5 However, even those considered to have “adequate” health literacy may still struggle to obtain, process, and understand health information without effective support from providers, caregivers, health organizations, or social networks. 4 Low health literacy is more common among rural communities, older adults, as well as Filipinos and Pacific Islanders in Hawai‘i compared to other racial/ethnic groups. 1, 2 Chronic disease is associated with low health literacy, 3 defined as a limited capacity to obtain, communicate, process, and understand essential health information and services in order to make appropriate health decisions. Recent studies have identified high rates of chronic disease in Hawai‘i's adults and youth. These actions should address root causes of disease and help build more equitable health outcomes across the state now and in the future. The article will close with a call to action informed by the National Action Plan to Improve Health Literacy for stakeholders and providers to address health literacy in the state of Hawai‘I in organizations, systems, and policy. Using the framework of the social-ecological model, which is important for visioning effective chronic disease management and prevention, this article provides a blueprint of layers of influence for building a health literate Hawai‘I generally and around chronic disease specifically. Promoting health literacy can reduce chronic disease burdens for individuals, families, and communities. Low health literacy is more common in rural populations, Filipinos, and Pacific Islanders in Hawai‘I, older adults, and many other groups with high rates of chronic disease. ![]() ![]() ![]() As the state responds to the COVID-19 pandemic and looks beyond it, the prevention and management of chronic diseases are critical for community health and wellbeing.
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