ArticleBMC public health2019
The health literacy questionnaire among the aged in Changsha, China: confirmatory factor analysis.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021.PloS one · 2022Pooled it
- Developing a validity testing plan for a patient-reported outcome measure in a new context using the argument-based approach to validity.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026Article
- Associations between DigComp 2.2-based digital competence and multidimensional health literacy among older adult learners in Shanghai Universities of the Third Age: a cross-sectional study.Frontiers in public health · 2026Article
- Psychometric properties of the health literacy questionnaire tested in Vietnamese adults with chronic diseases.BMC public health · 2025Article
- Measuring General Health Literacy in Chinese adults: validation of the HLSBMC public health · 2024Article
- Validity testing of the Korean version of the Health Literacy Questionnaire (HLQ) and its application in people with chronic diseases.PloS one · 2024Article
- The mediating role of health literacy between the presence of chronic disease and psychological distress among older persons in Xi'an city of China.BMC public health · 2023Article
- Correlation between Health and eHealth Literacy and a Healthy Lifestyle: A Cross-Sectional Study of Spanish Primary Healthcare Patients.Healthcare (Basel, Switzerland) · 2023Article
- Health literacy strengths and challenges of people in New South Wales prisons: a cross-sectional survey using the Health Literacy Questionnaire (HLQ).BMC public health · 2023Article
- Health Literacy and Its Sociodemographic Predictors: A Cross-Sectional Study of a Population in Madrid (Spain).International journal of environmental research and public health · 2022Article
- Measurement Properties of the Health Literacy Questionnaire in the Understanding Multiple Sclerosis Massive Open Online Course Cohort: A Rasch Analysis.Health literacy research and practice · 2022Article
- Article
- Multidimensional health literacy profiles and health-related behaviors in the elderly: A cross-sectional survey.International journal of nursing sciences · 2022Article
- Awareness of diagnosis, treatment and risk of late effects in Chinese survivors of childhood cancer in Hong Kong.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Validity arguments for patient-reported outcomes: justifying the intended interpretation and use of data.Journal of patient-reported outcomes · 2021Article
- Supporting Newly Arrived Migrant Mothers: A Pilot Health Literacy Intervention.Health literacy research and practice · 2021Article
- Functional Health Literacy in Patients with Cardiovascular Diseases: Cross-Sectional Study in Ethiopia.International journal of general medicine · 2021Article
- Translation, cultural adaptation and psychometric properties of the Ghanaian language (Akan; Asante Twi) version of the Health Literacy Questionnaire.BMC health services research · 2020Article
- Health literacy and its associated factors among older adults in Taiwan: The role of media use and healthcare experience.Tzu chi medical journalArticle
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5 authors.
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Abstract
backgroundHealth literacy is defined as the cognitive and social skills that determine the motivation and ability of individuals to gain access to, understand and use information in ways that promote and maintain good health. A Health Literacy Questionnaire (HLQ) is a toolkit with good reliability and validity. Accordingly, this study administered HLQ among older adults in China to examine its factor structure, reliability, homogeneity, and discriminant validity for use in understanding better the health literacy of older adults and determining corresponding measures.
methodsPsychometric properties were examined based on the data collected via face-to-face interviews (N = 343). Tests included the difficulty level, composite scale reliability, confirmatory factor analysis (CFA), and Bayesian structural equation modeling (BSEM).
resultsThe easiest scale to obtain a high score was "Social support for health" and the hardest, "Navigating the health care system" and "Appraisal of health information." Two one-factor models fitted well with no correlated residuals allowed. After model modification, the CFA fit statistics of the other seven scales were good. All HLQ scales were found to be homogenous, with a composite reliability ranging from 0.74 to 0.85. The nine-factor Bayesian structural equation model fitted the data well (Posterior-Predictive-P value = 0.670; 95% Confidence Interval for the difference between the observed and replicated Chi-square values = - 163.320, 102.750).
conclusionsThe Chinese version of the HLQ has strong construct and content validity and high composite reliability when applied to older adults in Changsha City, China. Therefore, the nine-scale HLQ can now be administered to Chinese older adults, thereby providing a powerful approach to understanding the multidimensional area of health literacy.
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