Estratégias de avaliação do letramento em saúde na América latina e Caribe: revisão de escopo

• Ano de defesa: 2024
• Autor(a) principal: Lima, Edmila Lucas de
• Orientador(a): Brasil, Virginia Visconde
• Banca de defesa: Brasil, Virginia Visconde, Vila, Vanessa da Silva Carvalho, Paula, Cristiane Cardoso de, Rocha, Priscilla Roberta Silva, Cardozo , Roxana Isabel
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Goiás
• Programa de Pós-Graduação: Programa de Pós-graduação em Enfermagem (FEN)
• Departamento: Faculdade de Enfermagem - FEN (RMG)
• País: Brasil
• Palavras-chave em Português: Letramento de Saúde; América Latina; Região do Caribe; Diversidade Cultural; Estratégias de Saúde
• Palavras-chave em Inglês: Health Literacy; Latin America; Caribbean Region; Cultural Diversity; Health Strategies
• Palavras-chave em Espanhol: Alfabetización en Salud; América Latina; Región del Caribe; Diversidad Cultural; Estrategias de Salud
• Área do conhecimento CNPq: CIENCIAS DA SAUDE::ENFERMAGEM
• Link de acesso: http://repositorio.bc.ufg.br/tede/handle/tede/13645

Cultural and linguistic diversity, socioeconomic inequalities, health organization and systems in Latin America and the Caribbean interact and influence people's health literacy. Knowing how the population's health literacy (HL) of this region has been assessed can contribute to adapting the conduct of health professionals. Objective: to map the strategies used to assess health literacy in the Latin American and Caribbean population. Method: this scoping review adopted the methodological assumptions of the JBI and as eligibility criteria the primary studies in full that used strategies to evaluate the population HL of Latin America and the Caribbean, without time limitation and with restriction of the Latin-Roman alphabet. In July 2023 the sources MEDLINE, CINAHL, SCOPUS, Web of Science, EMBASE, SCIELO, LILACS, BDENF, IBECS, among others from the BVS Portal and gray literature (Google Scholar) were accessed. Results: 228 articles were included, the majority of which (82.4%) came from studies carried out in Brazil, Mexico, Chile and Peru. Observational and methodological studies predominated. The majority was conducted in hospitals and outpatient settings, in adults, adolescents, the elderly and children, especially those with chronic diseases. The temporal distribution was between 2009 and 2023, with an exponential rise from 2019 onwards. Most studies evaluated general HL and among those with specific content, oral/oral HL stood out. 110 LS assessment strategies were identified, and the most used were translated, culturally adapted and/or validated tools (S-TOFHLA; SAHL-S/SAHLPA-18; SAHLSA-50 and the NVS) who evaluated HL functional aspects, were applied in person, without time and application restrictions. Most studies adopted a broad and general concept of LS and Brazil has used five terms to identify HL in the country. Conclusion: HL evaluation in Latin America and the Caribbean has been carried out with varied strategies, which differ in the methodological approaches adopted. The evidence presented can collaborate and offer guidance for the development of reliable and effective tools that respond to Latin American and Caribbean population needs. Efforts and investments must be made in the development of national tools, which guarantee adequacy, cultural competence and meet the specificities of the region. Reliable results can produce effective interventions in promoting health and sustainable development.