Evidence map›Paper›PMID 42196647›Full record

ArticleInternational journal of environmental research and public health2026

Measuring General Health Literacy in Haitian Immigrant Adults: Validation of the HLS

Maurice J Chery, Eric C Brown, Arsham Alamian, Jovanka Ravix, Sandy St Hilaire, Aisha Severe, Lauren Smith, Reginald Fils-Aime, Mary Clisbee, Rimsky Denis and 8 more

Abstract readValidation Study
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Article in International journal of environmental research and public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

18 authors.

Maurice J CheryDepartment of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA.ORCID 0000-0002-9380-6649
Eric C BrownDepartment of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Arsham AlamianSchool of Nursing and Health Studies, University of Miami, Coral Gables, FL 33146, USA.
Jovanka RavixSylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Sandy St HilaireDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA.ORCID 0009-0005-3550-7447
Aisha SevereDepartment of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Lauren SmithDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Reginald Fils-AimeResearch Department, Hôpital Universitaire de Mirebalais, Zanmi Lasante, Mirebalais HT 5210, Haiti.
Mary ClisbeeResearch Department, Hôpital Universitaire de Mirebalais, Zanmi Lasante, Mirebalais HT 5210, Haiti.
Rimsky DenisCenter for Haitian Studies, Miami, FL 33138, USA.
Samara PerezDepartment of Oncology, Research Institute of the McGill University Health Centre, Montreal, QC H4A 3T2, Canada.ORCID 0000-0002-4849-8616
Justin J SandersDepartment of Family Medicine, Research Institute of the McGill University Health Centre, Montreal, QC H3S 1Z1, Canada.ORCID 0000-0001-8928-4051
Donaldson ConserveDepartment of Prevention and Community Health, Milken Institute School of Public Health, The George Washington University, Washington, DC 20051, USA.
Judite BlancDepartment of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA.ORCID 0000-0002-4489-8604
Joseph BernardClinique du Cancer Saint-Francois de Sales, Port-au-Prince HT 6110, Haiti.
Patricia MorenoDepartment of Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA.ORCID 0000-0002-3083-6461
Matthew P SchlumbrechtSylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL 33136, USA.
Sophia H L GeorgeSylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL 33136, USA.ORCID 0000-0003-1013-1883

Funding

Sylvester Comprehensive Cancer Center GR025401
6 · The paper itself

Abstract

backgroundHaitian immigrants in the United States face health literacy challenges related to recent migration, language discordance, and unfamiliar healthcare systems, yet no general health literacy instrument has been psychometrically validated in Haitian Creole. This study translated, culturally adapted, and evaluated the Haitian Creole HLS

methodsHaitian Creole-speaking adults without cancer diagnoses in South Florida (

resultsCognitive interviews supported clarity and cultural appropriateness with minor refinements. Reliability was excellent (ω = 0.949; α = 0.944; AVE = 0.584). The unidimensional model showed good fit (CFI = 0.951; TLI = 0.944; RMSEA = 0.065; SRMR = 0.048), whereas multi-factor models showed limited discriminant validity. Convergent and known-groups validity were supported. Using provisional European-derived cutpoints, 70.2% of participants were classified as having inadequate or problematic health literacy.

conclusionsThe HLS19-Q12-HC showed evidence of reliability and validity as a unidimensional measure of general health literacy and may support research, needs assessment, and culturally responsive interventions for Haitian Creole-speaking populations. Findings should be interpreted in light of the convenience sample from South Florida and the predominantly female composition of the cohort.

Indexed as

Emigrants and ImmigrantsHealth LiteracyAdultCaribbean PeopleFemaleFloridaHaitiHumansMaleMiddle AgedPsychometricsReproducibility of ResultsSurveys and QuestionnairesYoung AdultHaitian CreoleHaitian immigrantshealth literacyHLS19-Q12psychometric validation

Identifiers

PMID42196647
PMCPMC13205792

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