ArticleJournal of health communication2016
Cancer Health Literacy Test-30-Spanish (CHLT-30-DKspa), a New Spanish-Language Version of the Cancer Health Literacy Test (CHLT-30) for Spanish-Speaking Latinos.
Article in Journal of health communication, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Disparity in cancer literacy by socioeconomic status.BMC public health · 2026Article
- Development of the Swahili Cancer Health Literacy Test for use in the African context.African journal of primary health care & family medicine · 2026Article
- Cancer health literacy profile in Argentine oncology patients.Ecancermedicalscience · 2025Article
- Socioeconomic disparities and health literacy: Unraveling the impact on diagnostic and cancer care in Uruguay.Journal of cancer policy · 2024Article
- Factors Associated With Limited Cancer Health Literacy Among Chinese People: Cross-sectional Survey Study.JMIR formative research · 2023Article
- Geographic, Demographic, and Socioeconomic Disparities and Factors Associated With Cancer Literacy in China: National Cross-sectional Study.JMIR public health and surveillance · 2023Article
- Translation and Cross-Cultural Adaptation of the Cancer Health Literacy Test for Portuguese Cancer Patients: A Pre-Test.International journal of environmental research and public health · 2022Article
- Relationship between health literacy and quality of life among cancer survivors in China: a cross-sectional study.BMJ open · 2019Article
- Assessing Cancer Health Literacy among Spanish-Speaking Latinos.Journal of cancer education : the official journal of the American Association for Cancer Education · 2018Article
- Cancer Health Literacy and Willingness to Participate in Cancer Research and Donate Bio-Specimens.International journal of environmental research and public health · 2018Article
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3 authors.
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Abstract
This article describes the adaptation and initial validation of the Cancer Health Literacy Test (CHLT) for Spanish speakers. A cross-sectional field test of the Spanish version of the CHLT (CHLT-30-DKspa) was conducted among healthy Latinos in Louisiana. Diagonally weighted least squares was used to confirm the factor structure. Item response analysis using 2-parameter logistic estimates was used to identify questions that may require modification to avoid bias. Cronbach's alpha coefficients estimated scale internal consistency reliability. Analysis of variance was used to test for significant differences in CHLT-30-DKspa scores by gender, origin, age and education. The mean CHLT-30-DKspa score (N = 400) was 17.13 (range = 0-30, SD = 6.65). Results confirmed a unidimensional structure, χ(2)(405) = 461.55, p = .027, comparative fit index = .993, Tucker-Lewis index = .992, root mean square error of approximation = .0180. Cronbach's alpha was .88. Items Q1-High Calorie and Q15-Tumor Spread had the lowest item-scale correlations (.148 and .288, respectively) and standardized factor loadings (.152 and .302, respectively). Items Q19-Smoking Risk, Q8-Palliative Care, and Q1-High Calorie had the highest item difficulty parameters (difficulty = 1.12, 1.21, and 2.40, respectively). Results generally support the applicability of the CHLT-30-DKspa for healthy Spanish-speaking populations, with the exception of 4 items that need to be deleted or revised and further studied: Q1, Q8, Q15, and Q19.
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