Health literacy and health communication

Hirono Ishikawa, Takahiro Kiuchi

BioPsychoSocial Medicine · 2010 · 205 citations · 28 references

DOIFull text

Open access

Concepts

TL;DR

Health communication seeks to improve individual and population health through interpersonal or mass activities, and its effectiveness hinges on health literacy—skills for understanding and applying health information—which is increasingly recognized as essential yet remains underexplored, especially regarding interactional processes and empowerment. The article reviews contemporary concepts and measurement approaches of health literacy and explores its role in health communication, outlining future research directions. It surveys existing health literacy concepts and measurement tools, examines their application in health communication, and identifies gaps for future study. Research on health literacy has expanded rapidly, yet no instrument fully captures the construct, leaving a gap between definition and practice, though higher health literacy is linked to greater capacity and motivation to address personal and public health challenges.

Abstract

Health communication consists of interpersonal or mass communication activities focused on improving the health of individuals and populations. Skills in understanding and applying information about health issues are critical to this process and may have a substantial impact on health behaviors and health outcomes. These skills have recently been conceptualized in terms of health literacy (HL). This article introduces current concepts and measurements of HL, and discusses the role of HL in health communication, as well as future research directions in this domain. Studies of HL have increased dramatically during the past few years, but a gap between the conceptual definition of HL and its application remains. None of the existing instruments appears to completely measure the concept of HL. In particular, studies on communication/interaction and HL remain limited. Furthermore, HL should be considered not only in terms of the characteristics of individuals, but also in terms of the interactional processes between individuals and their health and social environments. Improved HL may enhance the ability and motivation of individuals to find solutions to both personal and public health problems, and these skills could be used to address various health problems throughout life. The process underpinning HL involves empowerment, one of the major goals of health communication.

References

28