Validation of the Short-Form Health Literacy Questionnaire (HLS-SF12) and Its Determinants among People Living in Rural Areas in Vietnam
| Autor: | Khue M. Pham, Tuyen Van Duong, Thao T.P. Nguyen, Chien Tien Su, Manh H. Giap, Kien T. Nguyen, Tung D.X. Tran, Chi X. Nguyen, Shwu-Huey Yang |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Rural Population ability to pay for medication Cross-sectional study Health Toxicology and Mutagenesis rural areas lcsh:Medicine Health literacy determinant Article 03 medical and health sciences Young Adult 0302 clinical medicine Cronbach's alpha Surveys and Questionnaires Humans HLS-SF12 030212 general & internal medicine Marriage validation education 030503 health policy & services lcsh:R Public Health Environmental and Occupational Health Construct validity Reproducibility of Results Middle Aged Health Surveys Confidence interval Confirmatory factor analysis health-related TV Cross-Sectional Studies Convergent validity Vietnam mountaineer Female Rural area 0305 other medical science Psychology Factor Analysis Statistical health literacy Demography |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 16 Issue 18 International Journal of Environmental Research and Public Health, Vol 16, Iss 18, p 3346 (2019) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph16183346 |
| Popis: | 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&rsquo s alpha = 0.79, with no floor/ceiling effects. People who were married had lower HL (regression coefficient B = &minus 3.12 95% confidence interval (CI) = &minus 5.69, &minus 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 0.001), and a tendency to view health-related TV/radio more often (B = 5.23 to 6.15 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. |
| Databáze: | OpenAIRE |
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