a Department of Economics , National University of Ireland , Galway , Galway , Ireland.
J Health Commun. 2013;18 Suppl 1(Suppl 1):158-71. doi: 10.1080/10810730.2013.825674.
In this article, the authors argue that the association between socioeconomic status and motivation for a health-literate health care system has implications for health policymakers. As Ireland now undergoes health care reform, the authors pose the question, "Should policymakers invest in health literacy as predominately a health inequalities or a public health issue?" Data from 2 cohorts of the Survey of Lifestyle, Attitudes and Nutrition (1998 and 2002) were used to construct a motivation for a health-literate health care system variable. Multivariate logistic regressions and concentration curves were used in the analyses of this variable. Of the 12,513 pooled respondents, 46% sought at least 1 attribute on a health-literate health care system. No discernible trend emerged from the main independent variables-social class grouping, medical card eligibility, level of education, and employment-in the regression analyses. The concentration curve, for 2002 data, graphically showed that the motivation for a health-literate health care system is spread equally across the income distribution. This analysis and more recent data suggest that health literacy in Ireland should be viewed predominately as a public health issue with a policy focus at a system level.
在本文中，作者认为社会经济地位与对健康素养医疗体系的动机之间的关联对卫生政策制定者具有重要意义。随着爱尔兰进行医疗改革，作者提出了这样一个问题：“政策制定者是否应该将健康素养主要作为一个健康不平等问题还是公共卫生问题来投资？”利用生活方式、态度和营养调查（1998 年和 2002 年）的两个队列的数据构建了一个健康素养医疗体系动机变量。多元逻辑回归和集中曲线用于分析该变量。在 12513 名合并受访者中，有 46%的人至少寻求健康素养医疗体系的 1 个属性。在回归分析中，主要的独立变量——社会阶层分组、医疗卡资格、教育水平和就业——没有出现明显的趋势。2002 年数据的集中曲线图形显示，对健康素养医疗体系的动机在收入分布中均匀分布。这一分析和最近的数据表明，爱尔兰的健康素养主要应被视为一个公共卫生问题，政策重点应放在系统层面。
