Susan Wakil School of Nursing and Midwifery/Sydney Nursing School, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia.
The Charles Perkins Centre, The University of Sydney, Camperdown, NSW, Australia.
Int J Nurs Pract. 2021 Apr;27(2):e12909. doi: 10.1111/ijn.12909. Epub 2021 Jan 26.
Health literacy is an important predictor of health outcomes. The Health Literacy Questionnaire has been widely adopted to measure health literacy and has been translated into multiple languages including Chinese. This study aims to evaluate the psychometric properties of the simplified Chinese Health Literacy Questionnaire.
Data were obtained from a sample of 362 Chinese immigrants from Chinese community organizations in New South Wales, Australia. Statistical analyses include descriptive and exploratory factor analyses.
A seven-factor solution was derived from 39 of the original 44 items, all with acceptable to excellent internal consistency but differing from the original construction. The health literacy subscale scores were negatively associated with age and with age at immigration, but positively associated with duration of stay (years) in Australia, better English proficiency and current employment. Differing interpretations of the questions based on Chinese culture could possibly explain the variations between the two versions.
The simplified Chinese Health Literacy Questionnaire measures some central concepts of health literacy well. However, the questionnaire may require further development, especially in linguistic and cultural aspects.
健康素养是健康结果的重要预测因素。健康素养问卷被广泛用于测量健康素养，并已被翻译成多种语言，包括中文。本研究旨在评估简化中文健康素养问卷的心理测量特性。
数据来自澳大利亚新南威尔士州华人社区组织的 362 名中国移民样本。统计分析包括描述性和探索性因素分析。
从原来的 44 个项目中得出了一个包含 39 个项目的七因素解决方案，所有项目的内部一致性都在可接受至优秀范围内，但与原始结构不同。健康素养分量表的得分与年龄和移民年龄呈负相关，但与在澳大利亚的逗留时间（年）、更好的英语水平和当前就业呈正相关。基于中国文化的问题的不同解释可能解释了两种版本之间的差异。
简化中文健康素养问卷很好地衡量了健康素养的一些核心概念。然而，该问卷可能需要进一步发展，特别是在语言和文化方面。
