Health literacy in Czech population − results of the comparative representative research

Authors: PhDr. Zdeněk Kučera;  Univ. Prof. Jurgen Pelikan;  MUDr. Alena Šteflová Mba
Authors‘ workplace: Ústav pro zdravotní gramotnost Praha
Published in: Čas. Lék. čes. 2016; 155: 233-241
Category: Original Article


Health literacy survey was carried out at the end of 2014 in the context of preparation of implementation strategy of the Program Health 2020 in the Czech Republic. The survey was conducted by the National Institute of Public Health with financial support from the Ministry of Health and the Czech WHO office. Sociological survey replicated comparative research conducted in eight EU countries in the first half of this decade. Representative survey in 1037 respondents in the age over 16 years, selected in all regions of the country. The identical methodology as used in the original study was utilized. Health literacy was measured in the areas of health care, disease prevention and health promotion.

We found that 59,4 % of respondents showed limited general health literacy; health literacy in health care is proved to be 49.5 % of the population, in the area of disease prevention it was 54.1 % respondents and in health promotion it was even even 64.3 % of respondents. Compared to the other countries surveyed, Czech Republic occupies the eighth, penultimate place. Health literacy is correlated negatively with age and positively with education. We found a strong social gradient of health literacy which rises with social status. Health literacy quite significantly influences the health status and health behaviors.

Key words:
health literacy, health behaviour, health promotion, social determinants of health


1. Zdraví 2020. Osnova evropské zdravotní politiky pro 21. století. MZ ČR, Praha, 2014, s. 48.

2. Zdraví 2020. Osnova evropské zdravotní politiky pro 21. století. MZ ČR, Praha, 2014, s. 134.

3. Davis TC et al. Rapid estimate of adult literacy in medicine: a shortened instrument. Fam Med 1993; 25(6): 391−395.

4. Parker RM et al. The test of functional health literacy in adults: a new instrument for measuring patients literacy skills. J Gen Intern Med 1995; 10(10): 537−541.

5. Baker DW et al. Development of a brief test to measure functional health literacy. Patient Educ Couns 1999; 38: 33−42.

6. Baker DW. The meaning and the measure of health literacy. J Gen Intern Med 2006; 21: 878−883.

7. Nutbeam D. Defining and measuring health literacy: what can we learn from literacy studies? Int J Public Health 2009; 54: 303−305.

8. The health literacy of America’s adults. Results from the 2003 national assessment of adult literacy. U.S. Department of Education, 2006

9. Ratzan SC, Parker RM. Introduction. In: Selden CR et al. (eds.). National Library of Medicine Current Bibliographies in Medicine: Health Literacy. National Institutes of Health, U.S. Department of Health and Human Services, Bethesda, MD, 2000.

10. National Action Plan to Improve Health Literacy. U. S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion, Washington, DC, 2010, s. iii.

11. Weiss BD, Mays MZ, Martz W et al. Quick assessment of literacy in primary care: the newest vital sign. Ann Fam Med 2005; 3: 514–522.

12. Ciccarelli Shah L, West P, Bremmeyr K, Savoy-Moore RT. Health literacy instrument in family medicine: the "newest vital sign" ease of use and correlates. J Am Board Fam Med 2010; 23(2): 195−203.

13. Comparative report on health literacy in eight EU member states. The European Health Literacy Project 2009−2012.

14. Health Literacy. The Solid Facts. WHO, 2013, s. 6

15. Sørensen K, Van den Broucke S, Fullam J et al.; (HLS-EU) Consortium Health Literacy Project European. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health 2012; 12: 80.

16. Baumann L, Ganahl K, Peer S, Pelikan JM. Report on health literacy in the Czech Republic in comparison with eight EU member states. First Draft Report. November 2015.

17. Sørensen K, Pelikan JM, Röthlin F et al. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Pub Health 2015; 25(6): 1053−1058.

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