ArticleBMC public health2023
Validity and reliability of the Chinese version of the Health Literacy Scale Short-Form in the Chinese population.
Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.
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Who cites it
40 citing papers in PubMed.
- Effects of health education during public health emergencies on the health literacy, emotion and coping style of Chinese junior middle school students: a randomized controlled trial.BMC public health · 2023Trial
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- The Association Between Family Health and Proactive Health Risk Management With the Mediating Role of Health Literacy: Nationwide Cross-Sectional Study.JMIR public health and surveillance · 2026Article
- Factors Affecting Acceptance of Life Education in Mainland China: National Cross-Sectional Study.JMIR public health and surveillance · 2026Article
- Associations between social determinants and poor hypertension treatment adherence among middle-aged and older people in rural China: a hospital-based case‒control study.BMC public health · 2026Article
- Socio-ecological factors of health literacy and physical activity among middle-aged and older Chinese adults.Frontiers in public health · 2026Article
- Joint latent profiles of death anxiety and treatment adherence in HCC patients.Frontiers in psychiatry · 2026Article
- Influence of health empowerment on health outcomes of different socioeconomic status: evidence from Anhui, China.BMC public health · 2025Article
- Changes in health-related quality of life and inequality in China: evidence from a nationwide repeated cross-sectional survey (2021-2023).Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Article
- Developing a Health System Literacy Measure for Chinese Immigrants in Canada: Adapting the HLSHealthcare (Basel, Switzerland) · 2025Article
- Health literacy model integrating health education, health behaviors, self-rated health, and socioeconomic status in the Chinese population.Scientific reports · 2025Article
- The influence of physical activity on emotional management ability in college students: a chain mediating role of psychological resilience and health literacy.BMC public health · 2025Article
- Subthreshold anxiety in Chinese college students: prevalence, gender differences, and correlates.BMC psychology · 2025Article
- Factors associated with patient privacy concerns in AI-based health monitoring devices among nursing students: a cross-sectional study.BMC nursing · 2025Article
- Evaluation of diabetes mellitus medication-taking behavior among first- and second-generation Australians of Chinese heritage: A nationwide cross-sectional study.Exploratory research in clinical and social pharmacy · 2025Article
- Acceptance of advance care planning among older adults in Mainland China: a national cross-sectional study.BMC public health · 2025Article
- The acceptances and associated influences of body donation in Mainland China: a national cross-sectional study.Scientific reports · 2025Article
- Analysis of sub-health status and related factors in medical students in the Chinese Mainland from the perspective of health ecology.BMC public health · 2025Article
- Psychometric properties of the Chinese version of the M.D. Anderson symptom Inventory-Multiple Myeloma Module: a translation and validation study.BMC cancer · 2025Article
- Analysis of Factors Influencing the Willingness of Chinese Older Adults to Use mHealth Devices: Nationwide Cross-Sectional Survey Study.Journal of medical Internet research · 2025Article
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10 authors.
Funding
Abstract
backgroundHealth literacy is closely related to health status. Measuring public health literacy levels helps to warn of health status and manage health problems through timely interventions. The items of relevant evaluation tools are complex and numerous in China, and there is no recognized health literacy brief scale for the whole population. To translate the 12-item short-form health literacy scale (HLS-SF12) and test the validity and reliability of the Chinese version of the HLS-SF12 in the Chinese population.
methodsThe HLS-SF12 was translated into Chinese using the procedures of translation, back translation, and cultural debugging. 10,951 residents were selected by quota sampling method to test the validity and reliability of the scale, and 33 people were selected to retest after 2 weeks. The reliability was tested by using internal consistency coefficient and test-retest reliability. The validity was tested by using confirmatory factor analysis, content validity, convergent validity and discriminant validity.
resultsThe Cronbach's Alpha coefficient for the total scale was 0.94, and the test-retest reliability was 0.89. The Cronbach's Alpha coefficients for the three subscales of health care, disease prevention, and health promotion respectively were 0.86, 0.86, 0.87, and the test-retest reliability respectively were 0.91, 0.79, 0.63. The confirmatory factor analysis identified a three factors model and showed nice goodness of fit indices for Chinese HLS-SF12 (GFI = 0.96, CFI = 0.97, IFI = 0.97, TLI = 0.96, and RMSEA = 0.07).
conclusionThe Chinese version of the HLS-SF12 has good reliability and validity, and can be used as a tool to evaluate the health literacy of Chinese people.
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