Health Literacy

Question 1

Intersectionality theory

Answer 1

• persons health is defined and influenced by multiple factors
• factors converge to create a unique experience

Question 2

Intersectional theory: influencing factors

Answer 2

• region, culture, sexuality, gender, SES, literacy, etc.

Question 3

Intersectional paradigm

Answer 3

Seeks to uncover the convergency of experiences
- includes multiple forms of discrimination and oppression and how the experiences affect each other

Question 4

What factor is most important in intersectional theory

Answer 4

• no one factor is more important than the other

Question 5

“ within category” identies are

Answer 5

Diverse
Example: indigenous peoples are all the same - there is great diversity within the category

Question 6

What are important factors to look at when looking at intersectional theory applied to health

Answer 6

• power structures and historical placement

Question 7

Relationship between risk behavior and education

Answer 7

• lower rates of risk behaviour are associated with higher average grade achievement

Question 8

Education and wage relationship

Answer 8

• higher wages are associated with higher grade achievement

Question 9

Education influence on self assessment of health

Answer 9

• highschool education 4.1 times as likely to rate health as poor as those with a post secondary education
• higher rates of many disease are associated with lower education levels

Question 10

Self assessment is used as an index

Answer 10

Of morbidity and a predictor of mortality

Question 11

Health literacy

Answer 11

• complex set of abilities needed to understand and use dominate symbol systems of a culture-alphabets, numbers, visual icons for personal and community development
• the capacity of individuals to use and make critical judgements about the information they encounter on a daily basis.
• includes: visuals, media, and information literacy

Question 12

Health literacy can be used as an indicator of

Answer 12

Health disparities
- development of literacy and health literacy skills supports health and minimizes inequalities

Question 13

Most likely to have low health literacy

Answer 13

Older Canadians, First Nations, newcomers to Canada, individuals with limited education, income, and language skills

Question 14

Functional health literacy

Answer 14

• enables individuals to understand oral and written information about health care issues, follow written and numerical directions regarding their therapeutic regimens and diagnostic tests, ask pertinent questions of health care providers, report past medical history, and contribute to problem solving related to their care

Question 15

Low health literacy statistics

Answer 15

• 60% of adults in Canada are unable to obtain, understand, or act upon health information and services and to make informed decisions on their own

Question 16

What percent of Canadians find it difficult to find out where to get professions help when they are ill

Answer 16

23

Question 17

What percent of Canadians find it difficult to judge when to seek a second opinion from their doctor

Answer 17

54

Question 18

People with low health literacy are less likely to

Answer 18

• identify own medications
• understand the potential side effects
• misunderstand warning labels

Question 19

Levels of health literacy

Answer 19

1. Basic or functional health literacy
   2 communicate if interactivity health literacy
2. Critical health literacy

Question 20

Basic or functional health literacy

Answer 20

• lowest
• reading or writing

Question 21

Communities or interactive health literacy

Answer 21

• includes social skills, participation, applying new information to change circumstances

Question 22

Critical health literacy

Answer 22

• demonstrating control
• analyzing information

Question 23

Health numeracy

Answer 23

• the degree to which individuals have the capacity to access, process, interpret, communicate, and act on numerical, quantitative, graphical, bio statistical, and probabilistic health information needed to make effective health decision

Question 24

Health numeracy functional categories

Answer 24

• basic ( identify numbers and quantitative data)
• computational (count, quantify, and simple manipulations)
• analytical (estimations, percentages, normal ranges, graphs)
• statistical (probability, life expectancy, risk)

Question 25

Red flags for low literacy

Answer 25

• frequently missed appointments
• incomplete registration forms
• non compliance with medication
• unable to name medication
• unable to give coherent, sequential history
• ask fewer questions
• lack of follow through on test and referrals

Question 26

Common assessments for measuring health literacy

Answer 26

• REALM ( assesses ability to read, doesn’t assess comprehension)
• NVS ( nutrition label, identify simple manipulations)
• TOFHLA

Question 27

Health literacy stradigies

Answer 27

• teach back
• ask me 3

Question 28

Teach back

Answer 28

• use for all patients
• stick to 2 to 4 points
• use plain language
• rephrase until patient understands

Question 29

Ask me 3

Answer 29

• what is my main problem?
• what do I need to do?
• why is it important for me to do this?