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Critical health literacy: A review and critical analysis

Listed author(s):
  • Chinn, Deborah
Registered author(s):

    Though there has been a considerable expansion of interest in the health literacy concept worldwide, there has also been criticism that this concept has been poorly defined, that it stretches the idea of "literacy" to an indefensible extent and more specifically, that it adds little to the existing concerns and intervention approaches of the better established discipline of health promotion. This paper takes as a starting point the expanded model of health literacy advanced by Nutbeam (2000) and addresses these concerns by interrogating the concept of "critical health literacy" in order to draw conclusions about its utility for advancing the health of individuals and communities. The constituent domains of critical health literacy are identified; namely information appraisal, understanding the social determinants of health, and collective action, and as far as possible each are clearly delineated, with links to related concepts made explicit. The paper concludes that an appreciation of work undertaken in a range of different disciplines, such as media studies, medical sociology, and evidence-based medicine can enhance our understanding of the critical health literacy construct and help us understand its usefulness as a social asset which helps individuals towards a critical engagement with health information. There is some evidence that aspects of critical health literacy have indeed been found to be a resource for better health outcomes, but more research is needed in this area, both to develop quantitative and qualitative approaches to evaluating health literacy skills, and to offer convincing evidence that investment in programmes designed to enhance critical health literacy are worthwhile.

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    File URL: http://www.sciencedirect.com/science/article/pii/S0277953611002401
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    Article provided by Elsevier in its journal Social Science & Medicine.

    Volume (Year): 73 (2011)
    Issue (Month): 1 (July)
    Pages: 60-67

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    Handle: RePEc:eee:socmed:v:73:y:2011:i:1:p:60-67
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    1. Blaxter, Mildred, 1997. "Whose fault is it? People's own conceptions of the reasons for health inequalities," Social Science & Medicine, Elsevier, vol. 44(6), pages 747-756, March.
    2. Macintyre, Sally & McKay, Laura & Ellaway, Anne, 2005. "Are rich people or poor people more likely to be ill? Lay perceptions, by social class and neighbourhood, of inequalities in health," Social Science & Medicine, Elsevier, vol. 60(2), pages 313-317, January.
    3. Greiner, K. Allen & Li, Chaoyang & Kawachi, Ichiro & Hunt, D. Charles & Ahluwalia, Jasjit S., 2004. "The relationships of social participation and community ratings to health and health behaviors in areas with high and low population density," Social Science & Medicine, Elsevier, vol. 59(11), pages 2303-2312, December.
    4. Hawe, Penelope & Shiell, Alan, 2000. "Social capital and health promotion: a review," Social Science & Medicine, Elsevier, vol. 51(6), pages 871-885, September.
    5. Nutbeam, Don, 2008. "The evolving concept of health literacy," Social Science & Medicine, Elsevier, vol. 67(12), pages 2072-2078, December.
    6. Sara Rubinelli & Peter Schulz & Kent Nakamoto, 2009. "Health literacy beyond knowledge and behaviour: letting the patient be a patient," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(5), pages 307-311, October.
    7. Eyles, John & Brimacombe, Michael & Chaulk, Paul & Stoddart, Greg & Pranger, Tina & Moase, Olive, 2001. "What determines health? To where should we shift resources? : Attitudes towards the determinants of health among multiple stakeholder groups in Prince Edward Island, Canada," Social Science & Medicine, Elsevier, vol. 53(12), pages 1611-1619, December.
    8. Anke Steckelberg & Christian Hülfenhaus & Jürgen Kasper & Ingrid Mühlhauser, 2009. "Ebm@school – a curriculum of critical health literacy for secondary school students: results of a pilot study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(3), pages 158-165, 05.
    9. Jane Wills, 2009. "Health literacy: new packaging for health education or radical movement?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(1), pages 3-4, February.
    10. Don Nutbeam, 2009. "Defining and measuring health literacy: what can we learn from literacy studies?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(5), pages 303-305, October.
    11. Beeker, Carolyn & Guenther-Grey, Carolyn & Raj, Anita, 1998. "Community empowerment paradigm drift and the primary prevention of HIV/AIDS," Social Science & Medicine, Elsevier, vol. 46(7), pages 831-842, April.
    12. Lupton, Deborah, 1997. "Consumerism, reflexivity and the medical encounter," Social Science & Medicine, Elsevier, vol. 45(3), pages 373-381, August.
    13. Salmon, Peter & Hall, George M, 2003. "Patient empowerment and control: a psychological discourse in the service of medicine," Social Science & Medicine, Elsevier, vol. 57(10), pages 1969-1980, November.
    14. Davidson, Rosemary & Kitzinger, Jenny & Hunt, Kate, 2006. "The wealthy get healthy, the poor get poorly? Lay perceptions of health inequalities," Social Science & Medicine, Elsevier, vol. 62(9), pages 2171-2182, May.
    15. Cattell, Vicky, 2001. "Poor people, poor places, and poor health: the mediating role of social networks and social capital," Social Science & Medicine, Elsevier, vol. 52(10), pages 1501-1516, May.
    16. Collins, Patricia A. & Abelson, Julia & Eyles, John D., 2007. "Knowledge into action?: Understanding ideological barriers to addressing health inequalities at the local level," Health Policy, Elsevier, vol. 80(1), pages 158-171, January.
    17. Poortinga, Wouter, 2006. "Social capital: An individual or collective resource for health?," Social Science & Medicine, Elsevier, vol. 62(2), pages 292-302, January.
    18. Lee, Shoou-Yih D. & Arozullah, Ahsan M. & Cho, Young Ik, 2004. "Health literacy, social support, and health: a research agenda," Social Science & Medicine, Elsevier, vol. 58(7), pages 1309-1321, April.
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