Measuring adolescent health literacy in Taiwan: validation of the health literacy assessment scale for adolescents
Abstract Background This study aimed to validate the Chinese version of the Health Literacy Assessment Scale for Adolescents (HAS-A) and conduct a comparative analysis of adolescent health literacy between Taiwan and other countries. Methods The Chinese version of the HAS-A was completed by 2,312 ad...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-12-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-023-17167-5 |
| _version_ | 1797397693623959552 |
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| author | An-Kuo Chou Chun-Hua Liao Duan-Rung Chen |
| author_facet | An-Kuo Chou Chun-Hua Liao Duan-Rung Chen |
| author_sort | An-Kuo Chou |
| collection | DOAJ |
| description | Abstract Background This study aimed to validate the Chinese version of the Health Literacy Assessment Scale for Adolescents (HAS-A) and conduct a comparative analysis of adolescent health literacy between Taiwan and other countries. Methods The Chinese version of the HAS-A was completed by 2,312 adolescents in the fifth and sixth grades of a primary school. Psychometric properties were examined using consistent internal reliability and confirmatory factor analysis. These assessments were compared with the results from different regions to explore health literacy inequality. Results Construct validity was good, and internal consistency was acceptable. The scale, particularly regarding communication health literacy, was associated with parents’ socioeconomic status, and family income had a more significant impact on children’s health literacy than community income. Health literacy disparities appear in different countries, with Taiwan exhibiting the lowest level of communication health literacy. Conclusion The results indicate that the HAS-A is a valuable tool for assessing the health literacy of 10–11-year-old adolescents and can uncover health literacy inequality among different regions. |
| first_indexed | 2024-03-09T01:14:53Z |
| format | Article |
| id | doaj.art-a61d68893fa74a10b033a1bf379fc10f |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-09T01:14:53Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-a61d68893fa74a10b033a1bf379fc10f2023-12-10T12:34:27ZengBMCBMC Public Health1471-24582023-12-012311910.1186/s12889-023-17167-5Measuring adolescent health literacy in Taiwan: validation of the health literacy assessment scale for adolescentsAn-Kuo Chou0Chun-Hua Liao1Duan-Rung Chen2Department of Pediatrics, National Taiwan University Hospital Hsin-Chu BranchDepartment of Pediatrics, National Taiwan University Hospital Hsin-Chu BranchPopulation Health Research Center, National Taiwan UniversityAbstract Background This study aimed to validate the Chinese version of the Health Literacy Assessment Scale for Adolescents (HAS-A) and conduct a comparative analysis of adolescent health literacy between Taiwan and other countries. Methods The Chinese version of the HAS-A was completed by 2,312 adolescents in the fifth and sixth grades of a primary school. Psychometric properties were examined using consistent internal reliability and confirmatory factor analysis. These assessments were compared with the results from different regions to explore health literacy inequality. Results Construct validity was good, and internal consistency was acceptable. The scale, particularly regarding communication health literacy, was associated with parents’ socioeconomic status, and family income had a more significant impact on children’s health literacy than community income. Health literacy disparities appear in different countries, with Taiwan exhibiting the lowest level of communication health literacy. Conclusion The results indicate that the HAS-A is a valuable tool for assessing the health literacy of 10–11-year-old adolescents and can uncover health literacy inequality among different regions.https://doi.org/10.1186/s12889-023-17167-5Health literacyPsychometric propertiesAdolescentHealth literacy inequality |
| spellingShingle | An-Kuo Chou Chun-Hua Liao Duan-Rung Chen Measuring adolescent health literacy in Taiwan: validation of the health literacy assessment scale for adolescents BMC Public Health Health literacy Psychometric properties Adolescent Health literacy inequality |
| title | Measuring adolescent health literacy in Taiwan: validation of the health literacy assessment scale for adolescents |
| title_full | Measuring adolescent health literacy in Taiwan: validation of the health literacy assessment scale for adolescents |
| title_fullStr | Measuring adolescent health literacy in Taiwan: validation of the health literacy assessment scale for adolescents |
| title_full_unstemmed | Measuring adolescent health literacy in Taiwan: validation of the health literacy assessment scale for adolescents |
| title_short | Measuring adolescent health literacy in Taiwan: validation of the health literacy assessment scale for adolescents |
| title_sort | measuring adolescent health literacy in taiwan validation of the health literacy assessment scale for adolescents |
| topic | Health literacy Psychometric properties Adolescent Health literacy inequality |
| url | https://doi.org/10.1186/s12889-023-17167-5 |
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