Health Literacy and Health Actions: A Review and a Framework From Health Psychology

Health Education and Behavior - Tập 36 Số 5 - Trang 860-877 - 2009
Christian von Wagner1, Andrew Steptoe2, Michael S. Wolf3, Jane Wardle4
1University College London, Department of Epidemiology and Public Health, Health Behaviour Research Centre, Gower Street, University College London, London, WC1E 6BT, United Kingdom. [email protected]
2University College London, Department of Epidemiology and Public Health, Psychobiology Unit
3Health Literacy and Learning Program, Institute for Healthcare Studies, Feinberg School of Medicine at Northwestern University, Chicago, Illinois
4University College London, Department of Epidemiology and Public Health, Health Behaviour Research Centre

Tóm tắt

The association between performance on health literacy measures and health outcomes is well established. The next step is to understand the processes through which health literacy affects health. This review introduces a framework drawing on ideas from health psychology and proposing that associations between health literacy and health outcomes could be mediated by a range of health actions involving access and use of health care, patient—provider interactions, and the management of health and illness. The framework outlines routes through which health literacy might affect either health actions themselves or the motivational and volitional determinants that have been identified in social cognition models. The implications of the framework for future research and intervention strategies are discussed.

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Health Education and Behavior

Tập 36 Số 5

860-877

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