Sport, Performance and Nutrition Research Group, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia.
School of Health Sciences, Swinburne University of Technology, Melbourne, VIC 3122, Australia.
Nutrients. 2024 Sep 14;16(18):3109. doi: 10.3390/nu16183109.
Refugees typically experience poorer health compared with people from non-refugee backgrounds, and health literacy may play a part in this discrepancy. Using the WHO's revised health literacy definitions as a framework, this qualitative study sought to examine the health literacy experiences and practices of Australian resettled refugees from Myanmar from refugee and service provider perspectives. Four refugee participant focus groups ( = 27) along with one focus group and four interviews with service providers ( = 7) were conducted in Melbourne, Australia, and analysed using deductive content analysis. Our study found that in addition to individual health literacy, community literacy was practiced by Myanmar refugees, thus highlighting the relevance of social support to health literacy. Furthermore, our study found gaps in healthcare service provision and resourcing related to health literacy development and responsiveness by the healthcare system. Our study confirms the relevance of WHO's revised health literacy definitions to Myanmar refugees while also discussing, in the context of nutrition and dietetics practice, the importance of understanding the different aspects of health literacy and how this relates to working with those who are most marginalised to improve their health and wellbeing.
难民的健康状况通常比非难民背景的人差,而健康素养可能是造成这种差异的一个因素。本研究采用世界卫生组织修订后的健康素养定义作为框架,从难民和服务提供者的角度探讨了澳大利亚重新安置的缅甸难民的健康素养体验和实践。在澳大利亚墨尔本进行了四项难民参与者焦点小组(= 27)以及一项焦点小组和四项服务提供者访谈(= 7),并使用演绎内容分析进行了分析。我们的研究发现,除了个人健康素养外,缅甸难民还实践了社区素养,从而突出了社会支持对健康素养的重要性。此外,我们的研究还发现,医疗保健服务的提供和资源配置方面存在差距,涉及健康素养的发展以及医疗系统的响应能力。我们的研究证实了世界卫生组织修订后的健康素养定义与缅甸难民的相关性,同时还在营养和饮食实践的背景下讨论了理解健康素养的不同方面的重要性,以及如何与那些最边缘化的人合作,以改善他们的健康和福祉。