The Vision: Health Literacy, Healthy Schools, Healthy People
In recent decades Americans have successfully coped with serious health problems. Many diseases and illnesses, such as polio and diphtheria, that once threatened vast numbers of people can now be prevented or treated effectively. As a result, a growing percentage of the population is staying healthier and living longer. However, far too many children and youths die because of injuries that are unintentional or result from violent behavior, and others compromise their health through unhealthy behaviors, such as using alcohol, tobacco, or other drugs. In addition, diseases brought on by unhealthy behaviors often cause the premature deaths of adults. Responding to these health problems requires a commitment to health education. Individuals must understand the role they must play in protecting, maintaining, and promoting their health and the health of others through healthy behaviors and choices. Two factors central to this new approach to health education are as follows:
Emphasis must be placed on developing lifelong, positive health-related attitudes and behaviors. Such attitudes and behaviors begin to be developed in the home. But the school, working in close partnership with families and communities, is also an appropriate arena for development and reinforcement.1
Health education in the schools must be supported by a comprehensive district-wide system to promote children’s health and must be developed and sustained by the collaborative efforts of school personnel, parents, school board members, community leaders, and health and social services agencies and providers.
When these elements are in place, children and youths can be helped to develop a lifelong commitment to their own health and well-being.
Throughout this framework the knowledge, skills, and behaviors needed for healthy living are referred to as health literacy. According to the Association for the Advancement of Health Education, health literacy is "the capacity of an individual to obtain, interpret, and understand basic health information and services and the competence to use such information and services in ways which are health-enhancing."2 A health-literate person understands scientifically based principles of health promotion and disease prevention, incorporates that knowledge into personal health-related attitudes and behaviors, and makes good health a personal priority.
This framework is based on the premise that health literacy is as important in today’s complex, challenging world as linguistic, mathematical, and scientific literacy. The major goal of this framework is to describe health education and
district-wide health promotion strategies that will help children and youths become health-literate individuals with a lifelong commitment to healthy living.Because every aspect of health is tangibly connected to life and students’ experiences, effective health education provides abundant opportunities for engaging students in purposeful learning. Health-literate students will make a commitment to their own health and the health of others, enhancing school efforts to involve students in collaborative, meaningful learning experiences.
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1 In this document the term community includes religious institutions, community leaders, businesses, health-care providers, and other agencies and organizations involved in children’s development.
2 "Report of the 1990 Joint Committee on Health Education Terminology," Journal of Health Education, Vol. 22, No. 2 (1991), 104.