Institute of Health and Social Care, London South Bank University, 90 London Road, London SE1 6LN, UK.
Health Promot Int. 2023 Oct 1;38(5). doi: 10.1093/heapro/daad116.
The cognitive and social practices associated with critical health literacy, such as critical appraisal of health messages and participation in political processes to address wider determinants of health, are of lifelong benefit. Understanding how and where critical health literacy development can be supported early in the life course may improve health outcomes now and in the future. This scoping review focuses on how critical health literacy in children is conceptualized and the supportive environments available for its development. Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines are used in reporting. Evidence retrieved was eligible for inclusion if it contained a substantive conceptual or empirical study of critical health literacy in populations aged 7-11 (middle childhood). From the included 18 peer-reviewed and grey literature sources, schools are identified as the setting most associated with the development of critical health literacy in the target age group. However, the action-oriented dimension of critical health literacy is rarely supported in the school setting. The review concludes that further research is needed to clarify how and where to support children to develop critical health literacy in and outside of school settings.
与批判性健康素养相关的认知和社会实践，如对健康信息的批判性评价以及参与解决更广泛健康决定因素的政治进程，具有终身益处。了解批判性健康素养的发展如何以及在生命早期的何处可以得到支持，可能会改善现在和未来的健康结果。本范围综述侧重于儿童批判性健康素养的概念化方式，以及为其发展提供的支持环境。报告中使用了系统评价和荟萃分析扩展的首选报告项目来进行范围综述。如果包含对 7-11 岁（儿童中期）人群批判性健康素养的实质性概念或实证研究，则该证据符合纳入标准。在所纳入的 18 篇同行评议和灰色文献来源中，学校被确定为与目标年龄组批判性健康素养发展最相关的环境。然而，批判性健康素养的行动导向维度很少在学校环境中得到支持。该综述得出结论，需要进一步研究阐明如何以及在何处支持儿童在学校内外发展批判性健康素养。
