Monsalves María José, Mañalich Jaime, Fuentes Eduardo
Rev Med Chil. 2016 May;144(5):604-10. doi: 10.4067/S0034-98872016000500008.
Health literacy is defined as the degree to which individuals obtain, process and understand basic health information and services. It is necessary to make appropriate decisions about their health. Evidence has shown that the level of health literacy is critical to the prognosis of chronic diseases. The Short Assessment of Health Literacy for Spanish-speaking Adults (SAHLSA-50) is a short and simple health literacy adult assessment.
To determine the validity and reliability indicators of SAHLSA-50 in Chilean adults.
The survey was applied to 84 older adults living in high and low income neighborhoods.
The survey had an adequate construct validity and reliability, its Comparative Fit Index was 0.93, its Tucker-Lewis index was 0.927 and its Root Mean Square Error of Approximation was 0.044. Close fit was not statistically significant (p = 0.828). Reliability was estimated by K-Richardson, which reported a good outcome (0.9255). Despite the good global indicators obtained, it is necessary to pay attention to some items that would fail to explain the Health literacy construct or were beyond the parameters of difficulty and discrimination proposed by the authors of the test.
We propose this test as a useful tool to assess health literacy in the adult population in Chile. Its use and incorporation into local research can be especially recommended in the areas of education and health promotion.
健康素养被定义为个人获取、处理和理解基本健康信息及服务的程度。这对于做出关于自身健康的恰当决策是必要的。有证据表明，健康素养水平对慢性病的预后至关重要。西班牙语成人健康素养简短评估（SAHLSA - 50）是一种简短且简单的成人健康素养评估工具。
确定SAHLSA - 50在智利成年人中的效度和信度指标。
该调查应用于84名居住在高收入和低收入社区的老年人。
该调查具有足够的结构效度和信度，其比较拟合指数为0.93，塔克 - 刘易斯指数为0.927，近似均方根误差为0.044。“拟合优度”无统计学意义（p = 0.828）。通过克伦巴赫系数估计信度，结果良好（0.9255）。尽管获得了良好的整体指标，但仍需关注一些未能解释“健康素养”结构或超出测试作者提出的难度和区分度参数的项目。
我们建议将此测试作为评估智利成年人群体健康素养的有用工具。尤其在教育和健康促进领域，推荐使用该测试并将其纳入当地研究。
