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 Mirza Wati Mohamad, Tin Tin Su, Hsiao Ling Huang, Kristine Sørensen, Jürgen M. Pelikan, Stephan Van den Broucke, Peter Wushou Chang

Research output: Contribution to journalArticle

33 Citations (Scopus)

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 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.

Original languageEnglish
Pages (from-to)80-86
Number of pages7
JournalJournal of Epidemiology
Volume27
Issue number2
DOIs
Publication statusPublished - 1 Jan 2017

Fingerprint

Health Literacy
Health Surveys
Kazakhstan
Social Determinants of Health
Myanmar
Indonesia
Vietnam
Malaysia
Surveys and Questionnaires
Taiwan
Statistical Factor Analysis
Language
Cross-Sectional Studies
Regression Analysis
Education

Keywords

  • Asian health literacy surveys
  • Confirmatory factor analysis
  • Health literacy
  • HLS-EU-Q47
  • Validation

ASJC Scopus subject areas

  • Epidemiology

Cite this

Duong, T. V., Aringazina, A., Baisunova, G., Nurjanah, Pham, T. V., Pham, K. M., ... 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

Measuring health literacy in Asia : Validation of the HLS-EU-Q47 survey tool in six Asian countries. / Duong, Tuyen V.; Aringazina, Altyn; Baisunova, Gaukhar; Nurjanah; Pham, Thuc V.; Pham, Khue M.; Truong, Tien Q.; Nguyen, Kien T.; Oo, Win Myint; Mohamad, Emma Mirza Wati; Su, Tin Tin; Huang, Hsiao Ling; Sørensen, Kristine; Pelikan, Jürgen M.; Broucke, Stephan Van den; Chang, Peter Wushou.

In: Journal of Epidemiology, Vol. 27, No. 2, 01.01.2017, p. 80-86.

Research output: Contribution to journalArticle

Duong, TV, Aringazina, A, Baisunova, G, Nurjanah, Pham, TV, Pham, KM, Truong, TQ, Nguyen, KT, Oo, WM, Mohamad, EMW, Su, TT, Huang, HL, Sørensen, K, Pelikan, JM, Broucke, SVD & 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
Duong, Tuyen V. ; Aringazina, Altyn ; Baisunova, Gaukhar ; Nurjanah ; Pham, Thuc V. ; Pham, Khue M. ; Truong, Tien Q. ; Nguyen, Kien T. ; Oo, Win Myint ; Mohamad, Emma Mirza Wati ; Su, Tin Tin ; Huang, Hsiao Ling ; Sørensen, Kristine ; Pelikan, Jürgen M. ; Broucke, Stephan Van den ; Chang, Peter Wushou. / Measuring health literacy in Asia : Validation of the HLS-EU-Q47 survey tool in six Asian countries. In: Journal of Epidemiology. 2017 ; Vol. 27, No. 2. pp. 80-86.
@article{75c66eededc24eb594e2690fae3442d6,
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 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.",
keywords = "Asian health literacy surveys, Confirmatory factor analysis, Health literacy, HLS-EU-Q47, Validation",
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 Mohamad, {Emma Mirza Wati} and Su, {Tin Tin} and Huang, {Hsiao Ling} and Kristine S{\o}rensen and Pelikan, {J{\"u}rgen M.} and Broucke, {Stephan Van den} and Chang, {Peter Wushou}",
year = "2017",
month = "1",
day = "1",
doi = "10.1016/j.je.2016.09.005",
language = "English",
volume = "27",
pages = "80--86",
journal = "Journal of Epidemiology",
issn = "0917-5040",
publisher = "Japan Epidemiology Association",
number = "2",

}

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,

AU - Pham, Thuc V.

AU - Pham, Khue M.

AU - Truong, Tien Q.

AU - Nguyen, Kien T.

AU - Oo, Win Myint

AU - Mohamad, Emma Mirza Wati

AU - Su, Tin Tin

AU - Huang, Hsiao Ling

AU - Sørensen, Kristine

AU - Pelikan, Jürgen M.

AU - Broucke, Stephan Van den

AU - Chang, Peter Wushou

PY - 2017/1/1

Y1 - 2017/1/1

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 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.

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 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.

KW - Asian health literacy surveys

KW - Confirmatory factor analysis

KW - Health literacy

KW - HLS-EU-Q47

KW - Validation

UR - http://www.scopus.com/inward/record.url?scp=85013175314&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85013175314&partnerID=8YFLogxK

U2 - 10.1016/j.je.2016.09.005

DO - 10.1016/j.je.2016.09.005

M3 - Article

C2 - 28142016

AN - SCOPUS:85013175314

VL - 27

SP - 80

EP - 86

JO - Journal of Epidemiology

JF - Journal of Epidemiology

SN - 0917-5040

IS - 2

ER -