ArticleBMC public health2015
Assessment of the Chinese Resident Health Literacy Scale in a population-based sample in South China.
Article in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 2 of them syntheses that pooled it.
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Who cites it
51 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- What is the impact of health literacy on healthcare costs? A systematic review and evidence synthesis.BMJ open · 2025Pooled it
- Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021.PloS one · 2022Pooled it
- A multistage research on factors influencing and active learning intervention on health literacy of community-residing elderly adults in Nanjing.BMC public health · 2025Trial
- Revised Chinese resident health literacy scale for the older adults in China: simplified version and initial validity testing.Frontiers in public health · 2023Trial
- Interpretable Machine Learning-Derived Nomogram Model to Predict Population Health Literacy: Cross-Sectional Development and Validation Study.JMIR medical informatics · 2026Article
- Association between health literacy and chronic diseases in Anhui Province: findings from a province-wide cross-sectional survey of 16,067 individuals.Scientific reports · 2025Article
- Occupational stress and associated factors among couriers: A Cross-Sectional study.BMC public health · 2025Article
- Nutrition Literacy and Dietary Behavior Among Malaysian Adults.Journal of multidisciplinary healthcare · 2025Article
- Association between health literacy and the time to first cigarette among daily smokers in Zhejiang Province, China.Frontiers in public health · 2025Article
- The impact of health literacy on smoking patterns among male residents: insights from Ningbo City.Frontiers in public health · 2025Article
- Exploring the relationship between health literacy and chronic diseases among middle-aged and older adults: evidence from Zhejiang, China.Frontiers in public health · 2025Article
- Effect of Health Literacy on Antiviral Treatment of Hepatitis B: Instrumental Variable Analysis.JMIR public health and surveillance · 2024Article
- Do Health Literate Older People Have Fewer Depressive Symptoms? Evidence from the Urban Areas of Western China.Healthcare (Basel, Switzerland) · 2024Article
- A study on the effect of school and family environments and self-efficacy on health literacy of college students.Frontiers in public health · 2024Article
- Health literacy status and associated factors among residents in Anhui Province, China: a cross-sectional study.Frontiers in public health · 2024Article
- The influence of health literacy and knowledge about smoking hazards on the intention to quit smoking and its intensity: an empirical study based on the data of China's health literacy investigation.BMC public health · 2023Article
- Assessing pharmacogenomic literacy in China through validation of the Chinese version of the Minnesota Assessment of Pharmacogenomic Literacy.Clinical and translational science · 2023Article
- Association of length of service and job category with occupational health literacy of port employees in Shenzhen, China.BMC public health · 2023Article
- Influence of health literacy on health outcomes of different social strata-- an empirical study based on the data of China's health literacy investigation.International journal for equity in health · 2023Article
- Developing a Health Literacy Scale for adults in Hong Kong: A modified e-Delphi study with healthcare consumers and providers.Health expectations : an international journal of public participation in health care and health policy · 2023Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA national health literacy scale was developed in China in 2012, though no studies have validated it. In this investigation, we assessed the reliability, construct validity, and measurement invariance of that scale.
methodsA population-based sample of 3731 participants in Hunan Province was used to validate the Chinese Resident Health Literacy Scale based on item response theory and classical test theory (including split-half coefficient, Cronbach's alpha, and confirmatory factor analysis). Measurement invariance was examined by differential item functioning.
resultsThe overall Cronbach's alpha of the scale was 0.95 and Spearman-Brown coefficient 0.94. Confirmatory factor analysis showed that the test measured a unidimensional construct with three highly correlated factors. Highest discrimination was found among participants with limited to moderate health literacy. In all, 64 items were selected from the original scale based on factor loading, Pearson's correlation coefficient, and discrimination and difficulty parameters in item response theory. Measurement invariance was significant but slight. According to the two-level linear model, health literacy was associated with education level, occupation, and income.
conclusionsThe 2012 national health literacy scale was validated, and 64 items were selected based on classical test theory and item response theory. The revised version of the scale has strong psychometric properties with minor measurement invariance.
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