特別講演

Prof. Don Nutbeam:
Professor Nutbeam returned to Sydney in February 2016
following a six-year term of office as Vice-Chancellor (President)of the University of Southampton, UK. He recently completed a6-month role as an Interim Executive Director of Sydney HealthPartners (sydneyhealthpartners.org.au) and now shares his time
as a Professor of Public Health at the University of Sydney, anda Senior Advisor at the Sax Institute (saxinstitute.org.au), anindependent, not for profit organization dedicated to knowledge transfer for better public policy.
His career has spanned positions in universities, government, health services and an independent
health research institute. Prior to his appointment as a Vice-Chancellor he was Provost (2006-9) and
Pro-Vice-Chancellor (Health Sciences) at the University of Sydney from 2003. In this latter position, hewas Head of the College of Health Sciences, comprising the Faculties of Medicine, Health Sciences,Dentistry, Nursing and Pharmacy.
For the period 2000–2003 he was a senior public servant, Head of Public Health in the UK
Department of Health. In this role he was responsible for leading policy development within theDepartment and across government on a range of complex and large-scale public health challenges.
He was also responsible for the development of the public health workforce across the whole ofEngland, and public health research and information strategies.
His career prior to 2000 included a 10 year spell at the University of Sydney as a Professor of Public
Health and in different leadership roles, including Head of the School of Public Health; and prior tothis various appointments in the UK in public health roles in the NHS, an independent research
institute and a government agency.
He has substantial international experience in both developing and developed countries, working as
an advisor and consultant on public health issues for the World Health Organisation over a 30 year
period, and as consultant and team leader in health system capacity development projects for theWorld Bank.
Academic Interests
He is a social scientist with research interests in the social and behavioural determinants of health,and in the development and evaluation of public health interventions. His early work examined thedevelopment of health related behaviour during adolescence. This led to publications that helped todefine patterns of behaviour (lifestyles) and to identify social and environmental factors influencing
these patterns of behaviour. His work in identifying modifiable public health risks among adolescentsand young adults has continued throughout his career through a series of international collaborations.
Subsequent work in developing and testing school and community-based public health interventions
led to a series of publications of results and methodological papers in the 1980s and 90s.
During the 1990s He also made a significant contribution to public policy development in Australia.
This included leadership of a project to rewrite Australia’s National Health Goals and Targets, andmajor contributions to national reviews of programs to tackle diabetes, cardiovascular disease andHIV/AIDS. During this period he also researched and published on the relationship between researchand public health practice, and following my time in government in the UK, he wrote on the interface
between research and policy-making.
Since 2000, he has continued his work in testing health literacy interventions through funded
research in collaboration with colleagues in the UK and Europe, and in Australia. He continues topublish regularly and his work continues to be regularly cited.

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特別講演

Health literacy as a population strategy for health promotionDon Nutbeam
Sydney School of Public Health , University of Sydney

The past 25 years have seen extraordinary
growth in interest in health literacy. This
interest has been driven along by debate about
the concept, definition and measurement ofhealth literacy, and numerous studies that haveinvestigated the relationship between healthliteracy and a wide range of health and social
outcomes.
In response to studies that have indicatedhigh prevalence of inadequate health literacy inpopulations, governments and national agencies
in countries as diverse as the US, China,
Australia and some European nations havedeveloped national strategies and targets toimprove health literacy in their populations. As
these policies and other government responses
have emerged there has been increasing
attention given to interventions to address thechallenges posed by low health literacy inpopulations, and to improve health literacy inpopulations.
Health literacy can be improved throughthe provision of information, effective
communication and structured education. It canbe regarded as a measurable outcome to healtheducation or patient education. Improvements inhealth literacy can be assessed through themeasurement of changes to the knowledge andskills that enable well-informed and moreautonomous health decision-making. Differencesin communication methods, media and content
will result in different learning outcomes andassociated behavioral and health outcomes.
Individual responses to information andeducation are moderated by the environment inwhich they occur. Methods of changing theenvironment, including and especially theorganization of health services to ensure thatthey are more sensitive to the needs of people

with low health literacy are also receiving
greater attention.
To date, the great majority of reported
interventions have been in clinical settings.
These studies have provided broadly consistentevidence that comprehension of healthinformation and advice among individuals withlow health literacy can be improved throughmodifications to communication and othermixed-strategy interventions, and that these
improvements are associated with better healthoutcomes. To date there are fewer studies thathave systematically examined health promotion
approaches to improving health literacy incommunity populations.
This presentation will provide an overview
of progress in the definition and measurementof health literacy internationally, before focusing
on advances in practical and effective healthpromotion interventions to improve healthliteracy, and interventions to reduce the impactof low health literacy in disadvantaged
populations.
（E-mail；don.nutbeam@sydney.edu.au）― 33 ―