University of Pittsburgh, Pittsburgh, PA, USA.
J Allergy Clin Immunol. 2012 Apr;129(4):935-42. doi: 10.1016/j.jaci.2012.01.040. Epub 2012 Feb 11.
The report "Healthy people" from the US Department of Health and Human Services defines health literacy (HL) as follows: "The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions." The same report identifies asthma as a public health problem of high priority. Unfortunately, impaired HL is prevalent in our society, and patients with low HL and asthma face multiple challenges as they attempt to manage their disease. Indeed, the National Asthma Education and Prevention Program's current guidelines require patients to have considerable HL and self-management skills. Numerous studies have linked inadequate literacy with poor health outcomes. Unlike many sociodemographic variables, HL can potentially be addressed in the health care setting. The purpose of this review is to raise awareness of the problem, summarize the current evidence linking HL and asthma, and offer strategies to strengthen the communication between patients and health care providers to decrease asthma health disparities. In addition, we discuss potential future directions for research in this field.
美国卫生与公众服务部的报告《健康人民》将健康素养 (HL) 定义为:“个体获取、处理和理解基本健康信息和服务以做出适当健康决策的能力。” 该报告还将哮喘确定为高度优先的公共卫生问题。不幸的是,在我们的社会中,HL 受损普遍存在,并且哮喘患者在试图管理疾病时面临着多种挑战。事实上,国家哮喘教育和预防计划的现行指南要求患者具备相当的 HL 和自我管理技能。许多研究将阅读能力不足与不良健康结果联系起来。与许多社会人口变量不同,HL 有可能在医疗保健环境中得到解决。本次审查的目的是提高对该问题的认识,总结 HL 与哮喘相关的现有证据,并提供加强医患沟通的策略,以减少哮喘健康差距。此外,我们还讨论了该领域未来研究的潜在方向。