy more public health resource; they might have poor health status and are more likely to be hospitalized [9,10]; meanwhile, they may not fully understand the medical system and treatment strategies, and might be unable to follow the instructions to take medicines appropriately, which often leads to the increased occupation of public health resource [15]. Therefore, understanding the prevalence of local low health literacy could enable local government to make policies and allocate resources [4,5].…”

Section: Discussionmentioning

confidence: 99%

The prevalence of low health literacy and its socio-demographic risk factors in Hebei: a provincially cross-sectional survey

Yang

Wang³

et al. 2020

Preprint

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Background: This study aimed to evaluate the prevalence of low health literacy in Hebei Province of China, and to investigate its socio-demographic risk factors.Methods: This study was a community-based, cross-sectional questionnaire survey with a multiple-stage randomization design and a sample size of 10560. Participants’ health literacy status was evaluated by a questionnaire based on the 2012 Chinese Resident Health Literacy Scale. Meanwhile, participants’ socio-demographic characteristics were also collected by the questionnaire.Results: A total of 9952 participants provided valid questionnaires and were included in the final analyses. The mean health literacy score was 63.1±17.1 points; for its subscales, the mean basic knowledge and concepts score, lifestyle score, health-related skills score were 31.7±9.0, 17.2±4.8, 14.3±4.1, respectively. Meanwhile, low health literacy prevalence was 81.0%; for its subscales, low basic knowledge and concepts prevalence (70.6%) was numerically reduced compared to low lifestyle prevalence (87.4%) and low health-related skills prevalence (86.1%). Further analyses showed that age, male and rural area were positively associated, but education level and annual household income were negatively associated with low health literacy prevalence. Further multivariate logistic regression analyses showed that higher age, male, lower education level, lower annual household income and rural area were closely correlated with the risks of low total health literacy or low health literacy in subscales in Hebei Province.Conclusion: The prevalence of low health literacy is 81.0% in Hebei Province. Meanwhile, higher age, male, lower education level, lower annual household income and rural area closely associate with low health literacy risk.

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Health literacy as a social practice: Social and empirical dimensions of knowledge on health and healthcare

Cited by 121 publications

References 30 publications

Children’s learning from a Smokefree Sports programme: Implications for health education

Children’s learning from a Smokefree Sports programme: Implications for health education

Health Literacy as Communicative Action—A Qualitative Study among Persons at Risk in the Context of Predictive and Preventive Medicine

The prevalence of low health literacy and its socio-demographic risk factors in Hebei: a provincially cross-sectional survey

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