ArticlePloS one2018
Validity and measurement invariance across sex, age, and education level of the French short versions of the European Health Literacy Survey Questionnaire.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 2 of them syntheses that pooled it.
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Who cites it
61 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021.PloS one · 2022Pooled it
- What is the Prevalence of Low Health Literacy in European Union Member States? A Systematic Review and Meta-analysis.Journal of general internal medicine · 2021Pooled it
- Trial
- Patient-Centered Clinical Decision Support for Recommended Screenings in French Primary Care: Protocol for a Multicenter Mixed Methods Feasibility Study.JMIR research protocols · 2026Article
- Linking health literacy to malaria prevention and treatment behaviours: evidence from a community-based study in Gabon.BMC health services research · 2026Article
- Sex Differences in Treatment Expectations, Satisfaction and Tolerance After Switching to CT-P17, an Adalimumab Biosimilar: A Post Hoc Analysis of the YU-MATTER Study.Rheumatology and therapy · 2026Article
- Validation of a health literacy assessment tool in a nationwide population: a measurement invariance study using confirmatory factor analysis and multiple-group latent class analysis.BMC public health · 2026Article
- Association between COVID-related health literacy and vaccine acceptance: results of a nationwide cross-sectional study in Hungary.BMC public health · 2026Article
- Determinants of Health Literacy-Tailored Communication Practices Adoption in French Community Pharmacies: A Theoretical Domains Framework Mixed-Methods Study.Health science reports · 2026Article
- Psychometric validation of the Spanish HLS-EU-Q16 in Ecuador: evidence for health literacy assessment and public health education.Frontiers in public health · 2026Article
- Predictive role of health literacy and e-health literacy on the self-care of patients undergoing CABG using open heart surgery.Journal of cardiothoracic surgery · 2025Article
- Measuring depression in Wolof-speaking communities using the CESD-10 in rural Senegal.BMC psychiatry · 2025Article
- Validity and reliability of the Turkish version of the HLS-EU-Q6 questionnaire.BMC public health · 2025Article
- [Measuring health literacy: methods and tools for assessing general health literacy in adults].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025Review
- Psychometric properties and factorial structure of the Spanish version of the HLS-EU-Q16 questionary in Venezuelan adults.PloS one · 2025Article
- Article
- Psychometric validation of the French version of two scales measuring general (HLSBMC public health · 2024Article
- Patient Satisfaction and Experience with CT-P17 Following Transition from Reference Adalimumab or Another Adalimumab Biosimilar: Results from the Real-World YU-MATTER Study.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2024Observational
- Promoting Health Literacy in the Workplace Among Civil Servants: Cross-Sectional Study.JMIR public health and surveillance · 2024Article
- The Role of Parental Health Literacy in Establishing Health-Promoting Habits in Early Childhood.Children (Basel, Switzerland) · 2024Article
1 more citing papers are in PubMed but not listed here.
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7 authors.
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Abstract
backgroundShort versions of the European Health Literacy Survey (HLS-EU) questionnaire are increasingly used to measure and compare health literacy (HL) in populations worldwide. As no validated versions of these questionnaires have thus far appeared in French, this study aimed to study the psychometric properties of the French translation of the 16- and 6-item short versions (HLS-EU-Q16 and HLS-EU-Q6), including their measurement invariance across sex, age, and education level.
methodsA consensual French version of the HLS-EU-Q16 and HLS-EU-Q6 was developed by following the current recommendations for transcultural questionnaire adaptation. It was then completed by 317 patients recruited in waiting rooms of general practitioners in the Paris area (France). Structural validity was studied with the Rasch model for the HLS-EU-Q16 and confirmatory factorial analysis (CFA) for the HLS-EU-Q6. Concurrent and convergent validity, respectively, were assessed by scores on the Functional Communicative Critical Health Literacy (FCCHL) questionnaire and the physicians' evaluations of their patient's HL.
resultsThe 16 items of the HLS-EU-Q16 were Rasch homogenous but meaningful differential item functioning (DIF) was found across sex, age, and/or education level for eight items. The CFA model fit for the HLS-EU-Q6 was poor. The overall scores for both HLS-EU short versions correlated poorly with the FCCHL scores. Similarly, HL levels defined using either short-version score did not agree with physicians' HL assessments.
conclusionThe French version of the HLS-EU-Q16 has acceptable psychometric properties, despite meaningful DIF for age, sex and education level and a poor discriminative power among subjects with average to high HL level. We recommend its use to measure HL in populations with sufficient reading skills to discriminate between subjects with low to average HL. Also, sensitivity analyses should be performed to evaluate the potential measurement bias due to DIF. Our results did not demonstrate the validity of the HLS-EU-Q6.
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