ArticleInternational journal of environmental research and public health2022
Measuring Comprehensive, General Health Literacy in the General Adult Population: The Development and Validation of the HLS
Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 74 papers.
What it found
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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.
Do Evidence-based Fact Boxes Improve Informed Decision-making About COVID-19 and Influenza Vaccination in More and Less Disadvantaged Groups Equally? - Study Protocol for a Multi-center Cluster RCT in Health and Social Care in Germany
Development and Validation of a Health Behaviour Theory-based Questionnaire to Explore the Willingness of Older Adults and Informal Caregivers to Deprescribe
Who cites it
74 citing papers in PubMed, 115 citations in OpenAlex.
- The Effect of European Health Literacy-Based e-Pulse Education and e-Pulse Instructional Materials on Health Literacy Levels in Adults Aged 45-64: A Randomized Controlled Trial.Research in nursing & health · 2025Trial
- Health Literacy and Unmet Needs in Patients With Multiple Sclerosis: A Cross-Sectional Study.Journal of clinical nursing · 2026Article
- Beyond Age: Exploring Health Literacy, Well-Being, and Stress Management Among the Elderly.Western journal of nursing research · 2026Article
- Health Literacy and Oral Health Behaviors Among Dental Medicine Students: A Cross-Sectional Study.Dentistry journal · 2026Article
- The EduNutriCRC Questionnaire: A Pilot Knowledge-Attitudes-Practices Study on Nutritional Prevention of Colorectal Cancer in Romanian Adults.Nutrients · 2026Article
- Article
- Evaluation of a general practitioner-based rehabilitation follow-up consultation to promote patients' use of medical rehabilitation aftercare: study protocol for a pragmatic cluster randomized crossover trial.BMC health services research · 2026Article
- Factors associated with limited health literacy in a culturally diverse population in Finland: a cross-sectional study.European journal of public health · 2026Article
- Translation, cultural adaptation and psychometric evaluation of the Slovene version of the Heart Failure-Specific Health Literacy Scale in patients with heart failure.Scientific reports · 2026Article
- Article
- Readability of patient information leaflets for commonly used medicines in the UK, Germany and Türkiye: a cross-sectional document analysis.BMC health services research · 2026Article
- Population expectations of primary care quality in 18 countries: a cross-sectional analysis of data from the People's Voice Survey.The Lancet. Primary care · 2026Article
- Measuring General Health Literacy in Haitian Immigrant Adults: Validation of the HLSInternational journal of environmental research and public health · 2026Article
- Exploring the status and influencing factors of nurses' digital health literacy: a scoping review.BMC nursing · 2026Article
- Cultural and linguistic appropriateness of the HLS19-Q12 health literacy scale items among people in Norway with a Somali background.Health promotion international · 2026Article
- Systematic Review of Health Literacy and Health Behavior in Adolescents Research.Epidemiologia (Basel, Switzerland) · 2026Review
- Mediation Analysis of the Relationship Between Health Literacy and the French General Population's Opinions on Hepatitis B Vaccination: Representative Cross-Sectional Survey of the SLAVACO Project.JMIR public health and surveillance · 2026Article
- Prevalence of limited health literacy in blue-collar workers: a systematic review protocol.BMJ open · 2026Article
- Health equity through health literacy: validating HLSBMC public health · 2026Article
- Online Health Information-Seeking Among Older Adults and Predictors of Use, Motivations, and Barriers in the Context of Healthy Aging: Cross-Sectional Study.Online journal of public health informatics · 2026Article
14 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors at 6 institutions in 5 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFor improving health literacy (HL) by national and international public health policy, measuring population HL by a comprehensive instrument is needed. A short instrument, the HLS
methodsFor factorial validity/dimensionality, Cronbach alphas, confirmatory factor analysis (CFA), Rasch model (RM), and Partial Credit Model (PCM) were used. For discriminant validity, correlation analysis, and for concurrent predictive validity, linear regression analysis were carried out.
resultsThe Cronbach alpha coefficients are above 0.7. The fit indices for the single-factor CFAs indicate a good model fit. Some items show differential item functioning in certain country data sets. The regression analyses demonstrate an association of the HLS
conclusionsThe HLS
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.