Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, Atlanta, Georgia 30333, USA.
J Health Commun. 2010;15 Suppl 2:42-50. doi: 10.1080/10810730.2010.499989.
Numerous calls for a public health approach to health literacy and visions of a health literate society have appeared in recent years. Yet, many gaps in what we know about and do to improve health literacy remain. Major developments at the national level in the last decade help define the role of health literacy in creating better public health and have set the stage for new investigations in public health and health literacy. Four frameworks are examined for their usefulness in posing new questions about public health and health literacy: Healthy People, the Ten Essential Public Health Functions, health promotion, and health disparities. Each of the frameworks generates questions and uses methods that can produce new findings about health literacy. Using the frameworks will open new investigations into population health and health literacy improvement at multiple levels.
近年来，人们多次呼吁采用公共卫生方法来解决健康素养问题，并设想建立一个健康素养社会。然而，我们在了解和改善健康素养方面仍存在许多差距。过去十年中，国家层面的重大发展有助于确定健康素养在改善公共卫生方面的作用，并为公共卫生和健康素养的新研究奠定了基础。本文从“健康人”“十大公共卫生任务”“健康促进”和“健康差异”四个框架出发，探讨了它们在提出有关公共卫生和健康素养的新问题方面的作用。每个框架都提出了一些问题，并使用了一些方法，这些方法可以为健康素养研究提供新的发现。使用这些框架将在多个层面上开启对人口健康和健康素养改善的新研究。
