| Autor: |
Duong TV; School of Nutrition and Health Sciences, Taipei Medical University, Taipei 110-31, Taiwan. duongtuyenvna@gmail.com., Nguyen TTP; Health Management Training Institute, Hue University of Medicine and Pharmacy, Thua Thien Hue 491-20, Vietnam. ntpthao.hmti@huemed-univ.edu.vn., Pham KM; Faculty of Public Health, Hai Phong University of Medicine and Pharmacy, Hai Phong 042-12, Vietnam. pmkhue@hpmu.edu.vn., Nguyen KT; Department of Health Education, Faculty of Social Sciences, Behavior and Health Education, Hanoi University of Public Health, Hanoi 119-10, Vietnam. ntk1@huph.edu.vn., Giap MH; Emergency Department, Bai Chay Hospital, Quang Ninh 011-21, Vietnam. ghmanh@gmail.com., Tran TDX; School of Dentistry, Taipei Medical University, Taipei 110-31, Taiwan. d204105004@tmu.edu.tw.; Stem Cell Unit, Van Hanh Hospital, Ho Chi Minh City 725-10, Vietnam. d204105004@tmu.edu.tw., Nguyen CX; Department of Training and Direction of Healthcare Activities, Thu Duc District Hospital, Ho Chi Minh City 713-11, Vietnam. xuanchi8485@gmail.com., Yang SH; School of Nutrition and Health Sciences, Taipei Medical University, Taipei 110-31, Taiwan. sherry@tmu.edu.tw.; Research Center of Geriatric Nutrition, Taipei Medical University, Taipei 110-31, Taiwan. sherry@tmu.edu.tw.; Nutrition Research Center, Taipei Medical University Hospital, Taipei 110-31, Taiwan. sherry@tmu.edu.tw., Su CT; School of Public Health, Taipei Medical University, Taipei 110-31, Taiwan. ctsu@tmu.edu.tw.; Department of Family Medicine, Taipei Medical University Hospital, Taipei 110-31, Taiwan. ctsu@tmu.edu.tw. |
| Abstrakt: |
Background: Health literacy (HL) is an important factor in improving health inequalities in poor and marginalized groups. Assessing comprehensive HL is critical. In this study, we validated the use of a comprehensive short-form HL survey tool (HLS-SF12) and examined the determinants of HL among people in rural areas. Methods: A cross-sectional study was conducted in July 2019 on 440 people residing in mountainous areas in Vietnam. Health literacy was measured using the HLS-SF12. Personal characteristics were also collected. We analyzed data using confirmatory factor analysis, internal consistency analysis, and regression analysis. Results: The questionnaire demonstrated a good construct validity with satisfactory goodness-of-fit indices and item-scale convergent validity. The tool was reliable and homogeneous with Cronbach's alpha = 0.79, with no floor/ceiling effects. People who were married had lower HL (regression coefficient B = -3.12; 95% confidence interval (CI) = -5.69, -0.56; p = 0.017) compared with those who never married. Higher education attainment (B = 3.41 to 10.44; p < 0.001), a better ability to pay for medication (B = 4.17 to 9.89; p < 0.001), and a tendency to view health-related TV/radio more often (B = 5.23 to 6.15; p < 0.001) were associated with higher HL. Conclusions: The HLS-SF12 is a valid survey tool for the evaluation of HL in rural populations. A number of personal characteristics were strongly associated with HL. |
