Framework: Research on health determinants reports that health literacy has a significant impact on the quality of life and well-being of individuals (Kottke, Stiefel & Pronk, 2016) organizations (Brach et al., 2012) and communities (when societies go through adverse conditions, for example through an economic, financial crisis, or even the crisis “COVID-19” whose consequences are still to be determined in the effects on the quality of life of individuals. Health literacy is considered as one of the resources that play an important role in increasing individual resilience and well-being and also a result of health promotion actions such as education, social mobilization and advocacy, through the defense of citizens’ interests (Nutbeam, 2000). Well-being is a positive concept (Kottke, Stiefel & Pronk, 2016). Methodology: In a quantitative and qualitative approach, a descriptive cross-sectional study was developed to a group of 22 elderly people, who attend a Day Center in the geographical area of Lisbon (Portugal). Data were collected using the HLS-EU- PT questionnaire, the sociodemographic questionnaire with the selected sample—a group of elderly—as well as semi-structured interviews with caregivers involved in this context. An evaluation was also made by observing manifestations of well-being among the individuals in the sample. Results: The results show a population with low health literacy, with chronic disease, but whose support of the social organization where they spent their time, the easy access arranged by the social organization with private transportation and food and the social activities they develop daily which stimulate a daily relationship with other persons, are strong factors that promote well-being. It is therefore pointed out a need to fit social organizations within the investments of health literacy promoters of “literate organizations” (Brach et al., 2012), since it is in these organizations that a large part of the older population in Portugal is daily in contact and therefore in close proximity to interventions favorable to improve their health literacy.
Cite this paper
Almeida, C. V. D. and Veiga, A. (2020). Social Determinants and Health Literacy of the Elderly: Walk to Well-Being. Open Access Library Journal, 7, e6390. doi: http://dx.doi.org/10.4236/oalib.1106390.
Nutbeam, D. (2000) Health Literacy as a Public Goal: A Challenge for Contemporary Health Education and Communication Strategies into the 21st Century. Health Promotion International, 15, 259-267. https://doi.org/10.1093/heapro/15.3.259
Hibbard, J.H., Stockard, J., Mahoney, E.R. and Tusler, M. (2004) Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers. Health Services Research, 39, 1005-1026.
Faber, M., Bosch, M., Wollersheim, H., Leatherman, S. and Grol, R. (2009) Public Reporting in Health Care: How Do Consumers Use Quality-of-Care Information? A Systematic Review. Medical Care, 47, 1-8.
Hibbard, J.H., Peters, E., Dixon, A. and Tusler, M. (2007) Consumer Competencies and the Use of Comparative Quality Information. It Isn’t Just about Literacy Medical Care. Research and Review, 64, 379-394.
Kottke, T.E., Stiefel, M. and P. Pronk, N.P. (2016) “Well-Being in All Policies”: Promoting Cross-Sectoral Collaboration to Improve People’s Lives. Preventing Chronic Disease—Public Health Research, Practice, and Policy, 13, e52.
Sørensen, K., Van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z. and Brand, H. (2012) Health Literacy and Public Health: A Systematic Review and Integration of Definitions and Models. BMC Public Health, 12, Article No. 80.
Sørensen, K., Pelikan, J.M., Rothlin, F., Ganahl, K., Slonska, Z., Brand, H., et al. (2015) Health Literacy in Europe: Comparative Results of the European Health Literacy Survey (HLS-EU). European Journal of Public Health, 25, 1053-1058.
Almeida, C.V. (2019) Modelo de comunica？？o em saúde ACP: As competências de comunica？？o no cerne de uma literacia em saúde transversal, holística e prática. In: Lopes, C. and Almeida, C.V., Eds., Literacia em saúde na prática, Edi？？es ISPA, Lisboa, 43-52.
DGS (2019) Manual de Boas Práticas Literacia em Saúde: Capacita？？o dos Profissionais de Saúde. Dire？？o de Servi？os de Preven？？o da Doen？a e Promo？？o da Saúde, Lisboa. (proposta da ideia e principal autora)
Ad Hoc Committee on Health Literacy for the Council on Scientific Affairs (1999) Health Literacy (Report of the Council on Scientific Affairs). JAMA, 281, 552-557.
Pedro, A.R., Amaral, O. and Escoval, A. (2016) Literacia em saúde, dos dados à a？？o: Tradu？？o, valida？？o e aplica？？o do European Health Literacy Survey em Portugal. Revista Portuguesa de Saúde Publica, 34, 259-275.
Davey, J., Holden, C. and Smith, B. (2015) The Correlates of Chronic Disease-Re- lated Health Literacy and Its Components among Men: A Systematic Review. BMC Public Health, 15, Article No. 589. https://doi.org/10.1186/s12889-015-1900-5
Panagioti, M., Skevington, S., Hann, M., Kelly, H., Blakemore, A., Reeves, D. and Bower, P. (2018) Effect of Literacy on the Quality of Life of Older Patients with Long-Term Conditions: A Large Cohort Study in UK General Practice. Quality of Life Research, 27, 1257-1268. https://doi.org/10.1007/s11136-017-1775-2
White, R., Wolff, K., Cavanaugh, K. and Rothman, R. (2010) Addressing Health Literacy and Numeracy to Improve Diabetes Education and Care. Diabetes Spectrum, 23, 238-243. https://doi.org/10.2337/diaspect.23.4.238
Santos, O. (2010) O papel da Literacia em saúde: Capacitando a pessoa com excesso de peso para o control e redu？？o da carga ponderal. Observatório Nacional da Obesidade e do control do Peso, 4, 127-134.
To？i, E., et al. (2013) Health Literacy and Socioeconomic Characteristics among Older People in Transitional Kosovo. British Journal of Medicine and Medical Research, 3, 1646-1658. https://doi.org/10.9734/BJMMR/2013/3972
Sudore, R., et al. (2006) Limited Literacy in Old People and Disparities in Health and Healthcare Access. Journal of the American Geriatrics Society, 54, 770-776.
Serr？o, C., Veiga, S. and Vieira, I. (2015) Literacia em saúde: Resultados obtidos a partir de uma amostra de pessoa idosas portuguesas. Revista Portuguesa de Enfermagem de Saúde Mental, 2, 33-38. https://doi.org/10.19131/jpmhn.0006
Gazmararian, J.A., Wolf, M.S. and Baker, D.W. (2005) Health Literacy and Functional Health Status among Older Adults. Archives of Internal Medicine, 165, 1946- 1947. https://doi.org/10.1001/archinte.165.17.1946
Kim, J.-N. and Grunig, J.E. (2011) Problem Solving and Communicative Action: A Situational Theory of Problem Solving. Journal of Communication, 61, 120-149.
Kreps, G.L. (2009) Applying Weick’s Model of Organizing to Healthcare and Health Promotion: Highlighting the Central Role of Health Communication. Patient Education and Counseling, 74, 347-355. https://doi.org/10.1016/j.pec.2008.12.002
Rodríguez, T.M. (2011) La atención gerontológica centrada en la persona. Guía para la intervención profesional En los centros y servicios de atención a personas Mayores en situación de fragilidad o dependência. Servicio Central de Publicaciones del Gobierno Vasco, San Sebastián.
Query, J.L. and Kreps, G.L. (1996) Testing a Relational Model for Health Communication Competence among Caregivers for Individuals with Alzheimer’s Disease. Journal of Health Psychology, 1, 335-351.
Street, R.L., O’Malley, K.J., Cooper, L.A. and Haidet, P. (2008) Understanding Concordance in Patient-Physician Relationships: Personal and Ethnic Dimensions of Shared Identity. Annals Family Medicine, 6, 198-205.
Viswanath, K. (2006) Public Communications and Its Role in Reducing and Eliminating Health Disparities. In: Thomson, G.E., Mitchell, F. and Williams, M.B., Eds., Examining the Health Disparities Research Plan of the National Institutes of Health: Unfinished Business, National Academies Press, Washington DC, 215-253.
Seligman, M.E.P., Steen, T.A., Park, N. and Peterson, C. (2005) Positive Psychology Progress: Empirical Validation of Interventions. American Psychologist, 60, 410-421.