Literacy and reading performance in the United States, from 1880 to the present

Abstract: To maintain their own health and the health of their families and communities, consumers rely heavily on the health information that is available to them. This information is at the core of the partnerships that patients and their families forge with today?s complex modern health systems. This information may be provided in a variety of forms ? ranging from a discussion between a patient and a health care provider to a health promotion advertisement, a consent form, or one of many other forms of health communication common in our society. Yet millions of Americans cannot understand or act upon this information. To address this problem, the field of health literacy brings together research and practice from diverse fields including education, health services, and social and cultural sciences, and the many organizations whose actions can improve or impede health literacy. Health Literacy: Prescription to End Confusion examines the body of knowledge that applies to the field of health literacy, and recommends actions to promote a health literate society. By examining the extent of limited health literacy and the ways to improve it, we can improve the health of individuals and populations.

Abstract: ContextElderly patients may have limited ability to read and comprehend medical information pertinent to their health.ObjectiveTo determine the prevalence of low functional health literacy among community-dwelling Medicare enrollees in a national managed care organization.DesignCross-sectional survey.SettingFour Prudential HealthCare plans (Cleveland, Ohio; Houston, Tex; south Florida; Tampa, Fla).ParticipantsA total of 3260 new Medicare enrollees aged 65 years or older were interviewed in person between June and December 1997 (853 in Cleveland, 498 in Houston, 975 in south Florida, 934 in Tampa); 2956 spoke English and 304 spoke Spanish as their native language.Main Outcome MeasureFunctional health literacy as measured by the Short Test of Functional Health Literacy in Adults.ResultsOverall, 33.9% of English-speaking and 53.9% of Spanish-speaking respondents had inadequate or marginal health literacy. The prevalence of inadequate or marginal functional health literacy among English speakers ranged from 26.8% to 44.0%. In multivariate analysis, study location, race/language, age, years of school completed, occupation, and cognitive impairment were significantly associated with inadequate or marginal literacy. Reading ability declined dramatically with age, even after adjusting for years of school completed and cognitive impairment. The adjusted odds ratio for having inadequate or marginal health literacy was 8.62 (95% confidence interval, 5.55-13.38) for enrollees aged 85 years or older compared with individuals aged 65 to 69 years.ConclusionsElderly managed care enrollees may not have the literacy skills necessary to function adequately in the health care environment. Low health literacy may impair elderly patients' understanding of health messages and limit their ability to care for their medical problems.

Abstract: Virtually all indicators of physical health and mental competence favor persons of higher socioeconomic status (SES). Conventional theories in the social sciences assume that the material disadvantages of lower SES are primarily responsible for these inequalities, either directly or by inducing psychosocial harm. These theories cannot explain, however, why the relation between SES and health outcomes (knowledge, behavior, morbidity, and mortality) is not only remarkably general across time, place, disease, and kind of health system but also so finely graded up the entire SES continuum. Epidemiologists have therefore posited, but not yet identified, a more general "fundamental cause" of health inequalities. This article concatenates various bodies of evidence to demonstrate that differences in general intelligence (g) may be that fundamental cause.

Abstract: Photographs, maps, figures, tables, texts Acknowledgments Prologue Note on transcriptions Part I. Ethnographer Learning: 1. The piedmont: textile mills and times of change 2. 'Gettin' on' in two communities 3. Learning how to talk in Trackton 4. Teaching how to talk in Roadville 5. Oral traditions 6. Literate traditions 7. The townspeople Part II. Ethnographer Doing: 8. Teachers as learners 9. Learners as ethnographers Epilogue Epilogue - 1996 Notes Bibliography Index.

Abstract: Photographs, maps, figures, tables, texts Acknowledgments Prologue Note on transcriptions Part I. Ethnographer Learning: 1. The piedmont: textile mills and times of change 2. 'Gettin' on' in two communities 3. Learning how to talk in Trackton 4. Teaching how to talk in Roadville 5. Oral traditions 6. Literate traditions 7. The townspeople Part II. Ethnographer Doing: 8. Teachers as learners 9. Learners as ethnographers Epilogue Epilogue - 1996 Notes Bibliography Index.

Abstract: When published in 1981, The Mismeasure of Man was immediately hailed as a masterwork, the ringing answer to those who would classify people, rank them according to their supposed genetic gifts and limits. And yet the idea of innate limits-of biology as destiny-dies hard, as witness the attention devoted to The Bell Curve, whose arguments are here so effectively anticipated and thoroughly undermined by Stephen Jay Gould. In this edition Dr. Gould has written a substantial new introduction telling how and why he wrote the book and tracing the subsequent history of the controversy on innateness right through The Bell Curve. Further, he has added five essays on questions of The Bell Curve in particular and on race, racism, and biological determinism in general. These additions strengthen the book's claim to be, as Leo J. Kamin of Princeton University has said, "a major contribution toward deflating pseudo-biological 'explanations' of our present social woes."

Abstract: Most Americans say they believe in equality. But when pressed to explain what they mean by this, their definitions are usually full of contradictions. Many will say, like the Founding Fathers, that “all men are created equal.” Many will also say that all men are equal “before God,” and that they are, or at least ought to be, equal in the eyes of the law. But most Americans also believe that some people are more competent than others, and that this will always be so, no matter how much we reform society. Many also believe that competence should be rewarded by success, while incompetence should be punished by failure. They have no commitment to ensuring that everyone’s job is equally desirable, that everyone exercises the same amount of political power, or that everyone receives the same income.