ArticleBMJ open2020
Measuring health literacy combining performance-based and self-assessed measures: the roles of age, educational level and financial resources in predicting health literacy skills. A cross-sectional study conducted in Florence (Italy).
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to Enhance COVID-19 Pandemic Health Literacy in Health Professionals: Systematic Review.JMIR medical education · 2026Pooled it
- Health Literacy and Mental Health in Adolescents: Parental and Self-Reported Cross-Sectional Data in a Bilingual Region.Healthcare (Basel, Switzerland) · 2026Article
- Perceptions and Experiences of Barriers to Pelvic Floor Muscle Training Among Pregnant Women: A Descriptive Phenomenological Study.Patient preference and adherence · 2026Article
- Article
- Article
- Rest intolerance and associated factors among Chinese nursing students: a cross-sectional network analysis.BMC nursing · 2025Article
- Psychometric properties of a COVID-19 health literacy scale in a sample of German school principals applying Rasch analysis.BMC public health · 2024Article
- Which aspects of education are health protective? a life course examination of early education and adulthood cardiometabolic health in the 30-year study of early child care and Youth Development (SECCYD).BMC public health · 2024Article
- Review
- Health literacy and the role of social support in different age groups: results of a German cross-sectional survey.BMC public health · 2023Article
- Health literacy in female patients affected by anorexia nervosa and bulimia nervosa: a cross-sectional study with pair-matched controls.Eating and weight disorders : EWD · 2023Article
- Factors Associated With Limited Cancer Health Literacy Among Chinese People: Cross-sectional Survey Study.JMIR formative research · 2023Article
- Functional Health Literacy Among Chinese Populations and Associated Factors: Latent Class Analysis.JMIR formative research · 2023Article
- Susceptibility to Breast Cancer Misinformation Among Chinese Patients: Cross-sectional Study.JMIR formative research · 2023Article
- Development and validation of a Systemic Sclerosis Health Literacy Scale.Frontiers in public health · 2023Article
- The association of food insecurity and cardiometabolic risk factors was independent of body mass index in Iranian women.Journal of health, population, and nutrition · 2022Article
- The Relationships between Food Literacy, Health Promotion Literacy and Healthy Eating Habits among Young Adults in South Korea.Foods (Basel, Switzerland) · 2022Article
- Health Literacy, Socioeconomic Status and Vaccination Uptake: A Study on Influenza Vaccination in a Population-Based Sample.International journal of environmental research and public health · 2022Article
- Trends in Adolescent Health Risk Behaviors and Wellbeing: A 10 Year Observation from the EDIT Surveillance of Tuscany Region, Italy.International journal of environmental research and public health · 2022Article
- Predictors of Influenza Vaccination Uptake and the Role of Health Literacy among Health and Social Care Volunteers in the Province of Prato (Italy).International journal of environmental research and public health · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe objective was to compare the results of performance-based and self-assessed measures of health literacy (HL) and to evaluate the contribution of their joint use in assessing some HL antecedents.
designThis was a cross-sectional study.
settingThe study was conducted on the general population in Florence (Italy).
participantsThis study is part of a larger one, where participants were randomly selected from the registries of 11 general practitioners working in the municipality of Florence. Inclusion criteria were the following: 18-69 years of age and Italian speaking. Exclusion criteria included cognitive impairment, severe psychiatric disease or end-stage disease. In this paper, 212 adults were included. OUTCOME MEASURES: HL was measured using the European Health Literacy Survey Questionnaire (HLS-EU-Q16) and the Newest Vital Sign (NVS). The HL levels obtained by means of the two measurement tools were combined into a new variable that described three different levels of HL skills: low HL skills, partial HL skills and high HL skills. Multivariate ordinal logistic regression analysis was performed to assess the predictive roles of age class, educational level and financial resources with respect to HL skills.
resultsTwenty-two per cent of the sample had high HL skills, 28.3% had low HL skills and 49.5% had partial HL skills. Educational level, age class and financial resources were significantly associated with HL skills, with OR values being higher than those obtained using the NVS or the HLS-EU-Q16 individually.
conclusionThe combination of the results obtained using the NVS and the HLS-EU-Q16 improves the understanding of HL. The new variable generated by this combination could be considered as a different way to assess HL and its multidimensional contents.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.