Cultural and linguistic adaption and testing of the Health Literacy Questionnaire (HLQ) among healthy people in Korea

Park, Jin Hee; Osborne, Richard H.; Kim, Hee‐Jun; Bae, Sun Hyoung

doi:10.1371/journal.pone.0271549

Cited by 7 publications

(4 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Validity testing in a wide range of cultural and linguistic contexts provides consistent evidence of good to excellent psychometric properties. The HLQ has been used and tested in Africa [33], Asia [34,35], South America [36], Europe [37][38][39][40][41]; and the Middle East [42].…”

Section: Health Literacy Measurementmentioning

confidence: 99%

Health literacy strengths and challenges among residents of a resource-poor village in rural India: Epidemiological and cluster analyses

Passi

Kaur

Lakshmi

et al. 2023

PLOS Glob Public Health

Self Cite

View full text Add to dashboard Cite

Cluster analysis can complement and extend the information learned through epidemiological analysis. The aim of this study was to determine the relative merits of these two data analysis methods for describing the multidimensional health literacy strengths and challenges in a resource poor rural community in northern India. A cross-sectional survey (N = 510) using the Health Literacy Questionnaire (HLQ) was undertaken. Descriptive epidemiology included mean scores and effect sizes among sociodemographic characteristics. Cluster analysis was based on the nine HLQ scales to determine different health literacy profiles within the population. Participants reported highest mean scores for Scale 4. Social support for health (2.88) and Scale 6. Ability to actively engage with healthcare professionals (3.66). Lower scores were reported for Scale 3. Actively managing my health (1.81) and Scale 8. Ability to find good health information (2.65). Younger people (<35 years) had much higher scores than older people (ES >1.0) for social support. Eight clusters were identified. In Cluster A, educated younger men (mean age 27 years) reported higher scores on all scales except one (Scale 1. Feeling understood and supported by a healthcare professional) and were the cluster with the highest number (43%) of new hypertension diagnoses. In contrast, Cluster H also had young participants (mean age 30 years) but with low education (72% illiterate) who scored lowest across all nine scales. While epidemiological analysis provided overall health literacy scores and associations between health literacy and other characteristics, cluster analysis provided nuanced health literacy profiles with the potential to inform development of solutions tailored to the needs of specific population subgroups.

show abstract

Section: Health Literacy Measurementmentioning

confidence: 99%

Health literacy strengths and challenges among residents of a resource-poor village in rural India: Epidemiological and cluster analyses

Passi

Kaur

Lakshmi

et al. 2023

PLOS Glob Public Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…However, cultural characteristics were considered for certain items and the South Korean context was reflected through discussions with the original author (e.g., "I have all the information" was translated into "I feel there is information available to me"). In this study, the validity of the Korean version of the HLQ was verified for healthy Koreans [28]. The questionnaire does not include a total score.…”

Section: Measures 221 Health Literacymentioning

confidence: 99%

A Cross-Sectional Analysis of Health Literacy and Compliance to Treatment in Organ Transplant Recipients

Bae

Lee

Son

et al. 2023

JCM

Self Cite

View full text Add to dashboard Cite

This study was conducted to determine the correlations between health literacy, transplant effects, and compliance to treatment in organ transplant recipients and to identify the factors influencing compliance to treatment. The participants (n = 130; males = 66.9%; mean age = 56.4 years) were organ transplant recipients visiting an organ transplantation center in Seoul, South Korea. The regression model explained 32% of the variance in participants’ compliance to treatment. Among the health literacy variables, “Scale 3: Actively managing my health” (β = 0.38, p = 0.001) and “Scale 4: Social support for health” (β = 0.25, p = 0.019) had a significant effect on compliance to treatment. In this study, health literacy was identified as a key factor influencing compliance to treatment. Therefore, patients’ health literacy should be assessed prior to transplantation to identify potential high-risk patients for treatment nonadherence. In addition, after transplantation surgery, patient-tailored interventions should be developed and provided for self-management that reflects the patient’s health literacy level to ultimately enhance patient outcomes.

show abstract

“…The HLQ was developed through a grounded and validity-driven approach (32). The HLQ has been translated into more than 30 languages and validity evidence has shown each scale to be highly reliable across a diverse range of contexts globally (32,(39)(40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52)(53)(54)(55). Despite the vast amount of validity evidence gathered for the HLQ, this study is the rst to use the multi-dimensional tool in a prison context.…”

Section: The Health Literacy Questionnairementioning

confidence: 99%

Health literacy strengths and challenges of people in New South Wales Prisons: A cross-sectional survey using the Health Literacy Questionnaire (HLQ)

Gill

Zeki

Kaye

et al. 2023

Preprint

View full text Add to dashboard Cite

Background: Health literacy is an important factor for enabling people to manage their health and live long fulfilling lives. People in prison are frequently from marginalised communities, often out of reach of conventional community based health organisations, and have poorer health outcomes. It is essential to understanding the health literacy profiles of people in prison, and its contribution to the well-established health inequities and outcomes of this population. This study aimed to use a multi-dimensional health literacy measurement tool to describe the strengths and challenges of adults incarcerated in NSW prisons. Methods: A cross-sectional survey was conducted for people in prison across 14 publicly operated metropolitan prisons. Data were collected from 471 participants using the Health Literacy Questionnaire (HLQ). Participant characteristics and health conditions were also collected. Data were analysed using descriptive statistics. Effect sizes (ES) for standardised differences in means were used to describe the magnitude of difference between participant characteristic groups. Results: Participants’ median age was 38.0 (range 19 – 91) years. Males comprised 81% of the sample, 21% identified as Aboriginal and/or Torres Strait Islander, and 53% reported a health problem. People in prison had lower scores for all nine HLQ scales when compared to the general Australian population. Small to medium ES were seen for mean differences between most demographic groups. Compared to males, females had lower scores for a majority of the HLQ scales including ‘having sufficient information to manage health’ (ES 0.30 [95% Confidence Interval (CI) 0.07, 0.53]), ‘ability to actively engage with health care professionals’ (ES 0.30 [95% CI 0.06, 0.53]), ‘navigating the healthcare system’ (ES 0.30 [95% CI 0.06, 0.53]), and, ‘ability to find good health information’ (ES 0.33 [95% CI 0.10, 0.57]). Differing health literacy scale scores with small to medium ES were found when comparing participants by legal status. Mainly small ES were seen when comparing other participant characteristic groups. Conclusions: This study provides insights into the health literacy strengths and challenges for people in NSW prisons. These findings highlight the important role health literacy could have in addressing health disparities in this vulnerable population and can inform prison health services.

show abstract

Cultural and linguistic adaption and testing of the Health Literacy Questionnaire (HLQ) among healthy people in Korea

Cited by 7 publications

References 28 publications

Health literacy strengths and challenges among residents of a resource-poor village in rural India: Epidemiological and cluster analyses

Health literacy strengths and challenges among residents of a resource-poor village in rural India: Epidemiological and cluster analyses

A Cross-Sectional Analysis of Health Literacy and Compliance to Treatment in Organ Transplant Recipients

Health literacy strengths and challenges of people in New South Wales Prisons: A cross-sectional survey using the Health Literacy Questionnaire (HLQ)

Contact Info

Product

Resources

About