Institute of Health and Social Care, London South Bank University, London, United Kingdom.
Front Public Health. 2023 Feb 16;11:1105640. doi: 10.3389/fpubh.2023.1105640. eCollection 2023.
Advances in conceptualizing settings in health promotion include understanding settings as complex and interlinked systems with a core commitment to health and related outcomes such as health literacy. Traditional settings for the development of health literacy include health care environments and schools. There is a need to identify and conceptualize non-traditional and emerging settings of twenty-first-century everyday life. The aim of this conceptual review is to inform a conceptual model of a "non-traditional" setting for the development of health literacy. The model uses the example of the public library to propose four equity-focused antecedents required in a setting for the development of health literacy: the setting acknowledges the wider determinants of health, is open access, involves local communities in how it is run, and facilitates informed action for health. The review concludes that a settings approach to the development of health literacy can be conceptualized as part of a coordinated "supersetting approach," where multiple settings work in synergy with each other.
健康促进中环境概念的进展包括将环境理解为复杂且相互关联的系统，其核心承诺是促进健康和相关结果，如健康素养。发展健康素养的传统环境包括医疗保健环境和学校。需要确定和概念化 21 世纪日常生活中的非传统和新兴环境。本概念审查的目的是为健康素养发展的“非传统”环境的概念模型提供信息。该模型以公共图书馆为例，提出了发展健康素养的环境所需的四个注重公平的前提条件：该环境承认更广泛的健康决定因素，具有开放获取性，让当地社区参与其运作方式，并促进知情的健康行动。该审查的结论是，健康素养发展的环境方法可以被概念化为协调的“超环境方法”的一部分，其中多个环境相互协同工作。
