Published online October 27, 2009
PEDIATRICS Vol. 124 Supplement November 2009, pp. S282-S288 (doi:10.1542/peds.2009-1162D)
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SUPPLEMENT ARTICLE


Considering Children and Health Literacy: A Theoretical Approach

Dina L.G. Borzekowski, EdD

Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland

The theoretical approaches of Paulo Freire, Jean Piaget, and Lev Vygotsky frame the consideration of children and health literacy. This article includes a general discussion of literacy from the Freirian perspective. A definition of health literacy is then presented; first, the established meaning is introduced, but then a Freirian extension is proposed. Next, the theories of cognitive development by Piaget and Vygotsky are discussed, and examples related to children's health literacy are given. Finally, there is a discussion of why it is important to encourage and enable health literacy among children and adolescents.

Key Words: Freire • Piaget • Vygotsky • health literacy • children

Abbreviations: ZPD—zone of proximal development

Accepted Jul 20, 2009.


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