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Health Literacy in the Context of Health Inequality – A Framing and a Research Overview

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New Approaches to Health Literacy

Part of the book series: Gesundheit und Gesellschaft ((GESUND))

Abstract

In this chapter health literacy is considered in the context of health inequality. As the field evolves so fast, the argument for state of the art health literacy from the perspective of health inequality lays a solid foundation for the purpose of this book since it calls for a more systematic treatment of the connection between general health disparities on the one hand, and the role of health literacy on the other.

In discussions about health literacyor more generallyabout the opportunities of health promotion strategies I hear far too rarely and far too little about the fact that in almost all European countries poverty and social inequality are increasing faster or more strongly than can be compensated for by the best health promotion policy and the best primary prevention. […] This consistently violates the most important requirements for health literacy and even if we can’t change that we have to say it. (Rosenbrock 2015 p. 1)

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Notes

  1. 1.

    Cf. also Pickett and Wilkinson (2015), who go as far as to say that disparity of income has a real causal effect on a variety of unequal health outcomes.

  2. 2.

    It should be mentioned only in passing that the approach of Social Literacy or New Literacy Studies (cf. Street 1984, 2003), which adopts a different view of literacy skills than is usual in the now predominant PISA tradition of competence, has found virtually no entry into existing health literacy research.

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Bittlingmayer, U.H., Harsch, S., Islertas, Z. (2021). Health Literacy in the Context of Health Inequality – A Framing and a Research Overview. In: Saboga-Nunes, L.A., Bittlingmayer, U.H., Okan, O., Sahrai, D. (eds) New Approaches to Health Literacy. Gesundheit und Gesellschaft. Springer VS, Wiesbaden. https://doi.org/10.1007/978-3-658-30909-1_2

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