Staff View: Measuring health literacy in Asia: Validation of the HLS-EU-Q47 survey tool in six Asian countries

Measuring health literacy in Asia: Validation of the HLS-EU-Q47 survey tool in six Asian countries

Background: Health literacy has been increasingly recognized as one of the most important social determinants for health. However, an appropriate and comprehensive assessment tool is not available in many Asian countries. This study validates a comprehensive health literacy survey tool European heal...

Full description

Saved in:

Bibliographic Details
Main Authors:	Duong, T.V., Aringazina, A., Baisunova, G., Nurjanah, -, Pham, T.V., Pham, K.M., Truong, T.Q., Nguyen, K.T., Oo, W.M., Mohamad, E., Tin, Tin Su, Huang, H.L., Sørensen, K., Pelikan, J.M., Van den Broucke, S., Chang, P.W.
Format:	Article
Published:	Japan Epidemiological Association 2017
Subjects:	R Medicine
Online Access:	http://eprints.um.edu.my/19190/ http://dx.doi.org/10.1016/j.je.2016.09.005
Tags:	Add Tag No Tags, Be the first to tag this record!

id	my.um.eprints.19190
record_format	eprints
spelling	my.um.eprints.191902019-12-16T08:32:52Z http://eprints.um.edu.my/19190/ Measuring health literacy in Asia: Validation of the HLS-EU-Q47 survey tool in six Asian countries Duong, T.V. Aringazina, A. Baisunova, G. Nurjanah, - Pham, T.V. Pham, K.M. Truong, T.Q. Nguyen, K.T. Oo, W.M. Mohamad, E. Tin, Tin Su Huang, H.L. Sørensen, K. Pelikan, J.M. Van den Broucke, S. Chang, P.W. R Medicine Background: Health literacy has been increasingly recognized as one of the most important social determinants for health. However, an appropriate and comprehensive assessment tool is not available in many Asian countries. This study validates a comprehensive health literacy survey tool European health literacy questionnaire (HLS-EU-Q47) for the general public in several Asian countries. Methods: A cross-sectional survey based on multistage random sampling in the target countries. A total of 10,024 participants aged ≥15 years were recruited during 2013e2014 in Indonesia, Kazakhstan, Malaysia, Myanmar, Taiwan, and Vietnam. The questionnaire was translated into local languages to measure general health literacy and its three domains. To evaluate the validity of the tool in these countries, data were analyzed by confirmatory factor analysis, internal consistency analysis, and regression analysis. Results: The questionnaire was shown to have good construct validity, satisfactory goodness-of-fit of the data to the hypothetical model in three health literacy domains, high internal consistency (Cronbach's alpha > 0.90), satisfactory item-scale convergent validity (item-scale correlation ≥0.40), and no floor/ ceiling effects in these countries. General health literacy index score was significantly associated with level of education (P from < 0.001 to 0.011) and perceived social status (P from < 0.001 to 0.016), with evidence of known-group validity. Conclusions: The HLS-EU-Q47 was a satisfactory and comprehensive health literacy survey tool for use in Asia. Japan Epidemiological Association 2017 Article PeerReviewed Duong, T.V. and Aringazina, A. and Baisunova, G. and Nurjanah, - and Pham, T.V. and Pham, K.M. and Truong, T.Q. and Nguyen, K.T. and Oo, W.M. and Mohamad, E. and Tin, Tin Su and Huang, H.L. and Sørensen, K. and Pelikan, J.M. and Van den Broucke, S. and Chang, P.W. (2017) Measuring health literacy in Asia: Validation of the HLS-EU-Q47 survey tool in six Asian countries. Journal of Epidemiology, 27 (2). pp. 80-86. ISSN 0917-5040 http://dx.doi.org/10.1016/j.je.2016.09.005 doi:10.1016/j.je.2016.09.005
institution	Universiti Malaya
building	UM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaya
content_source	UM Research Repository
url_provider	http://eprints.um.edu.my/
topic	R Medicine
spellingShingle	R Medicine Duong, T.V. Aringazina, A. Baisunova, G. Nurjanah, - Pham, T.V. Pham, K.M. Truong, T.Q. Nguyen, K.T. Oo, W.M. Mohamad, E. Tin, Tin Su Huang, H.L. Sørensen, K. Pelikan, J.M. Van den Broucke, S. Chang, P.W. Measuring health literacy in Asia: Validation of the HLS-EU-Q47 survey tool in six Asian countries
description	Background: Health literacy has been increasingly recognized as one of the most important social determinants for health. However, an appropriate and comprehensive assessment tool is not available in many Asian countries. This study validates a comprehensive health literacy survey tool European health literacy questionnaire (HLS-EU-Q47) for the general public in several Asian countries. Methods: A cross-sectional survey based on multistage random sampling in the target countries. A total of 10,024 participants aged ≥15 years were recruited during 2013e2014 in Indonesia, Kazakhstan, Malaysia, Myanmar, Taiwan, and Vietnam. The questionnaire was translated into local languages to measure general health literacy and its three domains. To evaluate the validity of the tool in these countries, data were analyzed by confirmatory factor analysis, internal consistency analysis, and regression analysis. Results: The questionnaire was shown to have good construct validity, satisfactory goodness-of-fit of the data to the hypothetical model in three health literacy domains, high internal consistency (Cronbach's alpha > 0.90), satisfactory item-scale convergent validity (item-scale correlation ≥0.40), and no floor/ ceiling effects in these countries. General health literacy index score was significantly associated with level of education (P from < 0.001 to 0.011) and perceived social status (P from < 0.001 to 0.016), with evidence of known-group validity. Conclusions: The HLS-EU-Q47 was a satisfactory and comprehensive health literacy survey tool for use in Asia.
format	Article
author	Duong, T.V. Aringazina, A. Baisunova, G. Nurjanah, - Pham, T.V. Pham, K.M. Truong, T.Q. Nguyen, K.T. Oo, W.M. Mohamad, E. Tin, Tin Su Huang, H.L. Sørensen, K. Pelikan, J.M. Van den Broucke, S. Chang, P.W.
author_facet	Duong, T.V. Aringazina, A. Baisunova, G. Nurjanah, - Pham, T.V. Pham, K.M. Truong, T.Q. Nguyen, K.T. Oo, W.M. Mohamad, E. Tin, Tin Su Huang, H.L. Sørensen, K. Pelikan, J.M. Van den Broucke, S. Chang, P.W.
author_sort	Duong, T.V.
title	Measuring health literacy in Asia: Validation of the HLS-EU-Q47 survey tool in six Asian countries
title_short	Measuring health literacy in Asia: Validation of the HLS-EU-Q47 survey tool in six Asian countries
title_full	Measuring health literacy in Asia: Validation of the HLS-EU-Q47 survey tool in six Asian countries
title_fullStr	Measuring health literacy in Asia: Validation of the HLS-EU-Q47 survey tool in six Asian countries
title_full_unstemmed	Measuring health literacy in Asia: Validation of the HLS-EU-Q47 survey tool in six Asian countries
title_sort	measuring health literacy in asia: validation of the hls-eu-q47 survey tool in six asian countries
publisher	Japan Epidemiological Association
publishDate	2017
url	http://eprints.um.edu.my/19190/ http://dx.doi.org/10.1016/j.je.2016.09.005
_version_	1654960688313925632
score	13.211869

Measuring health literacy in Asia: Validation of the HLS-EU-Q47 survey tool in six Asian countries

Similar Items