Health literacy is a multidimensional concept covering a range of cognitive and social skills necessary for participation in health care. Knowledge of health literacy levels in general populations and how health literacy levels impacts on social health inequity is lacking. The primary aim of this study was to perform a population-based assessment of dimensions of health literacy related to understanding health information and to engaging with healthcare providers. Secondly, the aim was to examine associations between socio-economic characteristics with these dimensions of health literacy.
A population-based survey was conducted between January and April 2013 in the Central Denmark Region. Postal invitations were sent to a random sample of 46,354 individuals >25 years of age. Two health literacy dimensions were selected from the Health Literacy Questionnaire (HLQ™): i) Understanding health information well enough to know what to do (5 items), and ii) Ability to actively engage with health care providers (5 items). Response options ranged from 1 (very difficult) to 4 (very easy). We investigated the level of perceived difficulty of each task, and the associations between the two dimensions and socio-economic characteristics.
A total of 29,473 (63.6%) responded to the survey. Between 8.8%, 95% CI: 8.4-9.2 and 20.2%, 95% CI: 19.6-20.8 of the general population perceived the health literacy tasks as difficult or very difficult at the individual item level. On the scale level, the mean rating for i) understanding health information was 3.10, 95% CI: 3.09-3.10, and 3.07, 95% CI: 3.07-3.08 for ii) engagement with health care providers. Low levels of the two dimensions were associated with low income, low education level, living alone, and to non-Danish ethnicity. Associations with sex and age differed by the specific health literacy dimension.
Estimates on two key dimensions of health literacy in a general population are now available. A substantial proportion of the Danish population perceives difficulties related to understanding health information and engaging with healthcare providers. The study supports previous findings of a socio-economic gradient in health literacy. New insight is provided on the feasibility of measuring health literacy which is of importance for optimising health systems.
Cites: JAMA. 2002 Nov 20;288(19):2469-7512435261
Cites: Am J Bioeth. 2007 Nov;7(11):5-1018027287
Cites: Am J Health Behav. 2007 Sep-Oct;31 Suppl 1:S8-1817931141
Cites: Am J Health Behav. 2007 Sep-Oct;31 Suppl 1:S122-3317931131
Cites: Med J Aust. 2007 Jan 15;186(2):84-717223770
Cites: J Epidemiol Community Health. 2006 Jan;60(1):7-1216361448
Cites: J Gen Intern Med. 2005 Feb;20(2):175-8415836552
Cites: BMJ. 1999 Sep 18;319(7212):780-210488014
Cites: JAMA. 2002 Jul 24-31;288(4):475-8212132978
Cites: BMC Public Health. 2013;13:94824112855
Cites: J Health Commun. 2013;18 Suppl 1:172-8424093354
Cites: J Health Psychol. 2013 Aug;18(8):1004-1023349399