Exploring Health Literacy with Young Children | Health Trends in Early Childhood Education (ECE) – March 2026

Trend

  • There is growing recognition that early childhood health literacy is crucial because it lays the foundation for lifelong health and well-being. Exploring and cultivating health literacy in young children enhances their ability to understand and use health-related information effectively.

Explanation

Health literacy impacts everyone. Health literacy is the ability to find, understand, evaluate, communicate, and use health information to make informed decisions and good choices about your health. 

Health literacy is a stronger predictor of individual health status than age, income, employment status, or education level.

Health literacy begins early in life. Promoting young children’s health through health promotion activities is an investment for the future. Exploring young children’s health literacy is essential to be able to plan activities which promote health and are embedded into early childhood education.

Studies show that children at the age of four are health-conscious and can recognize basic health concepts; they are able to take an active role in their health. Picture-based messages or story-based messages supported by illustrations can help support the formation of health literacy in early childhood.

Health Literacy research reveals that 4-year-old children, given the opportunity to speak for themselves, interpreted health messages in a different way than the intended meaning of the illustrations developed by adults. This study supports the view that 4-year-old children can take an active role in their health and are capable of making health information meaningful: Health Literacy in Early Childhood: A Systematic Review of Empirical Studies.

Impact

Health literacy is a central focus of Healthy People 2030. Achieving improved health for all and attaining personal health literacy is one of Healthy People 2030’s goals:

  • Personal health literacy is the degree to which individuals can find, understand, and use information and services to inform health-related decisions and actions for themselves and others.

Family health literacy matters! When families use health literacy to improve their health, they build healthy habits together and set the foundation for a lifetime of well-being. Family health literacy means:  

Accessing trustworthy health information is key to health literacy.

Most people get their health information on social media, so it is important to identify health influencers who deliver clear, evidence-based information directly on social media platforms.  

Find a Starter Guide to Trustworthy Medical Evidence at The Evidence Collective:  Recommendations — The Evidence Collective

The Evidence Collective logo

Action

Explore health literacy with young children:

Empower young children to make healthy choices:

Support STEM – Science, Engineering, Technology and Medicine

“We need to get kids interested in STEM — science, engineering, technology and medicine. We’re bringing these topics to kids to get them interested at an early age and inspire that passion.” Dr. Angela Mattke, a pediatrician with Mayo Clinic’s Children’s Center, Mayo Clinic Minute: Boosting kids’ health literacy – Mayo Clinic News Network

Celebrate National Literacy Month!

A healthcare provider showing a book to a child seated between two adults during a medical visit.

Reach Out & Read Logo

Home – Reach Out and Read

  • Reach Out and Read! (American Academy of Pediatrics):
    “At Reach Out and Read, we believe all families should have the tools and information they need to make shared reading a daily routine. We help integrate guidance about reading into pediatric practices, advise families about the importance of building healthy relationships, and share books that serve as a catalyst for healthy childhood development and family bonds.”
  • Pediatricians Learn All About Kids With This One Weird Trick!
    “It is never too early to start reading to a child!”   Watch the video as Dr Dipesh Navsaria talks about why it is important read early to children.
    A person in a suit holding an upside-down book, with illustrated books in the background and text reading ‘Upside-down books?’

References

Keep the bedtime story: A daily reading ritual improves empathy and creativity in children | PLOS One

Winter M, Willy AJ, Ingersoll J, Meyer MJ, Clabough EBD (2026) Keep the bedtime story: A daily reading ritual improves empathy and creativity in children. PLoS One 21(1): e0340068. Keep the bedtime story: A daily reading ritual improves empathy and creativity in children | PLOS One

Health Literacy in Early Childhood: A Systematic Review of Empirical Studies

Bánfai-Csonka, H.; Betlehem, J.; Deutsch, K.; Derzsi-Horváth, M.; Bánfai, B.; Fináncz, J.; Podráczky, J.; Csima, M. Health Literacy in Early Childhood: A Systematic Review of Empirical Studies. Children 20229(8), 1131; Health Literacy in Early Childhood: A Systematic Review of Empirical Studies | MDPI

Derwig, M.; Tiberg, I.; Hallström, I. Elucidating the child’s perspective in health promotion: Children’s experiences of child-centred health dialogue in Sweden.  Health Promotion International, Volume 36, Issue 2, April 2021, Pages 363–373. 

Elucidating the child’s perspective in health promotion: children’s experiences of child-centred health dialogue in Sweden | Health Promotion International | Oxford Academic

Supporting children’s health literacy development: A systematized review of the literature

  1. Otten, N. Kemp, M. Spencer, R. Nash. International Journal of Educational Research, Volume 115, 2022: Supporting children’s health literacy development: A systematised review of the literature – ScienceDirect

Fleary, S.A., Joseph, P.L., Ali, Z. (2024). Children and Adolescents’ Health Literacy in the United States of America. In: Nash, R., Cruickshank, V., Elmer, S. (eds) Global Perspectives on Children’s Health Literacy. Springer, Cham.

Children and Adolescents’ Health Literacy in the United States of America | Springer Nature Link

Navarro Rubio MD, Blay C, 2023. Health Literacy in Children and Adolescents. A Review of the State of the Art, Medical Research Archives, [online] 11(6). (PDF) Health Literacy in Children and Adolescents: A Review of the State of the Art

About Child Trends in Early Childhood

Welcome to Health Trends in Early Childhood, the monthly release from The Pennsylvania Key, focused on trending health issues related to children birth to age five and their families and caregivers.

Each month, find information about a recent health trend, learn why it is important, discover the impact it has on children, their families and caregivers, and the community, as well as actions we all can take to ensure the health and well-being of children in our communities. Also, find reliable resources to learn more about the issue.

Visit The Pennsylvania Key's Health Trends in Early Childhood Education (ECE) Page

Disclaimer: This is the most updated information at release time. The information in Health Trends is not a Pennsylvania regulatory requirement for early childhood providers. Pennsylvania early childhood providers with regulatory requirements should contact their Cert rep or the Bureau of Certification.