Naccarella Lucio, Guo Shuaijun
Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC 3053, Australia.
Centre for Community Child Health, Murdoch Children's Research Institute, Royal Children's Hospital, Melbourne, VIC 3052, Australia.
Children (Basel). 2022 Aug 25;9(9):1284. doi: 10.3390/children9091284.
Health and behavioural inequalities exist in all populations, including children. As a social determinant of health, health literacy is a crucial driver of equitable health outcomes in children. With the increasing calls for more actions on addressing low health literacy and inequalities, health literacy interventions to improve children's healthy behaviours have emerged as a key strategy to reduce health inequities. However, health literacy interventions face implementation challenges impacting upon potential outcomes, and disparities in the implementation of health literacy interventions also occur. Variation exists in child health literacy intervention target groups, timing, content and formats, and there is a lack of implementation specificity, resulting in a lack of clarity about which intervention strategies are the most effective in improving health literacy, related health behaviours, and associated health outcomes. While actions to facilitate child health intervention implementation exist, to minimise further perpetuation of child health inequities, this perspective calls for a health equity implementation approach to child health literacy interventions.
健康和行为不平等存在于包括儿童在内的所有人群中。作为健康的社会决定因素，健康素养是儿童实现公平健康结果的关键驱动力。随着人们越来越多地呼吁采取更多行动来解决健康素养低下和不平等问题，旨在改善儿童健康行为的健康素养干预措施已成为减少健康不平等的关键策略。然而，健康素养干预措施面临着影响潜在结果的实施挑战，并且在健康素养干预措施的实施方面也存在差异。儿童健康素养干预的目标群体、时间、内容和形式存在差异，并且缺乏实施的具体性，导致对于哪些干预策略在提高健康素养、相关健康行为及相关健康结果方面最有效缺乏明确认识。虽然存在促进儿童健康干预实施 的行动，但为了尽量减少儿童健康不平等的进一步延续，这一观点呼吁对儿童健康素养干预采取健康公平实施方法。
