Social determinants of health and health literacy
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What are social determinants of health?
Social determinants of health impact on our health outcomes. They are responsible for health inequities, which are unfair and avoidable differences that exist in health status. Social determinants of health are:
- Socio-economic status
- Food (access and quality)
- Health and Social services
Literacy, and in turn health literacy, has been strongly linked to a person’s health outcomes. The literacy levels of a person is predictive of their health outcomes. Appropriate interventions that address the social determinants of health can influence a person’s overall health positively.
Impact of the social determinants of health on individual health literacy
An individual’s health literacy levels are also linked to many social determinants of health. For example, 59% of Australians have low health literacy, of which 75% are born overseas(1). As a result, health literacy is becoming a strong predictor of a person’s health status. When we start to see low health literacy as an indicator of poor health, it allows us to get to the core of the problem and plan appropriate health services and interventions.
Indicators of low health literacy
Health professionals can identify low health literacy within communities when they observe some of the following indicators:
- Non-compliance with treatment regimes
- Reoccurrence of the same problems
- Over-use, under-use and misuse of health care system
- Over-representation of vulnerable populations in acute care facilities
- Poor medication management
- Difficulty making informed health decisions
Using health literacy as an indicator – good case example
Good empirical data can help to build interventions around health issues. Chronic disease interventions with Indigenous communities need to recognise culture based literacy. In the Northern Territory, a health promotion team has developed a felt story board that explores the impacts associated with smoking during pregnancy to use in their health education program with Indigenous communities(2).
1. Australian Bureau of Statistics, Adult Literacy and Life Skills Survey, 2006.
2. Turner, P. Smoking Cessation Story Board. Department of Health and Families NT, 2009.
Not sure where to start when translating materials? This 6-step guide provides you with easy steps, which will help you produce a translated resource that is accurate and culturally appropriate.read more
This video shows highlights from a Health Literacy course run in collaboration with the Inner East Primary Care Partnership and Outer East Health and Community Alliance.read more
We have developed a resource for practitioners which demonstrates the ‘teach back’ technique in a hepatitis B context, in partnership with St Vincent’s Hospital and the Melbourne Primary Care Network.read more
Health information is an important part of health literacy. Clients and the community need to be able to access, understand and act on health information. A lot of health information is presented in a complex way, and is often in writing.read more