Rethinking health numeracy: a multidisciplinary literature review.
The purpose of this review is to organize various published conceptions of health numeracy and to discuss how health numeracy contributes to the productive use of quantitative information for health. We define health numeracy as the individual-level skills needed to understand and use quantitative health information, including basic computation skills, ability to use information in documents and non-text formats such as graphs, and ability to communicate orally. We also identify two other factors affecting whether a consumer can use quantitative health information: design of documents and other information artifacts, and health-care providers' communication skills. We draw upon the distributed cognition perspective to argue that essential ingredients for the productive use of quantitative health information include not only health numeracy but also good provider communication skills, as well as documents and devices that are designed to enhance comprehension and cognition.
Ancker
Jessica S
JS
Department of Biomedical Informatics, Vanderbilt Clinic Room 534, 622 W. 168th Street, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA. jsa2002@columbia.edu
Kaufman
David
D
D003071:Cognition; D003142:Communication; D032882:Comprehension; D006801:Humans; D008433:Mathematics; D013223:Statistics as Topic; D014584:User-Computer Interface
Cochrane Database Syst Rev. 2003;(2):CD001431
12804407
Proc AMIA Symp. 2002;:410-4
12463857
AMIA Annu Symp Proc. 2007 Oct 11;:16-20
18693789
Proc AMIA Symp. 2000;:47-50
11079842
J Health Commun. 2006 Oct-Nov;11(7):651-64
17074733
Artif Intell Med. 2006 Jun;37(2):73-83
16730960
Am J Prev Med. 2006 Nov;31(5):391-8
17046410
BMC Med Inform Decis Mak. 2001;1:2
11545684
Am J Prev Med. 2000 May;18(4):325-31
10788736
J Am Med Inform Assoc. 2001 Jul-Aug;8(4):324-43
11418539
Hum Factors. 2006 Spring;48(1):95-108
16696260
Risk Anal. 2005 Jun;25(3):555-66
16022690
Med Decis Making. 2005 May-Jun;25(3):290-300
15951456
Science. 2000 Dec 22;290(5500):2261-2
11188724
Psychol Bull. 2001 Mar;127(2):267-86
11316014
Med Decis Making. 2004 May-Jun;24(3):265-71
15155015
J Gen Intern Med. 2001 Jul;16(7):482-5
11520387
Med Decis Making. 2001 Nov-Dec;21(6):459-67
11760103
J Biomed Inform. 2001 Aug;34(4):274-84
11977809
Med Decis Making. 2005 Jul-Aug;25(4):398-405
16061891
Risk Anal. 1995 Aug;15(4):485-94
7480948
Head Neck. 2004 May;26(5):401-7
15122656
Annu Rev Public Health. 2003;24:413-33
12428034
JAMA. 1999 Aug 11;282(6):527
10450711
Psychol Sci. 2006 May;17(5):407-13
16683928
Med Decis Making. 2002 Jan-Feb;22(1):76-83
11833668
J Biomed Inform. 2005 Feb;38(1):26-33
15694883
J Clin Oncol. 2001 Mar 15;19(6):1768-78
11251008
Patient Educ Couns. 1999 Sep;38(1):33-42
14528569
Am J Med Sci. 2004 Aug;328(2):88-93
15311167
BMJ. 1999 Jun 5;318(7197):1527-31
10356010
Eff Clin Pract. 2002 Jan-Feb;5(1):35-40
11874195
Ann Intern Med. 1997 Dec 1;127(11):966-72
9412301
Med Decis Making. 2001 Sep-Oct;21(5):382-90
11575488
Obstet Gynecol. 1999 Jun;93(6):910-4
10362153
Arch Intern Med. 2003 Jan 13;163(1):83-90
12523921
J Am Med Inform Assoc. 2006 Nov-Dec;13(6):608-18
16929039
J Asthma. 2006 Nov;43(9):705-10
17092853
J Am Med Inform Assoc. 1999 Sep-Oct;6(5):412-9
10495100
J Am Med Inform Assoc. 2005 Mar-Apr;12(2):152-63
15561782
J Am Med Inform Assoc. 1998 Nov-Dec;5(6):563-70
9824803
AIDS Care. 1998 Apr;10(2):197-211
9625903
Med Decis Making. 1993 Jan-Mar;13(1):59-63
8433638
J Gen Intern Med. 2006 Aug;21(8):878-83
16881951
Br J Gen Pract. 2005 Jan;55(510):6-13
15667759
Health Promot Int. 2005 Jun;20(2):195-203
15788526
J Clin Oncol. 1989 Sep;7(9):1192-200
2671280
JAMA. 2002 Jun 5;287(21):2813-4
12038920
N Engl J Med. 1982 May 27;306(21):1259-62
7070445
Ann Intern Med. 1992 Dec 1;117(11):916-21
1443954
Health Psychol. 2005 Jul;24(4S):S35-40
16045417
J Biomed Inform. 2003 Feb-Apr;36(1-2):45-60
14552846
J Natl Cancer Inst Monogr. 1999;(25):149-63
10854471
Proc AMIA Symp. 2001;:364-8
11825211
JAMA. 2004 May 19;291(19):2359-66
15150208
J Health Commun. 2006 Mar;11(2):167-82
16537286
Am J Prev Med. 2005 Nov;29(4):375-6
16242604
Med Decis Making. 2001 Jan-Feb;21(1):37-44
11206945