AI Article Synopsis
- - The study aimed to evaluate the psychometric properties of three health literacy scales for adolescents, specifically the HLSAC, HAS-A, and HLS-EU-Q16, using data from over 1,400 students across different grades.
- - Results showed acceptable to good structural validity for the scales, while internal consistency was decent, although convergent validity was generally low; the HLSAC performed the best overall.
- - The findings suggest that both HLSAC and HAS-A can be effectively used to assess health literacy in adolescents, which is important for preventing health issues and promoting better health practices among youth.
Article Abstract
Objective: To simultaneously investigate the psychometric properties of three recently developed health literacy measurement scales throughout adolescence in the general population.
Methods: French versions of the Health Literacy for School-Aged Children (HLSAC, unidimensional) scale, the Health Literacy Assessment Scale for Adolescents (HAS-A, multidimensional) and the 16-item European Health Literacy Survey questionnaire (HLS-EU-Q16, unidimensional) were completed by 1 444 adolescents in 8th, 9th, 11th grade in general school and 11-12th grade in vocational school. Psychometric properties were studied using confirmatory factor analysis, McDonald's omega coefficient and hypothesis testing.
Results: Structural validity was acceptable (HLS-EU-Q16) to good (HAS-A and HLSAC), no measurement invariance issue was found and internal consistency was acceptable for the three scales (0.68-0.84). Convergent validity was low (Pearson correlation coefficients<0.5) and the only scale for which results were in agreement with a priori hypotheses was the HLSAC.
Conclusions: Our results were supportive of the use of HLSAC to assess health literacy during adolescence but the HAS-A, with a slightly better structural validity, can also be promoted due to its three measured dimensions.
Practice Implications: The use of these scales in practice will help to focus on health literacy, a critical factor for prevention and health promotion in adolescence.
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| http://dx.doi.org/10.1016/j.pec.2021.07.044 | DOI Listing |
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