Health literacy measurement: embracing diversity in a strengths-based approach to promote health and equity, and avoid epistemic injustice

Richard H. Osborne, Christina C. Cheng, Sandra Nolte, Shandell Elmer, Stephane Besancon, Shyam Sundar Budhathoki, Xavier Debussche, Sónia Dias, Peter Kolarčik, Maria Isabel Loureiro, Helle Maindal, Dulce Nascimento Do O, James A. Smith, Astrid Wahl, Gerald R. Elsworth, Melanie Hawkins

Research output: Contribution to journalArticlepeer-review

15 Citations (Scopus)
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Abstract

Definitions of health literacy have evolved from notions of health-related literacy to a multidimensional concept that incorporates the importance of social and cultural knowledge, practices and contexts. This evolution is evident in the development of instruments that seek to measure health literacy in different ways. Health literacy measurement is important for global health because diverse stakeholders, including the WHO, use these data to inform health practice and policy, and to understand sources of inequity. In this Practice paper, we explore the potential for negative consequences, bias and epistemic injustice to occur when health literacy instruments are used across settings without due regard for the lived experiences of people in various contexts from whom data are collected. A health literacy measurement approach that is emic-sensitive, strengths based and solution oriented is needed to minimise biased data interpretation and use and to avoid epistemic injustice.

Original languageEnglish
Article numbere009623
JournalBMJ Global Health
Volume7
Issue number9
DOIs
Publication statusPublished - 8 Sept 2022

Keywords

  • community-based survey
  • health education and promotion
  • health policy
  • health services research
  • public health

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