IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v356y2024ics0277953624006038.html
   My bibliography  Save this article

“Cultural and conceptual knowledge”: Reformulation and conceptual analysis of a key component of the health literacy model

Author

Listed:
  • Buki, Lydia P.
  • Quintero Johnson, Jessie M.
  • Knight, Kali
  • Walton, Akeitha

Abstract

Extensive evidence of health disparities and systemic racism has prompted scholars to examine constructs that may account for differences in the burden of disease. One such construct is health literacy, which has been posited to have four components: print literacy, oral literacy, numeracy, and cultural and conceptual knowledge. Consistent with historical trends related to culturally based constructs, the latter component has garnered the least attention in the published literature, despite its pervasive influence on health care outcomes. We engage in a reformulation and conceptual analysis of cultural and conceptual knowledge, defined as the filter through which individuals obtain, process, and understand health information and options for diagnosis and treatment. We propose the construct of cultural schema, and operationalize the construct as having cognitive (knowledge, beliefs) and affective (attitudes, emotions) components. As we strive to achieve a more complex understanding of influences on behavioral outcomes, a greater focus on these culturally based factors is essential. In this article, we present a conceptual analysis that seeks to advance the field by: (a) providing distinct definitions for each component that can be applied across fields of study and theoretical frameworks, (b) offering measurement considerations consistent with their conceptualizations, and (c) making recommendations for future theory, research, and practice. We hope that with greater conceptual and measurement clarity of cultural schema, more consistent results will be obtained, constructs and processes that affect health outcomes will be identified, and more personalized intervention will be possible, optimizing the limited resources available for health promotion efforts.

Suggested Citation

  • Buki, Lydia P. & Quintero Johnson, Jessie M. & Knight, Kali & Walton, Akeitha, 2024. "“Cultural and conceptual knowledge”: Reformulation and conceptual analysis of a key component of the health literacy model," Social Science & Medicine, Elsevier, vol. 356(C).
    • Handle: RePEc:eee:socmed:v:356:y:2024:i:c:s0277953624006038
    DOI: 10.1016/j.socscimed.2024.117150
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953624006038
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.socscimed.2024.117150?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Kagawa Singer, M. & Dressler, W. & George, S., 2016. "Culture: The missing link in health research," Social Science & Medicine, Elsevier, vol. 170(C), pages 237-246.
    2. Cindy Harmon-Jones & Brock Bastian & Eddie Harmon-Jones, 2016. "The Discrete Emotions Questionnaire: A New Tool for Measuring State Self-Reported Emotions," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-25, August.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Muminović Adnan, 2023. "Not Just Empty Rhetoric: The Economic Cost of Warmongering in a Post-Conflict Environment," South East European Journal of Economics and Business, Sciendo, vol. 18(2), pages 112-125, December.
    2. Panter-Brick, Catherine & Eggerman, Mark, 2018. "The field of medical anthropology in Social Science & Medicine," Social Science & Medicine, Elsevier, vol. 196(C), pages 233-239.
    3. Le Grande, M. & Ski, C.F. & Thompson, D.R. & Scuffham, P. & Kularatna, S. & Jackson, A.C. & Brown, A., 2017. "Social and emotional wellbeing assessment instruments for use with Indigenous Australians: A critical review," Social Science & Medicine, Elsevier, vol. 187(C), pages 164-173.
    4. Ovidiu Popa-Velea & Alexandra Ioana Mihăilescu & Liliana Veronica Diaconescu & Iuliana Raluca Gheorghe & Adela Magdalena Ciobanu, 2021. "Meaning in Life, Subjective Well-Being, Happiness and Coping at Physicians Attending Balint Groups: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(7), pages 1-11, March.
    5. Belak, Andrej & Filakovska Bobakova, Daniela & Madarasova Geckova, Andrea & van Dijk, Jitse P. & Reijneveld, Sijmen A., 2020. "Why don't health care frontline professionals do more for segregated Roma? Exploring mechanisms supporting unequal care practices," Social Science & Medicine, Elsevier, vol. 246(C).
    6. Mihai Gavrilescu & Nicolae Vizireanu, 2019. "Feedforward Neural Network-Based Architecture for Predicting Emotions from Speech," Data, MDPI, vol. 4(3), pages 1-23, July.
    7. Wolsko, Christopher & Marino, Elizabeth & Keys, Susan, 2020. "Affirming cultural values for health: The case of firearm restriction in suicide prevention," Social Science & Medicine, Elsevier, vol. 248(C).
    8. Stecher, Chad & Mukasa, Barbara & Linnemayr, Sebastian, 2021. "Uncovering a behavioral strategy for establishing new habits: Evidence from incentives for medication adherence in Uganda," Journal of Health Economics, Elsevier, vol. 77(C).
    9. Andrej Belak & Zuzana Dankulincova Veselska & Andrea Madarasova Geckova & Jitse P. van Dijk & Sijmen A. Reijneveld, 2017. "How Well Do Health-Mediation Programs Address the Determinants of the Poor Health Status of Roma? A Longitudinal Case Study," IJERPH, MDPI, vol. 14(12), pages 1-18, December.
    10. Verhulst, Nanouk & Vermeir, Iris & Slabbinck, Hendrik & Larivière, Bart & Mauri, Maurizio & Russo, Vincenzo, 2020. "A neurophysiological exploration of the dynamic nature of emotions during the customer experience," Journal of Retailing and Consumer Services, Elsevier, vol. 57(C).
    11. Chan, Eugene Y. & Septianto, Felix, 2022. "Disgust predicts charitable giving: The role of empathy," Journal of Business Research, Elsevier, vol. 142(C), pages 946-956.
    12. van Esch, Patrick & Cui, Yuanyuan (Gina) & Sledge, April & Das, Gopal & Pala, Erol, 2023. "Preference for partner or servant brand roles depends on consumers’ power distance belief," Journal of Business Research, Elsevier, vol. 162(C).
    13. Yang Li & Keke He & Changfeng Xue & Chun Li & Chuanhua Gu, 2022. "The Impact of Self-Consistency Congruence on Non-Suicidal Self-Injury in College Students: The Mediating Role of Negative Emotion and the Moderating Role of Gender," IJERPH, MDPI, vol. 19(19), pages 1-13, September.
    14. Fox, Molly & Thayer, Zaneta & Wadhwa, Pathik D., 2017. "Assessment of acculturation in minority health research," Social Science & Medicine, Elsevier, vol. 176(C), pages 123-132.
    15. Bennouna, Cyril & Gillespie, Alli & Stark, Lindsay & Seff, Ilana, 2022. "Norms, Repertoires, & Intersections: Towards an integrated theory of culture for health research and practice," Social Science & Medicine, Elsevier, vol. 311(C).
    16. Bryant M. Stone & John D. Lindt & Norka E. Rabinovich & David G. Gilbert, 2022. "Effects of the Gratitude Letter and Positive Attention Bias Modification on Attentional Deployment and Emotional States," Journal of Happiness Studies, Springer, vol. 23(1), pages 3-25, January.
    17. Adam Jönsson & Emilie Cewers & Tuvia Ben Gal & Jean Marc Weinstein & Anna Strömberg & Tiny Jaarsma, 2020. "Perspectives of Health Care Providers on the Role of Culture in the Self-Care of Patients with Chronic Heart Failure: A Qualitative Interview Study," IJERPH, MDPI, vol. 17(14), pages 1-13, July.
    18. Lam, Ben C.P. & Haslam, Catherine & Haslam, S. Alexander & Steffens, Niklas K. & Cruwys, Tegan & Jetten, Jolanda & Yang, Jie, 2018. "Multiple social groups support adjustment to retirement across cultures," Social Science & Medicine, Elsevier, vol. 208(C), pages 200-208.
    19. Zivkovic, Tanya, 2021. "About face: Relationalities of ageing and dying in Chinese migrant families," Social Science & Medicine, Elsevier, vol. 291(C).
    20. Félix Yllana-Prieto & Jin Su Jeong & David González-Gómez, 2021. "An Online-Based Edu-Escape Room: A Comparison Study of a Multidimensional Domain of PSTs with Flipped Sustainability-STEM Contents," Sustainability, MDPI, vol. 13(3), pages 1-18, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:356:y:2024:i:c:s0277953624006038. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.