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Validation of the Short-Form Health Literacy Questionnaire (HLS-SF12) and Its Determinants among People Living in Rural Areas in Vietnam

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 peop...

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Autores principales: Duong, Tuyen Van, Nguyen, Thao T. P., Pham, Khue M., Nguyen, Kien T., Giap, Manh H., Tran, Tung D. X., Nguyen, Chi X., Yang, Shwu-Huey, Su, Chien-Tien
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6765800/
https://www.ncbi.nlm.nih.gov/pubmed/31514271
http://dx.doi.org/10.3390/ijerph16183346
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author Duong, Tuyen Van
Nguyen, Thao T. P.
Pham, Khue M.
Nguyen, Kien T.
Giap, Manh H.
Tran, Tung D. X.
Nguyen, Chi X.
Yang, Shwu-Huey
Su, Chien-Tien
author_facet Duong, Tuyen Van
Nguyen, Thao T. P.
Pham, Khue M.
Nguyen, Kien T.
Giap, Manh H.
Tran, Tung D. X.
Nguyen, Chi X.
Yang, Shwu-Huey
Su, Chien-Tien
author_sort Duong, Tuyen Van
collection PubMed
description 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.
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spelling pubmed-67658002019-09-30 Validation of the Short-Form Health Literacy Questionnaire (HLS-SF12) and Its Determinants among People Living in Rural Areas in Vietnam Duong, Tuyen Van Nguyen, Thao T. P. Pham, Khue M. Nguyen, Kien T. Giap, Manh H. Tran, Tung D. X. Nguyen, Chi X. Yang, Shwu-Huey Su, Chien-Tien Int J Environ Res Public Health Article 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. MDPI 2019-09-11 2019-09 /pmc/articles/PMC6765800/ /pubmed/31514271 http://dx.doi.org/10.3390/ijerph16183346 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Duong, Tuyen Van
Nguyen, Thao T. P.
Pham, Khue M.
Nguyen, Kien T.
Giap, Manh H.
Tran, Tung D. X.
Nguyen, Chi X.
Yang, Shwu-Huey
Su, Chien-Tien
Validation of the Short-Form Health Literacy Questionnaire (HLS-SF12) and Its Determinants among People Living in Rural Areas in Vietnam
title Validation of the Short-Form Health Literacy Questionnaire (HLS-SF12) and Its Determinants among People Living in Rural Areas in Vietnam
title_full Validation of the Short-Form Health Literacy Questionnaire (HLS-SF12) and Its Determinants among People Living in Rural Areas in Vietnam
title_fullStr Validation of the Short-Form Health Literacy Questionnaire (HLS-SF12) and Its Determinants among People Living in Rural Areas in Vietnam
title_full_unstemmed Validation of the Short-Form Health Literacy Questionnaire (HLS-SF12) and Its Determinants among People Living in Rural Areas in Vietnam
title_short Validation of the Short-Form Health Literacy Questionnaire (HLS-SF12) and Its Determinants among People Living in Rural Areas in Vietnam
title_sort validation of the short-form health literacy questionnaire (hls-sf12) and its determinants among people living in rural areas in vietnam
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6765800/
https://www.ncbi.nlm.nih.gov/pubmed/31514271
http://dx.doi.org/10.3390/ijerph16183346
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