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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Motivation for a health-literate health care system-does socioeconomic status play a substantial role? Implications for an Irish health policymaker

TitleMotivation for a health-literate health care system-does socioeconomic status play a substantial role? Implications for an Irish health policymaker
Publication TypeJournal Article
Year of Publication2013
AuthorsCoughlan, D, Turner, B, Trujillo, A
JournalJournal of Health Communication
Volume18 Suppl 1
Pagination158-71
ISBN Number1087-0415 (Electronic)1081-0730 (Linking)
Accession Number24093353
Keywords*Health Literacy, *Health Policy, *Motivation, Administrative Personnel, Cross-Sectional Studies, Delivery of Health Care/*organization & administration, Health Status Disparities, Humans, Ireland, Social Class
Abstract

In this article, the authors argue that the association between socioeconomic status and motivation for a health-literate health care system has implications for health policymakers. As Ireland now undergoes health care reform, the authors pose the question, "Should policymakers invest in health literacy as predominately a health inequalities or a public health issue?" Data from 2 cohorts of the Survey of Lifestyle, Attitudes and Nutrition (1998 and 2002) were used to construct a motivation for a health-literate health care system variable. Multivariate logistic regressions and concentration curves were used in the analyses of this variable. Of the 12,513 pooled respondents, 46% sought at least 1 attribute on a health-literate health care system. No discernible trend emerged from the main independent variables-social class grouping, medical card eligibility, level of education, and employment-in the regression analyses. The concentration curve, for 2002 data, graphically showed that the motivation for a health-literate health care system is spread equally across the income distribution. This analysis and more recent data suggest that health literacy in Ireland should be viewed predominately as a public health issue with a policy focus at a system level.

PMCID

3815196