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Cross-Cultural Validation of the High Blood Pressure Health Literacy Scale in a Chinese Community

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Listed:
  • Qinghua Zhang
  • Feifei Huang
  • Zaoling Liu
  • Na Zhang
  • Tanmay Mahapatra
  • Weiming Tang
  • Yang Lei
  • Yali Dai
  • Songyuan Tang
  • Jingping Zhang

Abstract

Background: Considering the importance of health literacy (HL) for the maximum yield from the hypertension control programs, development of a reliable and valid instrument of hypertension-related HL is critical. This study aimed to translate and validate the High Blood Pressure-Health Literacy Scale (HBP-HLS) into Chinese (C-HBP-HLS) and evaluate its psychometric properties in Chinese context. Method: Between June 2013 and January 2014, a cross-sectional study was conducted among recruited hypertensive patients belonging to the Han and Kazakh-Chinese communities in Urumqi, Xinjiang, China. Results: A pilot sample (n = 242) was selected for the exploratory factor analysis of the translated and modified instrument. Another sample (n = 308) was recruited for the confirmatory factor analysis. C-HBP-HLS consisted of five dimensions (Print Health Literacy, Medication Label, Understanding Ability, Newest Vital Sign Test, and Avoiding Food Allergy) containing 15 items, accounting for 77.7% of the total variance. The 5-factor model demonstrated a good overall fit. The scale-level content validity index was 0.85. Cronbach’s alpha of the overall scale was 0.78 and test-retest reliability was 0.96. Education level had a strong positive correlation with the scores for items Q1, Q2, and Q3(r = 0.481, 0.492, 0.475, respectively). Health Literacy scores among Kazakh patients were significantly lower than Han (7.13±7.90 vs. 30.10±13.42, Z = -14.573, P

Suggested Citation

  • Qinghua Zhang & Feifei Huang & Zaoling Liu & Na Zhang & Tanmay Mahapatra & Weiming Tang & Yang Lei & Yali Dai & Songyuan Tang & Jingping Zhang, 2016. "Cross-Cultural Validation of the High Blood Pressure Health Literacy Scale in a Chinese Community," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-12, April.
    • Handle: RePEc:plo:pone00:0152182
    DOI: 10.1371/journal.pone.0152182
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    Cited by:

    1. Yongbao Zhang & Jianwu Chen & Xingfei Wei & Xiang Wu, 2022. "Development and Validation of the Haze Risk Perception Scale and Influencing Factor Scale—A Study Based on College Students in Beijing," IJERPH, MDPI, vol. 19(8), pages 1-21, April.

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