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Literacy and Health in America offers a schema for examining health materials, tasks, and skills within five commonly used groupings: health promotion, health protection, disease prevention, health care and maintenance, and navigation. The table below offers a brief description of each of these groups of activities with examples of a range of materials that adults use and the associated tasks they undertake.
Health Activities, Materials, and Tasks
| Health Activities |
Focus |
Materials Adults are Expected to Use |
Tasks Adults are Expected to Accomplish |
Health Promotion |
Enhance and maintain health |
Label on a can of food or recipes.
Articles in newspapers and magazines
Charts and graphs such as the Body Mass Index.
Health education materials |
Purchase food
Prepare a dish from a recipe
Plan exercise
Maintain healthy habits [nutrition, sleep, exercise]
Take care of one’s health and that of family members |
Health Protection |
Safeguard health of individuals and communities |
A newspaper chart about air quality
A water report in the mail
A health and safety posting at work
A label on a cleaning product |
Decide among product options
Use products safely
Vote on community issues
Avoid harmful exposures |
Disease Prevention |
Take preventive measures and engage in screening and early detection |
Postings for inoculations & screening
Letters [test results]
Articles in newspapers and magazines
Graphs, charts |
Take preventive action
Determine risk
Engage in screening or diagnostic tests
Follow up
|
Health Care & Maintenance |
Seek care and form a partnership with a health professional such as a doctor or dentist or nurse |
Health education
Health history forms
Labels on medicine
Develop plan for taking medicine as described
Health education booklets
Directions for using a tool such as a peak flow meter
Schedule and keep appointment |
Seek professional care when needed
Describe symptoms
Follow directions
Measure symptoms
Maintain health with chronic disease [follow regimen, monitor symptoms, adjust regimen as needed, seek care as appropriate] |
Navigation |
Access needed services, and get coverage and benefits |
Application forms
Statements of rights and responsibilities
Informed consent forms
Benefit packages |
Locate facilities
Apply for benefits
Fill out forms
Offer informed consent |
This table is drawn from: Rudd RE, Kirsch I, Yamamoto K. Literacy and Health in America. ETS Policy Report #19. Princeton NJ: Educational Testing Services. 2004.
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