Roles of Health Literacy in Relation to Social Determinants of Health and Recommendations for Informatics-Based Interventions: Systematic Review

Shwetha Bindhu, Anunita Nattam, Catherine Xu, Tripura Vithala, Tiffany Grant, Jacinda K Dariotis, Hexuan Liu, Danny T Y Wu

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Health literacy (HL) is the ability to make informed decisions using health information. As health data and information availability increase due to online clinic notes and patient portals, it is important to understand how HL relates to social determinants of health (SDoH) and the place of informatics in mitigating disparities. Objective: This systematic literature review aims to examine the role of HL in interactions with SDoH and to identify feasible HL-based interventions that address low patient understanding of health information to improve clinic note-sharing efficacy. Methods: The review examined 2 databases, Scopus and PubMed, for English-language articles relating to HL and SDoH. We conducted a quantitative analysis of study characteristics and qualitative synthesis to determine the roles of HL and interventions. Results: The results (n=43) were analyzed quantitatively and qualitatively for study characteristics, the role of HL, and interventions. Most articles (n=23) noted that HL was a result of SDoH, but other articles noted that it could also be a mediator for SdoH (n=6) or a modifiable SdoH (n=14) itself. Conclusions: The multivariable nature of HL indicates that it could form the basis for many interventions to combat low patient understandability, including 4 interventions using informatics-based solutions. HL is a crucial, multidimensional skill in supporting patient understanding of health materials. Designing interventions aimed at improving HL or addressing poor HL in patients can help increase comprehension of health information, including the information contained in clinic notes shared with patients.
Original languageEnglish (US)
Article numbere50898
JournalOnline Journal of Public Health Informatics
Volume16
DOIs
StatePublished - Mar 20 2024

Keywords

  • health literacy
  • social determinants of health
  • SDoH
  • social determinants
  • systematic review
  • patient education
  • health education
  • health information
  • information needs
  • information comprehension
  • patient counseling
  • barriers to care
  • language proficiency

Fingerprint

Dive into the research topics of 'Roles of Health Literacy in Relation to Social Determinants of Health and Recommendations for Informatics-Based Interventions: Systematic Review'. Together they form a unique fingerprint.

Cite this