Christie Gillian P, Ratzan Scott C
T.H. Chan School of Public Health, Harvard University U.S.A.
Mossavar-Rahmani Center for Business and Government Kennedy School, Harvard University, U.S.A.
Stud Health Technol Inform. 2020 Jun 25;269:544-560. doi: 10.3233/SHTI200061.
Thirty years after the Ottawa Charter for Health Promotion, the 2030 Agenda for Sustainable Development - predicated on seventeen Sustainable Development Goals (SDGs) - were unveiled to the global community. Health literacy is an essential precondition and indicator of achieving the SDGs. Efforts to define and describe health literacy within public health and medicine have identified that the skills and abilities of many populations are inadequate to navigate the demands and complexity of health and healthcare. The authors suggest health literacy must move beyond the bench and bedside in clinical practice to achieve the aspirations and objectives of the SDGs. This report synthesizes major developments in health literacy and draws from related disciplines to propose opportunities and future directions to improve health literacy across the lifespan. It introduces the cases of early childhood vaccinations; alcohol intake in adolescence; and dementia care in older adults to demonstrate the need for health literacy across the life course. It also draws on digital health data and technology and multisectoral partnerships to define the future of health literacy. The authors believe these approaches can and will lead to unlikely collaborations that advance health and well-being throughout and beyond the 2030 Agenda for Sustainable Development.
在《渥太华促进健康宪章》发布30年后，以17项可持续发展目标（SDGs）为基础的《2030年可持续发展议程》向全球社会公布。健康素养是实现可持续发展目标的一项基本前提和指标。在公共卫生和医学领域，为界定和描述健康素养所做的努力表明，许多人群的技能和能力不足以应对健康及医疗保健的要求和复杂性。作者们认为，为实现可持续发展目标的理想和目标，健康素养在临床实践中必须超越实验室和病床范畴。本报告总结了健康素养方面的主要进展，并借鉴相关学科的成果，提出在整个人生阶段提高健康素养的机会和未来方向。报告介绍了幼儿疫苗接种、青少年饮酒以及老年人痴呆症护理等案例，以说明在生命历程中对健康素养的需求。报告还利用数字健康数据和技术以及多部门伙伴关系来界定健康素养的未来。作者们相信，这些方法能够而且将会促成不同寻常的合作，在《2030年可持续发展议程》及以后推动健康和福祉。
