Institute of Occupational and Social Medicine and Health Services Research, University Hospital Tübingen, Wilhelmstr. 27, 72074 Tübingen, Germany.
Int J Environ Res Public Health. 2021 Sep 22;18(19):9945. doi: 10.3390/ijerph18199945.
The overall aim of this scoping review is to outline the current state of research on health literacy (HL) in the workplace: the primary objective is to clarify the concept of individual work-related HL; the secondary aims are to report on interventions that promote individual work-related HL and to present respective measurement instruments validated to date. A high level of work-related HL could support work ability and in the longer run employability. These topics are becoming increasingly important in current circumstances and in view of ongoing developments (e.g., digitalization and "new" work). A basic understanding and measurement of HL as an individual competence in the context of working life is necessary to develop future interventions to promote HL among people of working age. According to the participants, concept, and context (PCC) framework, we included articles on health literacy (concept) in the target group of people of working age in the workplace (population and context). Key information sources were the databases PubMed, CINAHL, PsycInfo, and PSYNDEX. A total of 30 articles were included. There are several terms for "health literacy in the workplace" (including individual work-related or occupational HL). The conceptualizations of the individual employee's competence covered all aspects of HL ("access", "understand", "appraise", and "apply" health information). The conceptualizations differed, among others, in the covered time horizon (referring either only to employees' current work situation or additionally to their employability in the lifespan) or whether they referred also to the viability of the respective company. Published interventions attempting to promote individual work-related HL seem mostly to be targeted at the promotion of mental HL. A variety of outcomes have been measured in intervention studies, while specific measurement instruments for individual work-related HL seem to be scarce. We recommend the development of country-specific instruments for the assessment of individual work-related health literacy and to measure mental and physical work-related health literacy.
本综述的总体目标是概述工作场所健康素养 (HL) 研究的现状：主要目的是阐明个体与工作相关的 HL 概念；次要目的是报告促进个体与工作相关的 HL 的干预措施，并介绍迄今为止已验证的各自测量工具。高水平的与工作相关的 HL 可以支持工作能力，并在长期内提高就业能力。在当前情况下，这些主题变得越来越重要，并且考虑到正在进行的发展（例如，数字化和“新”工作）。在工作生活背景下，作为个体能力的基本理解和 HL 的衡量对于制定未来促进工作年龄人群 HL 的干预措施是必要的。根据参与者、概念和背景 (PCC) 框架，我们将关于健康素养（概念）的文章纳入工作场所工作年龄人群（人群和背景）的范围内。主要信息来源是 PubMed、CINAHL、PsycInfo 和 PSYNDEX 数据库。共纳入 30 篇文章。有几个术语用于“工作场所健康素养”（包括个体与工作相关或职业 HL）。个体员工能力的概念化涵盖了 HL 的所有方面（“获取”、“理解”、“评估”和“应用”健康信息）。这些概念化在涵盖的时间范围（仅指员工当前的工作情况或另外还包括他们在整个生命周期中的就业能力）或是否还指公司的生存能力方面存在差异。试图促进个体与工作相关的 HL 的已发表干预措施似乎主要针对促进心理 HL。干预研究中测量了各种结果，而个体与工作相关的 HL 的具体测量工具似乎很少。我们建议开发针对个体与工作相关的健康素养评估的特定于国家的工具，并测量与工作相关的心理和身体健康素养。
