Validation of the Short-Form Health Literacy Questionnaire (HLS-SF12) and Its Determinants among People Living in Rural Areas in Vietnam

Duong, Tuyen Van; Nguyen, Thao Thanh; Pham, Khue M.; Nguyen, Kien Trung; Giap, Manh H.; Tran, Thanh; Nguyen, Chi X.; Yang, Shwu Huey; Su, Chien Tien

doi:10.3390/ijerph16183346

Cited by 53 publications

(61 citation statements)

References 45 publications

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“…The current study shows the digital healthy diet literacy (DDL) scale is a brief, valid, and reliable tool with satisfactory construct, criterion, and convergent validity, with a high level of internal consistency reliability, and with no floor or ceiling effect. The psychometric properties of the expanded DDL domain of HL were similar to the HLS-SF12 scale [ 40 , 41 , 53 ] and e-healthy diet literacy (e-HDL) scale [ 54 ]. Moreover, the performance of the DDL scale was similar in medical and nursing students.…”

Section: Discussionmentioning

confidence: 99%

“…Health literacy (HL) was evaluated using a 12-item short-form health literacy questionnaire (HLS-SF12) that has been widely used in Asian countries [ 40 ], including in Vietnam [ 41 , 42 , 43 ]. The HLS-SF12 questionnaire was used to measure comprehensive health literacy, including four stages of information processing (e.g., accessing, understanding, appraising, and applying), and three domains of health (e.g., health care, disease prevention, and health promotion) [ 44 , 45 ].…”

Section: Methodsmentioning

confidence: 99%

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Digital Healthy Diet Literacy and Self-Perceived Eating Behavior Change during COVID-19 Pandemic among Undergraduate Nursing and Medical Students: A Rapid Online Survey

Duong

Pham

Binh

et al. 2020

IJERPH

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Assessing healthy diet literacy and eating behaviors is critical for identifying appropriate public health responses to the COVID-19 pandemic. We examined the psychometric properties of digital healthy diet literacy (DDL) and its association with eating behavior changes during the COVID-19 pandemic among nursing and medical students. We conducted a cross-sectional study from 7 April to 31 May 2020 at 10 public universities in Vietnam, in which 7616 undergraduate students aged 19–27 completed an online survey to assess socio-demographics, clinical parameters, health literacy (HL), DDL, and health-related behaviors. Four items of the DDL scale loaded on one component explained 71.32%, 67.12%, and 72.47% of the scale variances for the overall sample, nursing, and medical students, respectively. The DDL scale was found to have satisfactory item-scale convergent validity and criterion validity, high internal consistency reliability, and no floor or ceiling effect. Of all, 42.8% of students reported healthier eating behavior during the pandemic. A 10-index score increment of DDL was associated with 18%, 23%, and 17% increased likelihood of healthier eating behavior during the pandemic for the overall sample (OR, 1.18; 95%CI, 1.13, 1.24; p < 0.001), nursing students (OR, 1.23; 95%CI, 1.10, 1.35; p < 0.001), and medical students (OR, 1.17; 95%CI, 1.11, 1.24; p < 0.001), respectively. The DDL scale is a valid and reliable tool for the quick assessment of digital healthy diet literacy. Students with higher DDL scores had a higher likelihood of healthier eating behavior during the pandemic.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Digital Healthy Diet Literacy and Self-Perceived Eating Behavior Change during COVID-19 Pandemic among Undergraduate Nursing and Medical Students: A Rapid Online Survey

Duong

Pham

Binh

et al. 2020

IJERPH

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“…Health literacy (HL) was measured using the 12-item short form of the health literacy questionnaire (HLS-SF12), which has been validated in general populations in Asia [30], and in Vietnam [43]. Participants rated their perceived difficulty of each item on 4-point Likert scales (1 = very difficult, 2 = difficult, 3 = easy, and 4 = very easy).…”

Section: Health Literacymentioning

confidence: 99%

People with Suspected COVID-19 Symptoms Were More Likely Depressed and Had Lower Health-Related Quality of Life: The Potential Benefit of Health Literacy

Nguyen

Binh

et al. 2020

JCM

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503

486

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The coronavirus disease 2019 (COVID-19) epidemic affects people’s health and health-related quality of life (HRQoL), especially in those who have suspected COVID-19 symptoms (S-COVID-19-S). We examined the effect of modifications of health literacy (HL) on depression and HRQoL. A cross-sectional study was conducted from 14 February to 2 March 2020. 3947 participants were recruited from outpatient departments of nine hospitals and health centers across Vietnam. The interviews were conducted using printed questionnaires including participants’ characteristics, clinical parameters, health behaviors, HL, depression, and HRQoL. People with S-COVID-19-S had a higher depression likelihood (OR, 2.88; p < 0.001), lower HRQoL-score (B, −7.92; p < 0.001). In comparison to people without S-COVID-19-S and low HL, those with S-COVID-19-S and low HL had 9.70 times higher depression likelihood (p < 0.001), 20.62 lower HRQoL-score (p < 0.001), for the people without S-COVID-19-S, 1 score increment of HL resulted in 5% lower depression likelihood (p < 0.001) and 0.45 higher HRQoL-score (p < 0.001), while for those people with S-COVID-19-S, 1 score increment of HL resulted in a 4% lower depression likelihood (p = 0.004) and 0.43 higher HRQoL-score (p < 0.001). People with S-COVID-19-S had a higher depression likelihood and lower HRQoL than those without. HL shows a protective effect on depression and HRQoL during the epidemic.

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“…Sykes et al [87] give insights on health literacy on the topic of infertility in "Multidimensional eHealth Literacy for Infertility", considering the concept of eHealth literacy in individuals and couples in relation to infertility. In "Validation of the Short-Form Health Literacy Questionnaire (HLS-SF12) and Its Determinants among People Living in Rural Areas in Vietnam", Duong et al [88] validate the use of a comprehensive short-form health literacy (HL) survey tool (HLS-SF12) in Vietnam. The study by Chakraverty et al [89], "Gender-Specific Aspects of Health Literacy: Perceptions of Interactions with Migrants among Health Care Providers in Germany", explores the views of health care professionals on how gender affected their interactions with migrant patients.…”

Section: Community Level: Tailoring By Culture/topic/population Needsmentioning

confidence: 99%

Interdisciplinary Perspectives on Health Literacy Research Around the World: More Important Than Ever in a Time of COVID-19

Sentell

Vamos

Okan

2020

IJERPH

220

187

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As we write our editorial for a health literacy special issue in the midst of the international COVID-19 crisis, we take this opportunity to highlight the importance of individual, community, and population health literacy. We are not only in a "pandemic" but also an "infodemic". Health literacy is more important than ever in the face of these global health threats, which have impacted outcomes across the levels of the socio-ecological model (SEM), including individual health behaviors, family relationships, organizational behavior, state policy-making, national mortality statistics, and the international economy in the span of weeks. Our special issue sought to pull together interdisciplinary threads guided by two principles. The first was defining health literacy as essential skills and situational resources needed for people to find, understand, evaluate, communicate, and use information and services in a variety of forms across various settings throughout their life course to promote health and wellbeing. The second was the idea that enhancing health literacy in populations and systems is critical to achieving health equity. In this time of public health need across traditional borders, the inter-sectoral and international perspectives of special issue articles are more urgent than ever. A greater understanding, appreciation, and application of health literacy can support policy action on multiple levels to address major public health challenges. Health literacy should be built deliberately as a population-level resource and community asset. We have summarized the set of articles in this special issue across the levels of the SEM, hoping their thoughtful considerations and interesting findings will help to support global health and wellness and inspire future research, policy, and practice in this global public health emergency and beyond.As we write this special issue editorial in the midst of the global health threat of COVID-19, individual, community, and population health literacy are more important than ever [3][4][5][6][7]. Personal health behaviors, family relationships, organizational actions, state policy, national mortality statistics, and the international economy have changed in the span of weeks because of decision-making influenced by, and influencing, health literacy. Critical health literacy and digital health literacy are urgently needed by both the citizenry and policy makers to synthesize, analyze, and appraise the vast amount of urgent, complex, and even conflicting information from virologists, epidemiologists, data modelers, doctors, nurses, health departments, and the media [3,[5][6][7]. Health literacy capacities allow us to be well-informed about risks, resources, and recommendations and, ideally, to act in solidarity-based behaviors to achieve public health [3,4,7]. It is increasingly clear that social responsibility and solidarity may be key outcomes of health literacy, helping to combat decisions and policies that go against current COVID-19 evidence and best practice public health...

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Validation of the Short-Form Health Literacy Questionnaire (HLS-SF12) and Its Determinants among People Living in Rural Areas in Vietnam

Cited by 53 publications

References 45 publications

Digital Healthy Diet Literacy and Self-Perceived Eating Behavior Change during COVID-19 Pandemic among Undergraduate Nursing and Medical Students: A Rapid Online Survey

Digital Healthy Diet Literacy and Self-Perceived Eating Behavior Change during COVID-19 Pandemic among Undergraduate Nursing and Medical Students: A Rapid Online Survey

People with Suspected COVID-19 Symptoms Were More Likely Depressed and Had Lower Health-Related Quality of Life: The Potential Benefit of Health Literacy

Interdisciplinary Perspectives on Health Literacy Research Around the World: More Important Than Ever in a Time of COVID-19

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