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Validity and reliability of the Chinese version of the Health Literacy Scale Short-Form in the Chinese population
Sun, Xiaonan1; Lv, Ke2; Wang, Fei3; Ge, Pu4,5; Niu, Yuyao6; Yu, Wenli7; Sun, Xinying8; Ming, Wai Kit9; He, Miao1; Wu, Yibo8
2023-02-23
Source PublicationBMC Public Health
ISSN1471-2458
Volume23Issue:1Pages:385
Abstract

Background: Health literacy is closely related to health status. Measuring public health literacy levels helps to warn of health status and manage health problems through timely interventions. The items of relevant evaluation tools are complex and numerous in China, and there is no recognized health literacy brief scale for the whole population. To translate the 12-item short-form health literacy scale (HLS-SF12) and test the validity and reliability of the Chinese version of the HLS-SF12 in the Chinese population. Methods: The HLS-SF12 was translated into Chinese using the procedures of translation, back translation, and cultural debugging. 10,951 residents were selected by quota sampling method to test the validity and reliability of the scale, and 33 people were selected to retest after 2 weeks. The reliability was tested by using internal consistency coefficient and test-retest reliability. The validity was tested by using confirmatory factor analysis, content validity, convergent validity and discriminant validity. Results: The Cronbach’s Alpha coefficient for the total scale was 0.94, and the test-retest reliability was 0.89. The Cronbach’s Alpha coefficients for the three subscales of health care, disease prevention, and health promotion respectively were 0.86, 0.86, 0.87, and the test-retest reliability respectively were 0.91, 0.79, 0.63. The confirmatory factor analysis identified a three factors model and showed nice goodness of fit indices for Chinese HLS-SF12 (GFI = 0.96, CFI = 0.97, IFI = 0.97, TLI = 0.96, and RMSEA = 0.07). Conclusion: The Chinese version of the HLS-SF12 has good reliability and validity, and can be used as a tool to evaluate the health literacy of Chinese people.

KeywordChinese Population Health Literacy Reliability Validation
DOI10.1186/s12889-023-15237-2
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaPublic, Environmental & Occupational Health
WOS SubjectPublic, Environmental & Occupational Health
WOS IDWOS:000937734900003
PublisherBMC, CAMPUS, 4 CRINAN ST, LONDON N1 9XW, ENGLAND
Scopus ID2-s2.0-85148802481
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Citation statistics
Document TypeJournal article
CollectionFaculty of Arts and Humanities
Institute of Chinese Medical Sciences
THE STATE KEY LABORATORY OF QUALITY RESEARCH IN CHINESE MEDICINE (UNIVERSITY OF MACAU)
DEPARTMENT OF PUBLIC HEALTH AND MEDICINAL ADMINISTRATION
Corresponding AuthorHe, Miao; Wu, Yibo
Affiliation1.Department of Social Science and Humanities,Harbin Medical University,Harbin,Heilongjiang Province,China
2.School of Public Health,China Medical University,Shenyang,Liaoning Province,China
3.State Key Laboratory of Cognition and Learning,Department of Psychology,Beijing Normal University,Beijing,China
4.Institute of Chinese Medical Sciences-State Key Laboratory of Quality Research in Chinese Medicine,University of Macau,Macao
5.Department of Public Health and Medicinal Administration,Faculty of Health Sciences,University of Macau,Macao
6.Faculty of Arts and Humanities,University of Macau,Macao
7.Weifang University of Science and Technology,Shouguang,Shandong Province,China
8.School of Public Health,Peking University,Beijing,China
9.Department of Infectious Diseases and Public Health,Jockey Club College of Veterinary Medicine and Life Sciences,City University of Hong Kong,Kowloon,Hong Kong
Recommended Citation
GB/T 7714
Sun, Xiaonan,Lv, Ke,Wang, Fei,et al. Validity and reliability of the Chinese version of the Health Literacy Scale Short-Form in the Chinese population[J]. BMC Public Health, 2023, 23(1), 385.
APA Sun, Xiaonan., Lv, Ke., Wang, Fei., Ge, Pu., Niu, Yuyao., Yu, Wenli., Sun, Xinying., Ming, Wai Kit., He, Miao., & Wu, Yibo (2023). Validity and reliability of the Chinese version of the Health Literacy Scale Short-Form in the Chinese population. BMC Public Health, 23(1), 385.
MLA Sun, Xiaonan,et al."Validity and reliability of the Chinese version of the Health Literacy Scale Short-Form in the Chinese population".BMC Public Health 23.1(2023):385.
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