Youth Perspectives of Healthcare in Central Mexico: An Application of Massey’s Critical Health Literacy Framework

Abstract

Attention to health literacy is essential more now than ever given the recognition, attention, and resources being dedicated to addressing health disparities throughout the world. Unfortunately, health literacy research is scarce in many parts of the world, particularly among youth. Using focus group discussions with junior high school students (N = 98) in a rural town of Central Mexico, we sought to learn about their experiences utilizing healthcare services at a local health clinic. The themes that naturally emerged from focus group discussions aligned with Massey’s framework on critical health literacy among US youth, and included problems navigating the health system, embarrassment speaking to doctors about sensitive issues, and minimal importance being placed on preventative care. This suggests that Massey’s framework may be appropriate to use when seeking to understand and promote health literacy among youth in Mexico. Furthermore, the challenges faced by adolescent participants in this study suggest that additional research is needed to assess how youth in other areas of Mexico are faring in efforts to understand and access their new and evolving universal healthcare system.

Socioeconomic status and family functioning influence oral health literacy among adolescents

“…Adolescence is characterized by the pursuit of greater autonomy in making health-related decisions and a decrease in adult supervision 6 . Described as an "index age" by the World Health Organization, the age range between 15 and 19 years of age is considered a target population for epidemiological studies 7 .…”

Physical health literacy of student–athletes

“…Increased HL has been found to have a positive relationship with health knowledge (Berkman et al, 2011), while low HL is associated with poor health, decreased use of preventative care, and higher hospitalisation rates (Heinrich, 2012). Individuals with lower HL often have difficulty obtaining care and making informed health decisions (Hoffman et al, 2019). Furthermore, low HL limits the ability of individuals to provide accurate medical histories, and is associated with increased use of health services and higher healthcare costs (Manganello, 2008).…”