Psychological Sciences Research Institute, Université catholique de Louvain, 1348 Louvain-la-Neuve, Belgium.
Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal University, Manipal 576104, India.
Int J Environ Res Public Health. 2021 Jan 9;18(2):495. doi: 10.3390/ijerph18020495.
Health literacy is a key topic in public health. Several measurement tools exist that operationalize health literacy, but only a few standard tools measure health literacy at a population level, and none of those are currently available for the Indian context. This study aimed to develop and validate an Indian version of the short form of the European Health literacy Questionnaire (HLS-EU Q16). Following the translation of the English version of the questionnaire in Hindi and Kannada by language experts and confirmation of the item content by health literacy experts, the questionnaire was administered to 158 Hindi speaking and 182 Kannada speaking individuals, selected via purposive sampling. Pearson's correlation was used to confirm test-retest reliability, and confirmatory factor analysis was used to assess the construct validity of the scales in both languages. Cronbach's alpha was calculated for the scales and their sub-domains, and item-total correlations were used to calculate item discriminant indices. Discriminant validity was examined by comparing scores of participant groups based on educational status and training in health care. Cronbach's alpha for the Hindi version of the tool (HLS-IND-HIN-Q16) was 0.98, and for Kannada version (HLS-IND-KAN-Q16) 0.97. Confirmatory factor analysis produced fit indices within acceptable limits. The results allowed us to conclude that the two Indian language questionnaires allow valid and reliable measurements of health literacy among the Hindi and Kannada speaking population of India.
健康素养是公共卫生领域的一个关键主题。有几种衡量健康素养的工具，但只有少数标准工具可以衡量人口层面的健康素养，而且目前没有一种适用于印度的情况。本研究旨在开发和验证印度版欧洲健康素养问卷（HLS-EU Q16）的简化版。在语言专家将英文版问卷翻译成印地语和卡纳达语，并由健康素养专家确认项目内容后，通过目的性抽样，向 158 名讲印地语的个体和 182 名讲卡纳达语的个体发放了问卷。皮尔逊相关系数用于确认重测信度，验证性因子分析用于评估两种语言量表的结构效度。计算了量表及其子域的克朗巴赫α系数，并使用项目总分相关来计算项目鉴别指数。通过比较基于教育程度和医疗保健培训的参与者群体的分数来检验判别效度。该工具的印地语版本（HLS-IND-HIN-Q16）的克朗巴赫α系数为 0.98，卡纳达语版本（HLS-IND-KAN-Q16）为 0.97。验证性因子分析得出了可接受范围内的拟合指数。结果表明，这两种印度语言问卷可以在印度的印地语和卡纳达语使用者中有效可靠地测量健康素养。
