Functional health literacy and healthy eating: Understanding the brazilian food guide recommendations
Keywords:
Food guide, Functional health literacy, Health foodAbstract
Objective
To assess the relationship between the functional health literacy of Unified Heath System users and the understanding of food servings in the pocket version of the Brazilian Food Guide.
Methods
Functional health literacy was assessed by the Brief Test of functional health literacy. Two dialogue rounds were conducted with patients with adequate functional health literacy (Group 1) and inadequate functional health literacy (Group 2). The dialogues were recorded and analyzed according to the discourse of the collective subject.
Results
Most (58.0%) users had inadequate functional health literacy. Five core areas were identified: understands serving sizes; does not understand serving sizes; serving sizes are confusing; unfamiliar/uncommon foods; small letters. Group 2 had more trouble understanding.
Conclusion
Difficulty understanding hinders health promotion. Individuals need to have access to educational materials that are easier to understand and developed taking their functional health literacy into account.
References
Brasil. Ministério da Saúde. Política nacional de promoção da saúde. Brasília: Ministério da Saúde; 2006.
Kumaresan J. Health literacy perspectives: Health literacy work of the World Health Organization. In: LM Hernadez, Rapporteur. Health literacy: Improving health, health systems, and health policy around the world: Workshop Summary. Washington (DC): Institute of Medicine of the National Academies; 2014 [cited 2014 Aug 6]. p.9-13. Available from <http://www.nap.edu/openbook.php?record_id=18325&page=9>.
Martínez-Hernáez A. Dialógica, etnografia e educação em saúde. Rev Saúde Pública. 2010; 44(3):399-405.
Baker DW. The meaning and the measure of health literacy. J Gen Intern Med. 2006; 21(8):878-83.
Grando KB. O letramento a partir de uma perspectiva teórica: origem do termo, conceituação e relações de escolarização. Seminário de Pesquisa em Educação da Região Sul, 2012 [acesso 2014 set 2]. Disponível em: .
Kickbusch IS. Health literacy: Addressing the health and education divide. Health Promot Int. 2001; 16(Supl 3):289-97.
Institute of Medicine. Health literacy: A prescription to end confusion. Washington (DC): National Academic Press; 2004 [cited 2014 Aug 20]. Available from: <https://encrypted.google.com/#hl=ptBR&source=hp&q =Health+Literacy:+A+Prescription+ to+End+Confusion+(2004)&fp=63ea79f9148c3561>.
Mellody M. Can earth’s and society’s systems meet the needs of 10 billion people? Summary of a Workshop. Division on Earth and Life Studies. Washington (DC): National Research Council; 2014.
Instituto Nacional de Estudos e Pesquisas Educacionais Anísio Teixeira. Programa Internacional de Avaliação de Estudantes (PISA): Relatório nacional Brasília: Inep; 2001 [acesso 2011 Jul 20]. Disponível em: <http://www.pisa.oecd.org/NatReports/PISA2000/Brazilnatrep.pdf>.
Davis TC, Crouch MA, Long SW, Jackson RH, Bates P, George RB, et al. Rapid assessment of literacy levels of adult primary care patients. Fam Med. 1991; 23(Supl. 6):433-5.
Brasil. Ministério da Saúde. Guia alimentar: como ter uma alimentação saudável. Brasília: Ministério da Saúde; 2006.
Brasil. Ministério da Saúde. Guia alimentar para a população brasileira: promovendo a alimentação saudável. Brasília: Ministério da Saúde; 2005.
Barbosa RMS, Colares LGT, Soares EA. Desenvolvimento de guias alimentares em diversos países. Rev Nutr. 2008; 21(Supl. 4):455-67.
Carthery-Goulart MT, Anghinah R, Areza-Fegyveres R, Bahia VS, Brucki MO, Damin A, et al. Performance of a Brazilian population on the test of functional health literacy in adults. Rev Saúde Pública. 2009; 43(Suppl. 4):631-8.
Bohm D. On dialogue. New York: Taylor & Francis e-Library; 2003.
Lefèvre F, Lefèvre AMC. O discurso do sujeito coletivo: um novo enfoque em pesquisa qualitativa. Caixias do Sul: Educs; 2003.
Lefèvre F, Lefèvre AMC. Qualiquantisoft. Universidade de São Paulo: Sales & Paschoal. 2003 [acesso 2012 mar 23]. Disponível em: <http://www.spi-net.com.br/registro.asp>.
Chew LD. Self report measures of health literacy. In: Hernandez LM, Institute of Medicine. Roundtable on health literacy: Measures of health literacy: Workshop summary. Washington (DC): National Academies Press; 2009. pp.43-8.
Oliveira MO, Porto CS, Brucki SMD. S-TOFHLA in mild Alzheimer’s disease and mild cognitive impairment patients as a measure of functional literacy. Dement Neuropsychol. 2009; 3(Suppl.4):291-8.
Brucki SMD, Mansur LL, Carthery-Goulart MT, Nitrini R. Formal education, health literacy and MiniMental State Examination. Dement Neuropsychol. 2011; 5(Suppl. 1):26-30.
Clancy C. Health literacy measurement: Mapping the terrain. In: Hernandez LM, Institute of Medicine. Roundtable on health literacy: Measures of health literacy. Washington (DC): National Academies Press; 2009. pp.5-11.
Zarcadoolas C, Pleasant AF, Greer D. Advancing health Literacy: A framework for understanding and action. San Francisco (CA): Jossey-Bass Publishing; 2006.
Assao TY, Cervato-Mancuso AM. Alimentação saudável: percepções dos educadores de instituições infantis. Rev Bras Cresc Desenvol Hum. 2008; 18(Supl. 2):126-34.
Bandoni DH, Brasil BG, Jaime PC. Programa de alimentação do trabalhador: representações sociais de gestores locais. Rev Saúde Pública. 2006; 40(Supl. 5):837-42.
Assao TY, Cordeiro AA, Costa C, Cervato AM. Práticas e percepções acerca da segurança alimentar e nutricional entre os representantes das instituições integrantes de um centro de referência localizado na Região do Butantã, Município de São Paulo. Saúde e Soc. 2007; 16(Supl. 1):102-16.
Escott-Stump SA. Our nutrition literacy challenge: Making the 2010. Dietary guidelines relevant for consumers. J Am Diet Assoc. 2011; 111(Suppl.7):979.
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Saúde Brasil 2008: 20 anos de Sistema Único de Saúde (SUS). Brasília: Ministério da Saúde;2009.
Organização Pan-Americana da Saúde. Indicadores básicos para a saúde no Brasil: conceitos e aplicações. 2ª ed. Brasília: Rede Interagencial de Informação para a Saúde; 2008.
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Copyright (c) 2023 Maria Auristela Magalhães COELHO, Helena Alves de Carvalho SAMPAIO, Maria da Penha Baião PASSAMAI, Lissidna Almeida CABRAL, Tatiana Uchôa PASSOS, Gláucia Posso LIMA
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