Development and validation of a new instrument for testing functional health literacy in <scp>J</scp>apanese adults

Nakagami, Katsuyuki; Yamauchi, Toyoaki; Noguchi, Hiroyuki; Maeda, Tohru; Nakagami, Tomoko

doi:10.1111/nhs.12087

Cited by 19 publications

(19 citation statements)

References 33 publications

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“…Similarly, issues of cultural equivalency was noted as a challenge in translating “TOFHLA-like” measures since some items on the TOFHLA are specific to healthcare in the US. As a result, new HL measures for specific cultural/linguistic groups within and outside the US emerged in the literature over the last few years [41,42,45,52,55,56,61,64,65,67,83,84,87,88,90,92,97,101,102,106,108,110]. Among these 37 non-English language measures, only two specified the racial/ethnic characteristics of their sample beyond simply describing the general population in which the measure was being validated [35,64].…”

Section: Resultsmentioning

confidence: 99%

“…With regards to the psychometric properties of the HL measures, the majority of measures ( n = 83, 89%) used analysis consistent with Classical Test Theory (CTT) for reliability testing and/or item reduction, while a small but growing number reported using analysis consistent with newer advanced approaches such as Rasch and Item Response Theory (IRT) either alone or adjunctively( n = 16, 15%) with CTT [4,27,28,39,47,52,54,56,61,62,64,67,78,101,108]. The reported reliability was generally strong across most measures (Cronbach’s a or KR-20 = 0.70–0.98), with the exception of a few measures [64,65,81,107].…”

Section: Resultsmentioning

confidence: 99%

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State of the science of health literacy measures: Validity implications for minority populations

Nguyen

Park

Han

et al. 2015

Patient Education and Counseling

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Objectives To review the evidence supporting the validity of health literacy (HL) measures for ethnic minority populations. Methods PubMed, CINAHL, and PsycINFO databases were searched for HL measures between 1965 and 2013. Results A total of 109HL measures were identified; 37 were non-English HL measures and 72 were English language measures. Of the 72 English language measures, 17 did not specify the racial/ethnic characteristic of their sample. Of the remaining 55 measures, 10 (18%) did not include blacks, 30 (55%) did not include Hispanics, and 35 (64%) did not include Asians in their validation sample. When Hispanic and Asian Americans were included, they accounted for small percentages in the overall sample. Between 2005–2013, a growing number of REALM and TOFHLA translations were identified, and new HL measures for specific cultural/linguistic groups within and outside the United States were developed. Conclusions While there are a growing number of new and translated HL measures for minority populations, many existing HL measures have not been properly validated for minority groups. Practice Implications HL measures that have not been properly validated for a given population should be piloted before wider use. In addition, improving HL instrument development/validation methods are imperative to increase the validity of these measures for minority populations.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

State of the science of health literacy measures: Validity implications for minority populations

Nguyen

Park

Han

et al. 2015

Patient Education and Counseling

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“…Furthermore, China's health literacy level is still low. Previous studies have shown that the proportions of people with adequate health literacy in the United States, the United Kingdom and Japan were 64%, 88.6% and 72.3%, respectively [14,18,19]. In terms of scores on different dimensions, the participants' scores in the dimension of BKA were higher than those in the dimension of HLB.…”

Section: Discussionmentioning

confidence: 93%

Regional heterogeneities of health literacy in China: a population-based study

Li¹,

Tian

Xiao

et al. 2020

Preprint

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Background: Few studies have described the geographic variation in health literacy in China. This study aimed to investigate the regional heterogeneities of health literacy levels in the Chinese population to formulate targeted health literacy promotion strategies in different economic and cultural contexts.Methods: Multi-stage stratification and cluster sampling were used to select 70 study sites from 25 provinces or municipalities in China in 2017. Health literacy was measured using the National Resident Health Literacy Monitoring Questionnaire. Multiple logistic regression was used to adjust for the factors associated with the health literacy level in the overall and regional samples.Results: A total of 3,482 participants were included in the study, comprising 1,792 (51.5%) males and 1,690 (48.5%) females. Notable geographic variation was observed in health literacy levels. The proportion of respondents with adequate health literacy was 22.3% overall, 33.0% in the eastern region, 23.1% in the central region, and 17.6% in the western region. The proportion of adequate health literacy in the different provinces and municipalities ranged from 10.5%(Xinjiang) to 47.0%(Beijing). Being a female (odds ratio [OR]=1.360; 95% confidence interval [CI]: 1.153-1.605), having a high education level (OR=1.860; 95% CI: 1.671-2.070), having a high economic status (OR=1.353; 95% CI: 1.220-1.502), having a good self-rated health status (OR=1.263; 95% CI: 1.081-1.476), and having extensive community health education (OR=1.192; 95% CI: 1.034-1.374) were independently associated with adequate health literacy.Conclusions: The health literacy level of Chinese people is still low, and there are heterogeneities among different regions, between urban and rural areas, and among different social groups. Tailored health education and promotion strategies are needed for different subgroups of residents.

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“…However, compared with some developed countries of equal economic development, China's health literacy level is still low. Previous studies have shown that the proportions of people with adequate health literacy in the United States, the United Kingdom and Japan were 64%, 88.6% and 72.3%, respectively [11,14,15]. In terms of scores on different dimensions, the proportion of respondents with basic knowledge and attitudes was higher than those with healthy lifestyles and behaviours.…”

Section: Discussion Health Literacy Level and Its Distribution Characmentioning

confidence: 96%

Regional heterogeneities of health literacy in China: a population-based study

Li¹,

Tian

Xiao

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Few studies described the geographic variations of health literacy in China. This study aimed to investigate the regional heterogeneities of health literacy level in Chinese population, in order to formulate targeted health literacy promotion strategies in different economic and cultural contexts.Methods: Multi-stage stratification, clustering, and random sampling methods were used to select 70 study sites from 25 provinces or municipalities in China. Health literacy was measured using the National Resident Health Literacy Monitoring Questionnaire. MapInfo software was used to map the geographic distribution. Multiple logistic regression was used to adjust for the factors associated with the health literacy level in the total and regional samples.Results: A total of 3,482 participants were included in the study, including 1,792 (51.5%) males and 1,690 (48.5%) females. A notable geographic variation was observed in the health literacy level. The proportion of respondents with adequate health literacy was 22.3%, including 33.0% in the eastern region, 23.1% in the central region, and 17.6% in the western region. The proportion of adequate health literacy in different provinces or municipalities ranged from 10.5%(Xinjiang) to 47.0%(Beijing).Being female (odds ratio [OR]=1.360, 95% confidence interval [CI]: 1.153-1.605), having a higher education level (OR=1.860, 95% CI: 1.671-2.070), having better economic status (OR=1.353, 95% CI:1.220-1.502), having better self-rated health status (OR=1.263, 95% CI: 1.081-1.476), and having more community health education (OR=1.192, 95% CI: 1.034-1.374) were independently associated with adequate health literacy. Conclusions: The health literacy level of Chinese people is still low, with heterogeneities among different regions, between urban and rural areas, and among different social groups. With respect to health literacy promotion efforts, more attention should be given to behavioural changes and the continuous exploration of methods of developing healthy behaviours and lifestyles. Ways of improving the health literacy levels of people in different regions should be adapted to local conditions. Health education should be strengthened for low-income people in the central and eastern regions. Special emphasis should be placed on the intensity of health knowledge publicity and the accessibility of 3 health knowledge and skills in the central and western regions.

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Development and validation of a new instrument for testing functional health literacy in Japanese adults

Cited by 19 publications

References 33 publications

State of the science of health literacy measures: Validity implications for minority populations

State of the science of health literacy measures: Validity implications for minority populations

Regional heterogeneities of health literacy in China: a population-based study

Regional heterogeneities of health literacy in China: a population-based study

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