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Teaching Health Literacy to Adult English Language Learners
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Module One - Health Literacy and Adult ESOL

Why Teach Health Literacy?

The American Medical Association describes health literacy as being able to perform basic reading and numeracy tasks in order to function in a healthcare environment. Recent studies point to a strong link between low literacy and poor health in adults and between poor health and difficulties in participating in educational programs. For non-native speakers of English, this problem can be exacerbated by significant cultural and linguistic obstacles which limit their understanding of the U.S. healthcare system and prevent them from comprehending even the most basic health related information.

According to the U.S. Census 2003 estimates, more than 17,000,000 foreign born individuals reside in Florida. The most recent census also indicates that approximately 17 percent of foreign-born residents lived below the poverty level, compared with less than 12 percent of natives. Studies conducted by the American Medical Association show that those at the lowest economic and literacy levels often have very limited access to health care information and services.

Obstacles for Adult Immigrant English Language Learners

  • Lack of access to basic health care due to lack of insurance or lack of information on available low cost services. Therefore, often conditions that could be treated at relatively low cost with minimal time away from work become costly.
  • Lack of understanding of payment options and procedures such as co-pays, sliding scale payments, or working out a payment plan with a hospital.
  • Lack of language skills, specialized medical vocabulary or, especially on the part of those with limited education, lack of understanding of basic human physiology.
  • Lack of understanding of the U.S. healthcare culture, including preventive medicine and good nutrition, compliance with suggested treatment, and importance of medical history.
  • Lack of access to comprehensible health information and material.

Given these sobering facts, it is essential that we help our adult English language learners gain the English language skills and information necessary to navigate through our complex healthcare system and understand the key role that good nutrition and preventive medicine play in maintaining one's health.

Sources:
http://quickfacts.census.gov/qfd/states/12000.html
http://healthliteracy.worlded.org/docs/culture/intro_history.html
http://healthliteracy.worlded.org/docs/elpaso/
http://www.cal.org/caela/esl_resources/digests/healthlit.html
Singleton, Kate. (2002). ERIC Digest. Washington, DC: National Center for ESL Literacy Education. Available on the internet at:
http://www.cal.org/caela/esl%5Fresources/bibliographies/healthbibres.html


This web-based training program was developed by Florida Technet, through an Adult Education State Leadership Grant from the Florida Department of Education, Division of Community Colleges and Workforce Education.

Disclaimer: While every effort has been made to ensure the accuracy of this web-based training component, it is not an official publication of the Florida Department of Education.

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