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

Tuyen V. Duong; Altyn Aringazina; Gaukhar Baisunova; null Nurjanah; Thuc V. Pham; Khue M. Pham; Tien Q. Truong; Kien T. Nguyen; Win Myint Oo; Emma Mohamad; Tin Tin Su; Hsiao-Ling Huang; Kristine Sorensen; Juergen M. Pelikan; Stephan Van den Broucke; Peter Wushou Chang

doi:10.1016/j.je.2016.09.005

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

Tuyen V. Duong, Altyn Aringazina, Gaukhar Baisunova, Nurjanah, Thuc V. Pham, Khue M. Pham, Tien Q. Truong, Kien T. Nguyen, Win Myint Oo, Emma Mohamad, Tin Tin Su, Hsiao-Ling Huang, Kristine Sorensen, Juergen M. Pelikan, Stephan Van den Broucke, Peter Wushou Chang^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

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 2013-2014 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

Conclusions: The HLS-EU-Q47 was a satisfactory and comprehensive health literacy survey tool for use in Asia. (C) 2016 The Authors. Publishing services by Elsevier B.V. on behalf of The Japan Epidemiological Association.

Original language	English
Pages (from-to)	80-86
Number of pages	7
Journal	Journal of Epidemiology
Volume	27
Issue number	2
DOIs	https://doi.org/10.1016/j.je.2016.09.005
Publication status	Published - Feb 2017

Keywords

Validation
Health literacy
HLS-EU-Q47
Asian health literacy surveys
Confirmatory factor analysis
SYSTEM-LEVEL
CARE
RELIABILITY
INSTRUMENTS
COEFFICIENT
USERS

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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., Su, T. T., Huang, H.-L., Sorensen, K., Pelikan, J. M., Van den Broucke, S., & 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), 80-86. https://doi.org/10.1016/j.je.2016.09.005

@article{b9181fe124d84830bbc10961d976ce28,

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

abstract = "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 2013-2014 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 fromConclusions: The HLS-EU-Q47 was a satisfactory and comprehensive health literacy survey tool for use in Asia. (C) 2016 The Authors. Publishing services by Elsevier B.V. on behalf of The Japan Epidemiological Association.",

keywords = "Validation, Health literacy, HLS-EU-Q47, Asian health literacy surveys, Confirmatory factor analysis, SYSTEM-LEVEL, CARE, RELIABILITY, INSTRUMENTS, COEFFICIENT, USERS",

author = "Duong, {Tuyen V.} and Altyn Aringazina and Gaukhar Baisunova and Nurjanah and Pham, {Thuc V.} and Pham, {Khue M.} and Truong, {Tien Q.} and Nguyen, {Kien T.} and Oo, {Win Myint} and Emma Mohamad and Su, {Tin Tin} and Hsiao-Ling Huang and Kristine Sorensen and Pelikan, {Juergen M.} and {Van den Broucke}, Stephan and Chang, {Peter Wushou}",

year = "2017",

month = feb,

doi = "10.1016/j.je.2016.09.005",

language = "English",

volume = "27",

pages = "80--86",

journal = "Journal of Epidemiology",

issn = "0917-5040",

publisher = "Elsevier B.V.",

number = "2",

}

Duong, TV, Aringazina, A, Baisunova, G, Nurjanah, Pham, TV, Pham, KM, Truong, TQ, Nguyen, KT, Oo, WM, Mohamad, E, Su, TT, Huang, H-L, Sorensen, K, Pelikan, JM, Van den Broucke, S & Chang, PW 2017, 'Measuring health literacy in Asia: Validation of the HLS-EU-Q47 survey tool in six Asian countries', Journal of Epidemiology, vol. 27, no. 2, pp. 80-86. https://doi.org/10.1016/j.je.2016.09.005

TY - JOUR

T1 - Measuring health literacy in Asia

T2 - Validation of the HLS-EU-Q47 survey tool in six Asian countries

AU - Duong, Tuyen V.

AU - Aringazina, Altyn

AU - Baisunova, Gaukhar

AU - Nurjanah, null

AU - Pham, Thuc V.

AU - Pham, Khue M.

AU - Truong, Tien Q.

AU - Nguyen, Kien T.

AU - Oo, Win Myint

AU - Mohamad, Emma

AU - Su, Tin Tin

AU - Huang, Hsiao-Ling

AU - Sorensen, Kristine

AU - Pelikan, Juergen M.

AU - Van den Broucke, Stephan

AU - Chang, Peter Wushou

PY - 2017/2

Y1 - 2017/2

N2 - 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 2013-2014 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 fromConclusions: The HLS-EU-Q47 was a satisfactory and comprehensive health literacy survey tool for use in Asia. (C) 2016 The Authors. Publishing services by Elsevier B.V. on behalf of The Japan Epidemiological Association.

AB - 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 2013-2014 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 fromConclusions: The HLS-EU-Q47 was a satisfactory and comprehensive health literacy survey tool for use in Asia. (C) 2016 The Authors. Publishing services by Elsevier B.V. on behalf of The Japan Epidemiological Association.

KW - Validation

KW - Health literacy

KW - HLS-EU-Q47

KW - Asian health literacy surveys

KW - Confirmatory factor analysis

KW - SYSTEM-LEVEL

KW - CARE

KW - RELIABILITY

KW - INSTRUMENTS

KW - COEFFICIENT

KW - USERS

U2 - 10.1016/j.je.2016.09.005

DO - 10.1016/j.je.2016.09.005

M3 - Article

C2 - 28142016

SN - 0917-5040

VL - 27

SP - 80

EP - 86

JO - Journal of Epidemiology

JF - Journal of Epidemiology

IS - 2

ER -

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

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Keywords

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