Health literacy in Mainland China

Health literacy tests in the Chinese-speaking parts of the world have been mainly developed in traditional Chinese to be used in Hong Kong or Taiwan. So far no validated tool in simplified Chinese to assess functional health literacy in Mainland China has been developed. The aim of the study was to validate the simplified Chinese version of the Short Test of Functional Health Literacy in Adults (S-TOFHLA). The traditional Chinese version was translated into simplified Chinese and 150 interviews in an outpatient department of a public hospital in Mainland China were conducted. Predictive validity was assessed by known predictors for health literacy and convergent validity by three health literacy screening questions. The Cronbach's α for the reading comprehension part was 0.94 and 0.90 for the numeracy items. Participants with lower education and men had significantly lower levels of health literacy. The reading comprehension part was significantly correlated with two of the health literacy screening questions. Our results indicate that the simplified Chinese version of the S-TOFHLA is a reliable measure of health literacy to be used in Mainland China.

China · Chinese people · Cronbach's alpha · Family medicine · Health care · Health literacy · Linguistics · Literacy · Mainland China · Numeracy · Pedagogy · Political science · Psychometrics · Reading (process) · Reading comprehension · Test (biology) · Clinical Psychology · Diabetes Management and Education · Health Literacy and Information Accessibility · Medicine · Mobile Health and mHealth Applications · Psychology · Gerontology

• Measuring General Health Literacy in Chinese adults

  Open Access•Rongmei Liu, Qiuping Zhao et al.•BMC Public Health•2024

  Incluir item

• Validation of three Arabic health literacy assessment tools in Lebanon

  Open Access•Marta Fadda, Mayada Kanj et al.•Health Promotion International•2016

  Incluir item

• Health Literacy

  Committee on Health Literacy, Board on Neuroscience and Behavioral Health et al.•Health Literacy•2004

  Incluir item

• Privatization and Its Discontents — The Evolving Chinese Health Care System

  David Blumenthal, William C Hsiao et al.•New England Journal of Medicine•2005

  Incluir item

• Validation of Screening Questions for Limited Health Literacy in a Large VA Outpatient Population

  Open Access•Lisa D Chew, Joan M Griffin et al.•Journal of General Internal…•2008

  Incluir item

• Literacy and health outcomes

  Darren A Dewalt, Nancy D Berkman et al.•Journal of General Internal…•2004

  Incluir item

• Development of a brief test to measure functional health literacy

  Open Access•David W Baker, Malcolm V Williams et al.•Patient Education and Counseling•1999

  Incluir item

• Health Literacy Among Medicare Enrollees in a Managed Care Organization

  Julie A Gazmararian•JAMA•1999

  Incluir item

• The prevalence of limited health literacy

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

  Incluir item

• Validation of Turkish health literacy measures

  Open Access•Ezgi EYÜBOĞLU, Peter J Schulz•Health Promotion International•2016

  Incluir item

• Evaluation of a health literacy screening tool in primary care patients

  Open Access•A Jovi-Vrane, V Bjegovi-Mikanovi et al.•Health Promotion International•2014

  Incluir item

• Analysis of awareness of health knowledge among rural residents in Western China

  Open Access•Fang Yuan, Yuan Fang et al.•BMC Public Health•2015

  Incluir item

• The Association Between Age and Health Literacy Among Elderly Persons

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

  Incluir item

• Functional health literacy and health-promoting behaviour in a national sample of British adults

  Christian Von Wagner, Katherine Knight et al.•Journal of Epidemiology and…•2007

  Incluir item

• Performance of a Brazilian population on the test of functional health literacy in adults

  Open Access•Maria Teresa Carthery-Goulart, Renato Anghinah et al.•Revista de Saúde Pública•2009

  Incluir item

• Development and validation of the State Hope Scale

  C R Snyder, Susie C Sympson et al.•Journal of Personality and Social…•1996

  Incluir item