Concurrent validation of two key health literacy instruments in a South Eastern European population.

Background: Public health practice has come to increasing recognition of health promotion and the central role of knowledge, attitude, beliefs and practices in achieving health promotion. Health literacy (HL) is an under-explored topic in South Eastern European countries. There are no HL reports fro...

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Publicado en:European Journal of Public Health Vol. 25; no. 3; pp. 482 - 488
Autores principales: Toci, Ervin, Burazeri, Genc, Sørensen, Kristine, Kamberi, Haxhi, Brand, Helmut
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Jun2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2015
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      pub: Oxford University Press / USA
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        atl: Concurrent validation of two key health literacy instruments in a South Eastern European population.
      aug:
        au:
          Toci, Ervin
          Burazeri, Genc
          Sørensen, Kristine
          Kamberi, Haxhi
          Brand, Helmut
        affil: Department of International Health, School for Public Health and Primary Care (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands
      sug:
        subj:
          Concurrent Validity
          Health Knowledge
          Instrument Validation Albania
          Information Literacy
          Human
          Male
          Female
          Descriptive Statistics
          Data Analysis Software
          Albania
          Internal Consistency
          Test-Retest Reliability
          Educational Status
          Age Factors
          Body Mass Index
          Socioeconomic Factors
          Adult
          Middle Age
          Aged
          Spearman's Rank Correlation Coefficient
          Questionnaires
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background: Public health practice has come to increasing recognition of health promotion and the central role of knowledge, attitude, beliefs and practices in achieving health promotion. Health literacy (HL) is an under-explored topic in South Eastern European countries. There are no HL reports from Albania to date. The aim of this study was to assess the concurrent validity of the European Health Literacy Survey Questionnaire (HLS-EU-Q) and the Test of Functional Health Literacy in Adults (TOFHLA) in a population-based sample of adults in Albania. Methods: A cross-sectional study was conducted in 2013 in Tirana, Albania, including 239 individuals aged ≥18 years (61% women; 87% response). A structured interviewer-administered questionnaire was applied twice (test and retest procedure after 2 weeks) including HLS-EU-Q and TOFHLA instruments. Results: The internal consistency was high for both instruments (Cronbach's alpha for the test procedure was 0.92 for TOFHLA and 0.98 for HLS-EU-Q). Both tools exhibited a high stability over time (Spearman's rho: 0.88 for TOFHLA and 0.87 for HLS-EU). Mean values of both instruments were similar in men and women (mean score for TOFHLA: 76.0 vs. 76.5, P = 0.83; mean score for HLS-EU-Q: 32.2 vs. 32.6, P = 0.63). For both instruments, higher HL scores were significantly associated with younger age, higher educational and economic level and lower body mass index. Conclusions: Our study provides valuable novel evidence on concurrent validation of two major HL instruments in a South Eastern European populationbased sample. Future studies should be conducted in order to confirm and expand our findings.
      pubtype: Academic Journal
      doctype:
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        Journal Article
      ougenre: Article
    language: English
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