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Health Literacy and Perceptions of Stigma

机译：健康识字和耻辱的看法

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Calls for progress in health literacy argue that efforts across society are promising for increasing capacities at a broader level. However, it is unknown how the general public perceives people who struggle with health information. While it may be ideal to establish interventions beyond the individual, stigma held by others could limit this work. This study explores whether one's personal health literacy skills are associated with stigma enacted toward others who struggle with health literacy. Adults (N = 5,151) responded to a survey consisting of health literacy assessments and a vignette in which a patient made a health-related mistake. Differences were observed regarding the number of participants who self-reported (n = 251) versus objectively scored as having low health literacy (n = 794). Participants who self-reported (MiowHl = 5.67, MhighHL = 5.99, p < .01) or had low objective health literacy (M1owHl = 5.75, MhighHL = 6.01,/? < .001) exhibited less pity for the person in the vignette than health literate participants. Participants were more demanding of a young person featured in the vignette (33-year old), indicating greater personal responsibility (M72 = 5.12, M33 = 5.67), anger (M72 = 4.54, M33 = 5.57), and less pity (M72 = 6.18, M33 = 5.75) compared to an older person (72-year old). Results from the present study suggest contradictory perceptions among patients who are likely to feel stigma themselves.
机译：呼吁在健康扫盲进入辩称，社会的努力是有希望增加更广泛的能力。然而，众所周知，一般公众如何察觉与健康信息斗争的人。虽然可能是建立超出个人的干预措施，但其他人持有的耻辱可能会限制这项工作。本研究探讨了一个人的个人健康识字技能是否与耻辱与诸如斗争素养的其他人颁布的耻辱。成年人（n = 5,151）回应了由健康识字评估和一个小插图组成的调查，其中患者患有健康相关的错误。关于自我报告（n = 251）的参与者数量与卫生识别率低（n = 794）的人数相比，观察到差异（n = 794）。自我报告的参与者（MIOWHL = 5.67，MHIGHHL = 5.99，P <.01）或具有低目标卫生识字（M1OWHL = 5.75，MHIGHHL = 6.01，/？<.001）对小插图的人展出了不少的怜悯健康识字参与者。参与者更苛刻的小插图（33岁）特色的年轻人，表明个人责任更大（M72 = 5.12，M33 = 5.67），愤怒（M72 = 4.54，M33 = 5.57），令人不少（M72 = 6.18，M33 = 5.75）与老年人（72岁）相比。本研究的结果表明，可能感到耻辱本身的患者之间的矛盾感知。

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