Pavão Ana Luiza Braz, Werneck Guilherme Loureiro
Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz. Av. Brasil 4.365 Pavilhão Haity Moussatché, Manguinhos. 21040-900 Rio de Janeiro RJ Brasil.
Instituto de Medicina Social, Universidade do Estado do Rio de Janeiro. Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2021 Sep;26(9):4101-4114. doi: 10.1590/1413-81232021269.05782020. Epub 2020 Jul 21.
Health literacy (HL) is linked to individual capacities of access, understanding, assessment and application of health information to make decisions in everyday life, in order to maintain or improve health. The scope of this article is to review studies on HL conducted in low- and middle-income countries, with an emphasis on the definition used for HL. It involved a systematic search in the Medline, Embase, Scopus, LILACS and SciELO databases. It included studies that showed the definition of HL, studies in countries with low- and middle-income economies and Latin American studies. Initially, a selection of studies was made by reading the titles and/or abstracts. Two independent evaluators conducted the reading of the full text. Disagreements were discussed by consensus. A total of 6,025 references were located and 36 were selected for the final sample. Most studies (58.3%) were from countries on the Asian continent, followed by studies from South American countries (27.8%), including Brazil. Most studies (58.3%) evaluated the functional dimension of the HL (FHL). The most frequent definitions were from the Institute of Medicine and from the World Health Organization. Approximately 30% of the studies that evaluated FHL used broader definitions of HL as theoretical frameworks.
健康素养（HL）与获取、理解、评估和应用健康信息以在日常生活中做出决策从而维持或改善健康的个人能力相关。本文的范围是回顾在低收入和中等收入国家开展的关于健康素养的研究，重点是健康素养所使用的定义。研究在Medline、Embase、Scopus、LILACS和SciELO数据库中进行了系统检索。纳入的研究包括展示健康素养定义的研究、低收入和中等收入经济体国家的研究以及拉丁美洲的研究。最初，通过阅读标题和/或摘要筛选研究。两名独立评估员阅读全文。通过协商一致讨论分歧。共找到6025篇参考文献，最终样本选取了36篇。大多数研究（58.3%）来自亚洲大陆国家，其次是来自南美国家（27.8%）的研究，包括巴西。大多数研究（58.3%）评估了健康素养的功能维度（FHL）。最常见的定义来自医学研究所和世界卫生组织。评估FHL的研究中约30%使用更宽泛的健康素养定义作为理论框架。
