Gazmararian Anthro course 4-12-11

Gazmararian Anthro course 4-12-11 - Limited Health Literacy...

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Limited Health Literacy and Its Implications for Public Health Julie Gazmararian, PhD, MPH Associate Professor Department of Epidemiology Rollins School of Public Health Emory University April 12, 2011
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Overview of Session Definitions Increasing attention on health literacy Measurement of health literacy State of health literacy research Mismatched communication Emerging evidence from intervention studies Call to Action
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Definitions
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Health Literacy …”the degree to which individuals have the capacity to obtain , process , and understand basic health information and services needed to make appropriate health decisions.” NLM Complete Bibliographies of Medicine, 2000 Healthy People 2010
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Functional Literacy “An individual’s ability to read, write, and speak in English, and compute and solve problems at levels of proficiency necessary to function on the job and in society, to achieve one’s goals, and develop one’s knowledge and potential.” National Literacy Act of 1991
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How is Health Literacy Different from General Literacy? Builds on literacy skills BUT ALSO Cultural considerations Beliefs, experience and preferences Topic area and conceptual knowledge across a wide range, for example: Ø knowledge of bodily functions Ø terms for specific health conditions Ø understanding of scientific results and risk
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Health Literacy in Public Health Contexts Our “working definition”: What we do as a society to ensure that health information and services are accessible , accurate and actionable by everyone.
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How Well Does Public Health Deliver Clear Answers to these Common Questions? Should I immunize my child? Why should I stay home when I have the flu? How can I prevent diabetes? Why should I exercise?
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Increased Attention on Health Literacy § Over 2,500 citations in peer-reviewed literature § Healthy People objectives § Evidence reviews of interventions § Institute of Medicine (IOM) Reports § Surgeon General’s Workshop § Health Professional Societies, e.g. ACP, ADA, AAP, AMA § U.N. Millennium Development Goals § National Action Plan to Improve Health Literacy
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IOM Report on Health Literacy 90 million adults have trouble understanding and acting on health information Complex text must be simplified and attention paid to culture and language Providers need health literacy training
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National sample survey conducted in 1992 and 2003 Performed by U.S. Department of Education, National Center for Health Statistics In-person interviews with Americans age 16 and older (N~20,000) Ø Tested in English or alternate short test in Spanish Ø Over sampling of Blacks and Hispanics Literacy in America N ational A ssessment of A dult L iteracy (NAAL) http://nces.ed.gov/naal/
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Emphasized the use of printed everyday materials (newspapers, prescriptions, bills) needed to function adequately in one’s environment 153 items that assessed prose, document, or quantitative
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This note was uploaded on 02/15/2012 for the course ANTHRO 231 taught by Professor Dr.lampl during the Spring '11 term at Emory.

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Gazmararian Anthro course 4-12-11 - Limited Health Literacy...

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