Drawing on the accounts of literacy as socioculturally situated, this 2-year ethnography explores Bhutanese adult refugees' health literacy at the intersection of their culture and experiences. This study illustrates the multifaceted relations between health literacy, culture, integration, and empowerment. This study indicates health literacy as sociocultural practice. Health literacy is mediated by Bhutanese adults' oral tradition, language, education, and experiences over time. This study highlights health literacy as sociocultural participation--it resides in individuals' community engagement. Rather than simply describing their limited functional health literacy as "a big problem," this study recognizes Bhutanese adults' ability to take action to improve personal and community health. This study challenges the deficit view rooted in adult literacy. It advocates integrating health literacy into adult literacy education to raise public awareness that health literacy promotes social justice, human rights, and world citizenship. Implications for a bottom-up approach to health literacy education are provided.