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Health Promotion Practice
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Ethics and Patient Education: Health Literacy and Cultural Dilemmas

Ray Marks, EdD

SOPHE Ethics Committee, Teachers College, Columbia University, in New York, New York, Center for Health Promotion at York College, City University of New York

This article discusses health literacy and cultural factors that have implications for the ethical practice of health education. It specifically focuses on recent data that speaks to the challenges in carrying out patient education from the perspective of comprehension and equitable distribution of health-related information across diverse cultures and communities. It discusses strategies for reducing the negative impact of low health literacy among diverse groups and the importance of acknowledging this pervasive problem in the context of ensuring equity in the optimal delivery of health promotion messages.

Key Words: culture • health education ethics • health literacy

References

  • Baker, D.W. (2006). The meaning and the measure of health literacy. Journal of General Internal Medicine, 21, 878-883.[CrossRef][Medline] [Order article via Infotrieve]
  • Betancourt, J.R., Green, A.R., & Carrillo, J.E. (2000). The challenges of cross-cultural healthcare-Diversity, ethics, and the medical encounter. Bioethics Forum, 6(3), 27-32.
  • Center for Health Care Strategies, Inc. (2009 ). Who has health literacy problems? Fact Sheet 2. Retrieved March 11, 2009, from www.chcs.org
  • De Bocanegra, H.T., & Gany, F. (2004). Good provider, good patient: Changing behaviors to eliminate disparities in healthcare. The American Journal of Managed Care, 10, SP22-28.
  • Flores, G., & Tomany-Korman, S.C. (2008). The language spoken at home and disparities in medical and dental health, access to care, and use of services in US children. Pediatrics, 121, e1703-1714.[Abstract/Free Full Text]
  • Freda, M.C. (2004). Issues in patient education. Journal of Midwifery & Women's Health, 49, 203-209.
  • Gazmarian, J.A., Curran, J.W., Parker, R.M., Bernhardt, J.M., & DeBuono, B.A. (2005). Public health literacy in America. An ethical imperative. American Journal of Preventive Medicine, 28, 317-322.[CrossRef][Medline] [Order article via Infotrieve]
  • Heisler, M., Bouknight, R.R., Hayward, R.A., Smith, D.M., & Kerr, E.A. (2002). The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. Journal of General Internal Medicine, 17, 243-252.[CrossRef][Medline] [Order article via Infotrieve]
  • Kleinman, A., Eisenberg, L., & Good, B. (1978). Culture, illness, and care: Clinical lessons from anthropologic and cross-cultural research. Annals of Internal Medicine, 88, 251-258.[Abstract/Free Full Text]
  • Lloyd, L.L., Ammary, N.J., Epstein, L.G., Johnson, R., & Rhee, K. (2006). transdisciplinary approach to improve health literacy and reduce disparities. Health Promotion and Practice, 7, 331-335.[CrossRef]
  • Mayer, G.G., & Villaire, M. (2003). Health literacy: An ethical responsibility. Mitigating the negative impact of low health literacy is an ethical imperative. Healthcare Executive, 18(4), 50-51.[Medline] [Order article via Infotrieve]
  • Mayer, G.G., & Villaire, M. (2004). Low health literacy and its effects on patient care. Journal of Nursing Administration, 34(10), 440-442.[CrossRef][Medline] [Order article via Infotrieve]
  • Society for Public Health Education. (2003 ). Code of Ethics for the Health Education Profession. Retrieved March 11, 2009, from http://www.sophe.org/about/ethics.html
  • Vahabi, M. (2007). The impact of health communication on health-related decision making. A review of the evidence. Health Education, 107, 27-41.
  • Wilson, J.F. (2003). The crucial link between literacy and health. Annals of Internal Medicine, 139, 875-878.[Free Full Text]
  • Wolf, M.S., Davis, T.C., Cross, J.T., Marin, E., Green, K., & Bennet, C.L. (2004). Health literacy and patient knowledge in a southern U.S. HIV clinic. International Journal of STDs & AIDS, 15, 747-752.

Health Promotion Practice, Vol. 10, No. 3, 328-332 (2009)
DOI: 10.1177/1524839909335657


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This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Marks, R.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Marks, R.
Social Bookmarking
 Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?