Académique Documents
Professionnel Documents
Culture Documents
www.emeraldinsight.com/0965-4283.htm
EDITORIAL Editorial
Abstract
Purpose – The purpose of this paper is to examine the impact of low health literacy and identify how
this can have detrimental effects on citizens and their health. It looks at the current overload of
information about health in today’s society, how that leaves many confused and unsure of the correct
advice to follow, and how governments and other decision makers can take steps to address this
problem.
Design/methodology/approach – Previous research and statistics have been examined and the
author offers ideas on how the situation can be changed.
Findings – The paper notes that a substantial proportion of the thousands of marketing messages
each person receives every day concern health and it is a topic about which citizens proactively seek
information. This variety of sources and their respective advice can lead to confusion and too much
information, which can prevent action being taken. Health literacy is fundamentally important to
maintaining a population’s health, but levels are often low. The paper concludes that action is needed
in three areas: increasing health literacy of citizens, improving communications skills of professionals,
and increasing readability of systems. Many can contribute to this goal, but there is a special
responsibility for governments, for example in implementing health literacy programmes in schools
and special support for people with low health literacy. Citizens must also become more active to build
an essential life-skill that provides a building-block for health.
Originality/value – This paper contains new thoughts and conclusions and is of value to a variety
of agencies, including government, as well as individuals looking to increase health literacy levels.
Keywords Health literacy, Information, Life expectancy, Responsibility, Citizenship
Paper type Research paper
Health literacy
The underlying cause of the problem of confusion for many people is a low level of
health literacy. Literacy skills in general are the strongest predictor of an individual’s
health status, more so than their income, age, education level or employment status
(Kellerman, 1999). Around 960 million people across the world are unable to read and
write (Committee on Employment and Social Affairs, 2002) and in 1998, 10 per cent of
people living in the European Union are unable to understand and use the printed and
written matter necessary to function in society (Office of National Statistics, 1998).
Literacy enables us to achieve personal goals and understand printed information in
daily activities at home and in the community.
Health literacy is a concept rooted in the field of general literacy. It refers to the
capacity to make sound health decisions in the context of everyday life. For the average
citizen, it is an essential life skill that provides a building block for health. It is also part
of a wider economic issue, as the consequences of a lack of health literacy can have
significant economic ramifications. If more citizens were health literate, they would be
able to make sounder decisions about their health, interact more productively with
health care providers and respond to political decisions about health with more
acumen.
A higher level of health literacy would – at population health level – impact on
healthy life expectancy, improve disease management, and be a strong factor in the
efficient and safe delivery of health care. Some studies (National Society on an Ageing
Society, 2007) indicate that significant savings could be generated, particularly within
the health system, through an increase of patients’ health literacy combined with better
communication skills by professionals and a greater readability of the systems
themselves.
References
Kellerman, R., (1999), “Health Literacy: Report of the Council on Scientific Affairs”, Journal of the
American Medical Association, Vol. 281 No. 6, pp. 552-7.
National Society on an Ageing Society (2007), “Low health literacy skills increase annual health
care expenditures by $73 billion”, Factsheet, Vol. 10, July, available at: www.agingsociety.
org/agingsociety/publications/fact/fact_low.html (accessed 10 July 2007).
Pirisi, A. (2004), “Low health literacy prevents equal access to care”, The Lancet, Vol. 356
No. 9244, December, p. 1828.
Williams, M.V. (1995), “Inadequate functional health literacy among patients at two public
hospitals”, Journal of the American Medical Association, Vol. 274, pp. 1677-82.
Yankelovich Partners, Inc. (2005), Marketing Receptivity Study, available at: www.yankelovich.
com/thought/TL2005MarketingReceptivityStudy.pdf (accessed 10 July 2007).
Further reading
Carey, S. (1999), The International Adult Literacy Survey in a European Context, Office of
National Statistics, London.
Hermange, M.-T. (2002), Report on Illiteracy and Social Exclusion, Committee on Employment and
Social Affairs, European Parliament, Brussels.
Nielsen-Bohlman, L., Panzer, A.M. and Kindig, D.A. (2004), Health Literacy: A Prescription to End
Confusion, Institute of Medicine, Washington, DC.
Sihota, S. and Lennard, L. (2004), Health Literacy: Being Able to Make the Most of Health,
National Consumer Council, London.
Corresponding author
Ilona Kickbusch can be contacted at: info@ilonakickbusch.com