Over the past two decades, health literacy research has gained increasing attention in global health initiatives to reduce health disparities. While it is well-documented that health literacy is associated with health outcomes, most findings are generated from cross-sectional data. Along with the increasing importance of health literacy in policy, there is a lack of specificity and transparency about how to improve health literacy in practice. In this study, we are calling for a shift of current research paradigms from judging health literacy levels towards observing how health literacy skills are developed over the life course and practised in the real world. This includes using a life-course approach, integrating the rationale of precision public health, applying open science practice, and promoting actionable knowledge translation strategies. We show how a greater appreciation for these paradigms promises to advance health literacy research and practice towards an equitable, precise, transparent, and actionable vision.

中文翻译：

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将健康素养研究和实践推向公平、精确和透明的愿景


在过去的二十年中，健康素养研究在旨在缩小健康差距的全球健康倡议中受到越来越多的关注。尽管有充分证据表明健康素养与健康结果相关，但大多数研究结果都是根据横截面数据得出的。随着健康素养在政策中的重要性日益增加，如何在实践中提高健康素养缺乏针对性和透明度。在这项研究中，我们呼吁改变当前的研究范式，从判断健康素养水平转向观察健康素养技能如何在生命历程中发展并在现实世界中实践。这包括使用生命全程方法、整合精准公共卫生的基本原理、应用开放科学实践以及促进可行的知识转化策略。我们展示了对这些范式的更大赞赏如何有望推动健康素养研究和实践，以实现公平、精确、透明和可操作的愿景。