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Psychometric Assessment of the European Health Literacy Survey Questionnaire (HLS-EU-Q16) for Arabic/French-Speaking Migrants in Southern Europe

Bibliographic Data

ID15467153
AuthorsPilar Bas‐Sarmiento (0000-0001-6309-4997, Universidad de Cádiz), Miriam Poza‐Méndez (0000-0002-9166-3285, Universidad de Cádiz), Martina Fernández‐Gutiérrez (0000-0003-3961-2250, Universidad de Cádiz, corresponding author), Juan Luis González-Caballero (0000-0003-3378-5038, Universidad de Cádiz), María Falcón Romero (0000-0002-5013-685X, Universidad de Murcia)
Year2020
Volume17
Issue21
Pages8181-8181
Publication date2020-11-05
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph17218181
PMID33167475
OpenAlexW3097889215
LanguageEN
Citations received15
References cited52

Improving health literacy (HL) is critical for addressing health inequalities. Low literacy rates are believed to be more prevalent in ethnic minorities, which may have an impact on people's health. For measures to be implemented in this regard, HL must be evaluated to obtain specific indicators. Our aim, therefore, was to develop a version of the European Health Literacy Survey Questionnaire (HLS-EU-Q16), which is recommended to be used with vulnerable populations, suited to Arabic/French-speaking migrants who reside in south-eastern Spain, and to explore its psychometric properties for assessing health literacy in this population. A cross-sectional survey was carried out in a convenient sample of 205 migrants. The structural validity was calculated by a confirmatory factorial analysis (CFA), which suggested appropriate adjustment indicators, and which indicated that the three-dimensional model is adequately adjusted to the data obtained in the study. The coefficient omega showed high internal consistency in the three HL dimensions (health care, disease prevention, and health promotion). Concurrent validity presented a significant correlation with the Newest Vital Sign test (r = 0.390; p < 0.001). The multigroup CFA showed that the heterogeneity of the sample used was not a problem for establishing the structural validity of the scale. The Arabic/French version showed good construct validity

Arabic · Health care · Health literacy · Linguistics · Literacy · Pedagogy · Political science · Health Literacy and Information Accessibility · Interpreting and Communication in Healthcare · Medicine · Patient-Provider Communication in Healthcare · Psychology

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    Open Access•Mirella Youssef Tawfik, Rehab Mohamed et al.•BMC Public Health•2025

  • Validity and reliability of the swedish versions of the HLS-EU-Q16 and HLS-EU-Q6 questionnaires

    Open Access•Lina Bergman, Ulrica Nilsson et al.•BMC Public Health•2023

  • Validity and reliability of the arabic version of the HLS-EU-Q16 and HLS-EU-Q6 questionnaires

    Open Access•Lina Bergman, Ulrica Nilsson et al.•BMC Public Health•2023

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    Open Access•Sabrina Mousum, Marium Salwa et al.•INQUIRY The Journal of Health…•2024

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    Open Access•Ana Rita Pedro, Beatriz Raposo et al.•International Journal of…•2023

  • Validity and Reliability of the Indian Version of the HLS-EU-Q16 Questionnaire

    Open Access•Jyoshma Preema Dsouza, Stephan Van Den Broucke et al.•International Journal of…•2021

  • Digital Health Literacy Related to Covid-19

    Open Access•María F Rivadeneira, María J Miranda-Velasco et al.•International Journal of…•2022

  • Beyond the Lines

    Open Access•Francisco Javier Ferreira-Alfaya•Journal of Racial and Ethnic…•2025

  • Migration and health in an increasingly diverse Europe

    Open Access•Bernd Rechel, Philipa Mladovsky et al.•The Lancet•2013

  • Health literacy in Europe

    Open Access•Kathryn Sorensen, Kristine Sørensen et al.•European Journal of Public Health•2015

  • Scale quality

    Open Access•Rik Crutzen, Gjalt-Jorn Peters•Health Psychology Review•2017

  • Low Health Literacy, Limited English Proficiency, and Health Status in Asians, Latinos, and Other Racial/Ethnic Groups in California

    Tetine Sentell, Kathryn L Braun•Journal of Health Communication•2012

  • Measuring health literacy in Asia

    Open Access•Tuyen Van Duong, Tuyen V Duong et al.•Journal of Epidemiology•2017

  • Health Education as Social Policy

    Open Access•Scott K Simonds•Health Education Monographs•1974

  • Instrument translation process

    Open Access•Wantana Maneesriwongul, Jane Dixon et al.•Journal of Advanced Nursing•2004

  • Quick Assessment of Literacy in Primary Care

    Open Access•B D Weiss, Becki Weiss•The Annals of Family Medicine•2005

  • Developing Instruments for Cross-Cultural Psychiatric Research

    Joseph A Flaherty, F MOISES GAVIRIA et al.•The Journal of Nervous and Mental…•1988

  • An Updated Paradigm for Scale Development Incorporating Unidimensionality and Its Assessment

    Open Access•David W Gerbing, James C Anderson•Journal of Marketing Research•1988

  • The prevalence of limited health literacy

    Michael K Paasche-Orlow, Michael K Paasche‐Orlow et al.•Journal of General Internal…•2005

  • A Review and Synthesis of the Measurement Invariance Literature

    Open Access•Robert J Vandenberg, Charles E Lance•Organizational Research Methods•2000

  • Sensitivity of Goodness of Fit Indexes to Lack of Measurement Invariance

    Fangfang Chen, Fang Fang Chen•Structural Equation Modeling: A…•2007

  • Health literacy and public health

    Open Access•Kathryn Sorensen, Kristine Sørensen et al.•BMC Public Health•2012

  • Measurement Invariance, Factor Analysis and Factorial Invariance

    Open Access•William Meredith•Psychometrika•1993

  • Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures

    Dorcas E Beaton, Dorcas Beaton et al.•Spine•2000

  • Alfabetización en salud

    Open Access•Andreu Nolasco, Carmen Barona et al.•Gaceta Sanitaria•2020

  • Assessing Factorial Invariance in Ordered-Categorical Measures

    Roger E Millsap, Jenn Yun-Tein et al.•Multivariate Behavioral Research•2004

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    Open Access•Padmore Adusei Amoah•SSM - Population Health•2018

  • Associations of health literacy with socioeconomic position, health risk behavior, and health status

    Open Access•Majbritt Svendsen, Majbritt Tang Svendsen et al.•BMC Public Health•2020

  • Health literacy among refugees in Sweden – a cross-sectional study

    Open Access•Josefin Wångdahl, Per Lytsy et al.•BMC Public Health•2014

  • Measuring health literacy in populations

    Open Access•Kathryn Sorensen, Stephan Van Den Broucke et al.•BMC Public Health•2013

  • Health literacy, health status, and healthcare utilization of Taiwanese adults

    Open Access•Shoou-Yih D Lee, Tzu-I Tsai et al.•BMC Public Health•2010

  • Health literacy in an urban elderly East-German population – results from the population-based Carla study

    Open Access•Daniel Tiller, Beatrice Herzog et al.•BMC Public Health•2015

  • Translation and cross-cultural adaptation of the European Health Literacy Survey Questionnaire, HLS-EU-Q16

    Open Access•Sonja Stelly Gústafsdóttir, Árún K Sigurðardóttir et al.•BMC Public Health•2020

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    Open Access•Kazuhiro Nakayama, Wakako Osaka et al.•BMC Public Health•2015

  • Measuring health literacy among low literate people

    Open Access•Hannelore Storms, Nerée Claes et al.•BMC Public Health•2017

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  • The Association Between Age and Health Literacy Among Elderly Persons

    David W Baker, Julie A Gazmararian et al.•The Journals of Gerontology…•2000

  • Migration, equality and access to health care services

    Jan Sundquist•Journal of Epidemiology and…•2001

  • The evolving concept of health literacy

    Open Access•Don Nutbeam•Social Science & Medicine•2008

Citations per year3
Citation span2021 - 2026 (6)
Highly citedNo

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