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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

Author

Listed:
  • Tuyen Van Duong

    (School of Nutrition and Health Sciences, Taipei Medical University, Taipei 110-31, Taiwan
    These authors contributed equally to this study.)

  • Thao T. P. Nguyen

    (Health Management Training Institute, Hue University of Medicine and Pharmacy, Thua Thien Hue 491-20, Vietnam)

  • Khue M. Pham

    (Faculty of Public Health, Hai Phong University of Medicine and Pharmacy, Hai Phong 042-12, Vietnam)

  • Kien T. Nguyen

    (Department of Health Education, Faculty of Social Sciences, Behavior and Health Education, Hanoi University of Public Health, Hanoi 119-10, Vietnam)

  • Manh H. Giap

    (Emergency Department, Bai Chay Hospital, Quang Ninh 011-21, Vietnam)

  • Tung D. X. Tran

    (School of Dentistry, Taipei Medical University, Taipei 110-31, Taiwan
    Stem Cell Unit, Van Hanh Hospital, Ho Chi Minh City 725-10, Vietnam)

  • Chi X. Nguyen

    (Department of Training and Direction of Healthcare Activities, Thu Duc District Hospital, Ho Chi Minh City 713-11, Vietnam)

  • Shwu-Huey Yang

    (School of Nutrition and Health Sciences, Taipei Medical University, Taipei 110-31, Taiwan
    Research Center of Geriatric Nutrition, Taipei Medical University, Taipei 110-31, Taiwan
    Nutrition Research Center, Taipei Medical University Hospital, Taipei 110-31, Taiwan
    These authors contributed equally to this study.)

  • Chien-Tien Su

    (School of Public Health, Taipei Medical University, Taipei 110-31, Taiwan
    Department of Family Medicine, Taipei Medical University Hospital, Taipei 110-31, Taiwan)

Abstract

Background: Health literacy (HL) is an important factor in improving health inequalities in poor and marginalized groups. Assessing comprehensive HL is critical. In this study, we validated the use of a comprehensive short-form HL survey tool (HLS-SF12) and examined the determinants of HL among people in rural areas. Methods: A cross-sectional study was conducted in July 2019 on 440 people residing in mountainous areas in Vietnam. Health literacy was measured using the HLS-SF12. Personal characteristics were also collected. We analyzed data using confirmatory factor analysis, internal consistency analysis, and regression analysis. Results: The questionnaire demonstrated a good construct validity with satisfactory goodness-of-fit indices and item-scale convergent validity. The tool was reliable and homogeneous with Cronbach’s alpha = 0.79, with no floor/ceiling effects. People who were married had lower HL (regression coefficient B = −3.12; 95% confidence interval (CI) = −5.69, −0.56; p = 0.017) compared with those who never married. Higher education attainment (B = 3.41 to 10.44; p < 0.001), a better ability to pay for medication (B = 4.17 to 9.89; p < 0.001), and a tendency to view health-related TV/radio more often (B = 5.23 to 6.15; p < 0.001) were associated with higher HL. Conclusions: The HLS-SF12 is a valid survey tool for the evaluation of HL in rural populations. A number of personal characteristics were strongly associated with HL.

Suggested Citation

  • Tuyen Van Duong & Thao T. P. Nguyen & Khue M. Pham & Kien T. Nguyen & Manh H. Giap & Tung D. X. Tran & Chi X. Nguyen & Shwu-Huey Yang & Chien-Tien Su, 2019. "Validation of the Short-Form Health Literacy Questionnaire (HLS-SF12) and Its Determinants among People Living in Rural Areas in Vietnam," IJERPH, MDPI, vol. 16(18), pages 1-11, September.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:18:p:3346-:d:266051
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    References listed on IDEAS

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    6. Tetine Sentell & Sandra Vamos & Orkan Okan, 2020. "Interdisciplinary Perspectives on Health Literacy Research Around the World: More Important Than Ever in a Time of COVID-19," IJERPH, MDPI, vol. 17(9), pages 1-13, April.
    7. Yanwen Long & Changli Jia & Xiaoxia Luo & Yufeng Sun & Wenjing Zuo & Yibo Wu & Yunchou Wu & Ayidana Kaierdebieke & Zhi Lin, 2022. "The Impact of Higher Education on Health Literacy: A Comparative Study between Urban and Rural China," Sustainability, MDPI, vol. 14(19), pages 1-16, September.
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    9. Jürgen M. Pelikan & Thomas Link & Christa Straßmayr & Karin Waldherr & Tobias Alfers & Henrik Bøggild & Robert Griebler & Maria Lopatina & Dominika Mikšová & Marie Germund Nielsen & Sandra Peer & Mitj, 2022. "Measuring Comprehensive, General Health Literacy in the General Adult Population: The Development and Validation of the HLS 19 -Q12 Instrument in Seventeen Countries," IJERPH, MDPI, vol. 19(21), pages 1-31, October.

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