<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.0 20040830//EN" "journalpublishing.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="2.0" xml:lang="en" article-type="letter"><front><journal-meta><journal-id journal-id-type="nlm-ta">JMIR Public Health Surveill</journal-id><journal-id journal-id-type="publisher-id">publichealth</journal-id><journal-id journal-id-type="index">9</journal-id><journal-title>JMIR Public Health and Surveillance</journal-title><abbrev-journal-title>JMIR Public Health Surveill</abbrev-journal-title><issn pub-type="epub">2369-2960</issn><publisher><publisher-name>JMIR Publications</publisher-name><publisher-loc>Toronto, Canada</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">v10i1e67634</article-id><article-id pub-id-type="doi">10.2196/67634</article-id><article-categories><subj-group subj-group-type="heading"><subject>Letter to the Editor</subject></subj-group></article-categories><title-group><article-title>Authors&#x2019; Reply: Promoting Oral Health Literacy Among UAE Public Sector Employees</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name name-style="western"><surname>Carrouel</surname><given-names>Florence</given-names></name><degrees>Prof Dr</degrees><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>du Sartz de Vigneulles</surname><given-names>Benjamin</given-names></name><degrees>MS</degrees><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Cl&#x00E9;ment</surname><given-names>C&#x00E9;line</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Lvovschi</surname><given-names>Virginie-Eve</given-names></name><degrees>MD, PhD</degrees><xref ref-type="aff" rid="aff3">3</xref><xref ref-type="aff" rid="aff4">4</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Verot</surname><given-names>Elise</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff5">5</xref><xref ref-type="aff" rid="aff6">6</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Tantardini</surname><given-names>Valeria</given-names></name><degrees>MD</degrees><xref ref-type="aff" rid="aff7">7</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Lamure</surname><given-names>Michel</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Bourgeois</surname><given-names>Denis</given-names></name><degrees>Prof Dr</degrees><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff4">4</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Dussart</surname><given-names>Claude</given-names></name><degrees>Prof Dr</degrees><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff4">4</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Lan</surname><given-names>Romain</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff8">8</xref></contrib></contrib-group><aff id="aff1"><institution>Health Systemic Process Laboratory (P2S), UR4129, University Claude Bernard Lyon 1, University of Lyon</institution>, <addr-line>7 rue Guillaume Paradin</addr-line><addr-line>Lyon</addr-line>, <country>France</country></aff><aff id="aff2"><institution>Interpsy Laboratory (UR4432), University of Lorraine</institution>, <addr-line>Nancy</addr-line>, <country>France</country></aff><aff id="aff3"><institution>Research on Healthcare Performance Laboratory (INSERM U1290), University Claude Bernard Lyon 1, University of Lyon</institution>, <addr-line>Lyon</addr-line>, <country>France</country></aff><aff id="aff4"><institution>Hospices Civils of Lyon</institution>, <addr-line>Lyon</addr-line>, <country>France</country></aff><aff id="aff5"><institution>PRESAGE Institute, University Jean Monnet</institution>, <addr-line>Saint-Etienne</addr-line>, <country>France</country></aff><aff id="aff6"><institution>Centre Hospitalier Universitaire de Saint-Etienne (CIC 1408 INSERM)</institution>, <addr-line>Saint-Etienne</addr-line>, <country>France</country></aff><aff id="aff7"><institution>Geriatric Rehabilitation and Follow-up Care Service, Centre Hospitalier Universitaire of Rouen, Oissel site</institution>, <addr-line>Rouen</addr-line>, <country>France</country></aff><aff id="aff8"><institution>Anthropologie bio-culturelle, droit, &#x00E9;thique et sant&#x00E9; Laboratory (ADES, UMR7268), Centre National de la Recherche Scientifique, Etablissement Fran&#x00E7;ais du Sang, Aix Marseille University</institution>, <addr-line>Marseille</addr-line>, <country>France</country></aff><contrib-group><contrib contrib-type="editor"><name name-style="western"><surname>Mavragani</surname><given-names>Amaryllis</given-names></name></contrib><contrib contrib-type="editor"><name name-style="western"><surname>Gandhi</surname><given-names>Kirti</given-names></name></contrib></contrib-group><author-notes><corresp>Correspondence to Florence Carrouel, Prof Dr, Health Systemic Process Laboratory (P2S), UR4129, University Claude Bernard Lyon 1, University of Lyon, 7 rue Guillaume Paradin, Lyon, 69008, France, 33 0478785745; <email>florence.carrouel@univ-lyon1.fr</email></corresp></author-notes><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>12</day><month>11</month><year>2024</year></pub-date><volume>10</volume><elocation-id>e67634</elocation-id><history><date date-type="received"><day>17</day><month>10</month><year>2024</year></date><date date-type="accepted"><day>21</day><month>10</month><year>2024</year></date></history><copyright-statement>&#x00A9; Florence Carrouel, Benjamin du Sartz de Vigneulles, C&#x00E9;line Cl&#x00E9;ment, Virginie-Eve Lvovschi, Elise Verot, Valeria Tantardini, Michel Lamure, Denis Bourgeois, Claude Dussart, Romain Lan. Originally published in JMIR Public Health and Surveillance (<ext-link ext-link-type="uri" xlink:href="https://publichealth.jmir.org">https://publichealth.jmir.org</ext-link>), 12.11.2024. </copyright-statement><copyright-year>2024</copyright-year><license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">https://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Public Health and Surveillance, is properly cited. The complete bibliographic information, a link to the original publication on <ext-link ext-link-type="uri" xlink:href="https://publichealth.jmir.org">https://publichealth.jmir.org</ext-link>, as well as this copyright and license information must be included.</p></license><self-uri xlink:type="simple" xlink:href="https://publichealth.jmir.org/2024/1/e67634"/><related-article related-article-type="commentary article" ext-link-type="doi" xlink:href="10.2196/66452" xlink:title="Comment on" xlink:type="simple">https://publichealth.jmir.org/2024/1/e66452</related-article><related-article related-article-type="commentary article" ext-link-type="doi" xlink:href="10.2196/58942" xlink:title="Comment on" xlink:type="simple">https://publichealth.jmir.org/2024/1/e58942</related-article><kwd-group><kwd>health literacy</kwd><kwd>oral health literacy</kwd><kwd>workplace</kwd><kwd>civil servant</kwd><kwd>health promotion</kwd><kwd>prevention</kwd><kwd>United Arab Emirates</kwd></kwd-group></article-meta></front><body><p>We would like to extend our gratitude to the author for their insightful comments [<xref ref-type="bibr" rid="ref1">1</xref>] on our published article, &#x201C;Promoting Health Literacy in the Workplace Among Civil Servants: Cross-Sectional Study&#x201D; [<xref ref-type="bibr" rid="ref2">2</xref>]. Their input significantly enhances discussions around health literacy (HL) and oral health literacy (OHL) in diverse populations and work environments, particularly regarding the United Arab Emirates.</p><p>OHL and HL are crucial for improving health outcomes. Our study revealed differences in OHL compared to HL across various professional categories, indicating the need for targeted interventions. However, while our study emphasizes the importance of numeracy within the French civil servant population, it is essential not to overlook other aspects of HL, such as comprehension, decision-making, and access to reliable health information, which are equally critical in promoting overall health [<xref ref-type="bibr" rid="ref2">2</xref>].</p><p>On the other hand, while shared concerns regarding the challenges in replicating such a study in the United Arab Emirates are acknowledged, it is important to underline the differences concerning the populations involved, which would likely influence the implementation and outcomes. First, the United Arab Emirates&#x2019; workforce includes many expatriates, with differences in educational background and health care access. This diversity could result in greater disparities in OHL and HL [<xref ref-type="bibr" rid="ref3">3</xref>], making it more difficult to assess and compare HL across occupational groups, unlike the more homogeneous French cohort. Second, the multilingual environment of the United Arab Emirates adds challenges for HL assessments [<xref ref-type="bibr" rid="ref4">4</xref>]. Unlike our study, which used standardized, validated French questionnaires to ensure consistency, a study of the UAE population would need tools adapted to various languages and cultures. This complicates survey design and health promotion strategies, as interventions must be tailored to the workforce&#x2019;s diverse linguistic and cultural needs [<xref ref-type="bibr" rid="ref4">4</xref>]. Third, the health system in the United Arab Emirates is different from France&#x2019;s, which is characterized by strong public health insurance and workplace health programs. In the United Arab Emirates, access to health care services seems to depend on factors like employment status, nationality, and income. Health promotion initiatives should be adapted to these differences, with tailored interventions to address the needs of different professional categories and address literacy gaps caused by socioeconomic disparities [<xref ref-type="bibr" rid="ref5">5</xref>].</p><p>In conclusion, implementing a similar study to evaluate OHL and HL in the United Arab Emirates is necessary but requires careful consideration of the cultural environment, unique health care landscape, and access to dental and general health services.</p></body><back><fn-group><fn fn-type="conflict"><p>None declared.</p></fn></fn-group><glossary><title>Abbreviations</title><def-list><def-item><term id="abb1">HL</term><def><p>health literacy</p></def></def-item><def-item><term id="abb2">OHL</term><def><p>oral health literacy</p></def></def-item></def-list></glossary><ref-list><title>References</title><ref id="ref1"><label>1</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Nair</surname><given-names>SC</given-names> </name></person-group><article-title>Promoting oral health literacy among UAE public sector employees</article-title><source>JMIR Public Health Surveill</source><year>2024</year><volume>10</volume><fpage>e66452</fpage><pub-id pub-id-type="doi">10.2196/66452</pub-id></nlm-citation></ref><ref id="ref2"><label>2</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Carrouel</surname><given-names>F</given-names> </name><name name-style="western"><surname>du Sartz de Vigneulles</surname><given-names>B</given-names> </name><name name-style="western"><surname>Cl&#x00E9;ment</surname><given-names>C</given-names> </name><etal/></person-group><article-title>Promoting health literacy in the workplace among civil servants: cross-sectional study</article-title><source>JMIR Public Health Surveill</source><year>2024</year><month>08</month><day>15</day><volume>10</volume><fpage>e58942</fpage><pub-id pub-id-type="doi">10.2196/58942</pub-id><pub-id pub-id-type="medline">39149854</pub-id></nlm-citation></ref><ref id="ref3"><label>3</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Nair</surname><given-names>SC</given-names> </name><name name-style="western"><surname>Sreedharan</surname><given-names>J</given-names> </name><name name-style="western"><surname>Satish</surname><given-names>KP</given-names> </name><name name-style="western"><surname>Ibrahim</surname><given-names>H</given-names> </name></person-group><article-title>Health literacy in a high income Arab country: a nation-wide cross-sectional survey study</article-title><source>PLoS ONE</source><year>2022</year><volume>17</volume><issue>10</issue><fpage>e0275579</fpage><pub-id pub-id-type="doi">10.1371/journal.pone.0275579</pub-id><pub-id pub-id-type="medline">36197929</pub-id></nlm-citation></ref><ref id="ref4"><label>4</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Curtis</surname><given-names>E</given-names> </name><name name-style="western"><surname>Jones</surname><given-names>R</given-names> </name><name name-style="western"><surname>Tipene-Leach</surname><given-names>D</given-names> </name><etal/></person-group><article-title>Why cultural safety rather than cultural competency is required to achieve health equity: a literature review and recommended definition</article-title><source>Int J Equity Health</source><year>2019</year><month>11</month><day>14</day><volume>18</volume><issue>1</issue><fpage>174</fpage><pub-id pub-id-type="doi">10.1186/s12939-019-1082-3</pub-id><pub-id pub-id-type="medline">31727076</pub-id></nlm-citation></ref><ref id="ref5"><label>5</label><nlm-citation citation-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Al-Yateem</surname><given-names>N</given-names> </name><name name-style="western"><surname>Lajam</surname><given-names>AMA</given-names> </name><name name-style="western"><surname>Othman</surname><given-names>MMG</given-names> </name><etal/></person-group><article-title>The impact of cultural healthcare practices on children&#x2019;s health in the United Arab Emirates: a qualitative study of traditional remedies and implications</article-title><source>Front Public Health</source><year>2023</year><month>10</month><day>6</day><volume>11</volume><fpage>1266742</fpage><pub-id pub-id-type="doi">10.3389/fpubh.2023.1266742</pub-id><pub-id pub-id-type="medline">37876720</pub-id></nlm-citation></ref></ref-list></back></article>