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Assessment Tools for Health Literacy among the General Population: A Systematic Review

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  • Hongyan Liu

    (School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China
    Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China
    Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing 400016, China)

  • Huan Zeng

    (School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China
    Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China
    Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing 400016, China)

  • Yang Shen

    (School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China
    Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China
    Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing 400016, China)

  • Fan Zhang

    (School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China
    Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China
    Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing 400016, China)

  • Manoj Sharma

    (Behavioral & Environmental Health, School of Public Health, Jackson State University, Jackson, MS 39213, USA
    Health Sciences, Walden University, Minneapolis, MN 55401, USA)

  • Weiyun Lai

    (Project Office, Chongqing Health Education Institute, Chongqing 400016, China)

  • Yu Zhao

    (Project Office, Chongqing Health Education Institute, Chongqing 400016, China)

  • Genhui Tao

    (Project Office, Chongqing Health Education Institute, Chongqing 400016, China)

  • Jun Yuan

    (School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China
    Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China
    Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing 400016, China)

  • Yong Zhao

    (School of Public Health and Management, Chongqing Medical University, Chongqing 400016, China
    Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China
    Collaborative Innovation Center of Social Risks Governance in Health, Chongqing Medical University, Chongqing 400016, China)

Abstract

Health literacy is an important determinant of health, and is one of the key indicators of a healthy city. Developing and improving methods to measure health literacy is prudent and necessary. This review summarizes the findings of published tools for assessing health literacy among the general population to provide a reference for establishing health literacy assessment tools in the future. In this systematic review, PubMed, Embase, and Web of Science were used to search articles regarding tools for assessing health literacy among the general population published up to 10 January 2018. Two researchers independently conducted literature screening, quality assessment of methodology, and data extraction according to preset inclusion and exclusion criteria. The quality assessment of the research was examined with the use of the specifications of the reporting guidelines for survey research (SURGE). Eleven articles met the inclusion criteria. All included instruments in monitoring the health literacy of the general population were presented through the form of questionnaires. The multistage process of making all the scales generally involved the following steps: item development, pre-testing, and evaluation of readability. However, the specific methods were different. Internal consistency for all the instruments was acceptable but with weak consistency among the subscales for some instruments. Most of the identified instruments derived from the definition of health literacy or were based on existing health literacy theory. Approximately 30% of the performed studies provided no description of the important features specified in the SURGE. This review indicates a trend in the increasing tools for assessing the health literacy of the general population by using multidimensional structures and comprehensive measurement approaches. However, no clear “consensus” was observed in the dimensions of health literacy tools.

Suggested Citation

  • Hongyan Liu & Huan Zeng & Yang Shen & Fan Zhang & Manoj Sharma & Weiyun Lai & Yu Zhao & Genhui Tao & Jun Yuan & Yong Zhao, 2018. "Assessment Tools for Health Literacy among the General Population: A Systematic Review," IJERPH, MDPI, vol. 15(8), pages 1-16, August.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:8:p:1711-:d:162985
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    References listed on IDEAS

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    1. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
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    1. Stinne Eika Rasmussen & Anna Aaby & Anne Søjbjerg & Anna Mygind & Helle Terkildsen Maindal & Olli Paakkari & Kaj Sparle Christensen, 2023. "The Brief Health Literacy Scale for Adults: Adaptation and Validation of the Health Literacy for School-Aged Children Questionnaire," IJERPH, MDPI, vol. 20(22), pages 1-13, November.
    2. Mariusz Duplaga & Marcin Grysztar, 2021. "Socio-Economic Determinants of Health Literacy in High School Students: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(22), pages 1-17, November.
    3. Alberto Paucar-Caceres & Carlos Vílchez-Román & Silvia Quispe-Prieto, 2023. "Health Literacy Concepts, Themes, and Research Trends Globally and in Latin America and the Caribbean: A Bibliometric Review," IJERPH, MDPI, vol. 20(22), pages 1-16, November.
    4. Cindy Yue Tian & Richard Huan Xu & Phoenix Kit-Han Mo & Dong Dong & Eliza Lai-Yi Wong, 2020. "Generic Health Literacy Measurements for Adults: A Scoping Review," IJERPH, MDPI, vol. 17(21), pages 1-18, October.
    5. Neida Neto Vicente Ramos & Inês Fronteira & Maria Rosário Oliveira Martins, 2022. "Building a Health Literacy Indicator from Angola Demographic and Health Survey in 2015/2016," IJERPH, MDPI, vol. 19(5), pages 1-12, March.
    6. Johanna Sophie Lubasch & Mona Voigt-Barbarowicz & Nicole Ernstmann & Christoph Kowalski & Anna Levke Brütt & Lena Ansmann, 2021. "Organizational Health Literacy in a Hospital—Insights on the Patients’ Perspective," IJERPH, MDPI, vol. 18(23), pages 1-14, November.
    7. Anna T. Ehmann & Oliver Groene & Monika A. Rieger & Achim Siegel, 2020. "The Relationship between Health Literacy, Quality of Life, and Subjective Health: Results of a Cross-Sectional Study in a Rural Region in Germany," IJERPH, MDPI, vol. 17(5), pages 1-12, March.

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