Abel Thomas, Sommerhalder Kathrin
Institute of Social and Preventive Medicine, Universität Bern, Finkenhubelweg 11, 3012, Bern, Schweiz,
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2015 Sep;58(9):923-9. doi: 10.1007/s00103-015-2198-2.
Over the last 20 years, health literacy (German: Gesundheitskompetenz/health competency) has become a popular concept in research and health policy. Initially defined as an individual's ability to understand medical information, the definition has quickly expanded to describe individual-based resources for actions or conduct relevant to health, in different socio-cultural or clinical contexts. Today, researchers and practice experts can draw on a wide variety of definitions and measurements. This article provides an overview of the definitions, briefly introduces the "structure and agency" approach as an example of theorizing health literacy, and shows different types of operationalization. The article presents the strengths and shortcomings of the available concepts and measures and provides starting points for future research in public health and health promotion.
在过去20年里,健康素养(德语:Gesundheitskompetenz/健康能力)已成为研究和健康政策领域的一个热门概念。最初被定义为个人理解医学信息的能力,该定义很快就扩展到描述在不同社会文化或临床背景下与健康相关的基于个体的行动或行为资源。如今,研究人员和实践专家可以借鉴各种各样的定义和测量方法。本文概述了这些定义,简要介绍了“结构与能动性”方法作为健康素养理论化的一个例子,并展示了不同类型的操作化。文章呈现了现有概念和测量方法的优点和缺点,并为公共卫生和健康促进领域的未来研究提供了切入点。