Department of Family Medicine, Care and Public Health Research Institute (CAPHRI), Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands.
Netherlands Institute for Health Services Research (NIVEL), P.O. Box 1568, 3500 BN Utrecht, The Netherlands.
Int J Environ Res Public Health. 2021 May 14;18(10):5244. doi: 10.3390/ijerph18105244.
As health literacy (HL) is hypothesized to develop throughout life, enhancement during childhood will improve HL and health during life. There are few valid, age-appropriate tools to assess children's HL. The German-language European Health Literacy Survey Questionnaire Adapted for Children (HLS-Child-Q15-DE) is a self-report questionnaire adapted from the adult European Health Literacy Survey Questionnaire. This study aims to translate the HLS-Child-Q15 to Dutch and explore the sample's HL distribution. The HLS-Child-Q15-DE was translated following WHO guidelines and administered digitally to 209 Dutch schoolchildren (eight-to-eleven-year-olds). Its psychometric properties were assessed and the sample's HL distribution was explored by demographic characteristics. The HLS-Child-Q15-NL had high internal consistency (α = 0.860) and moderate to strong item-total correlations (mean = 0.499). For 6 of the 15 items, >10% of participants answered "do not know", indicating comprehension problems. Higher HL scores were observed for ten-to-eleven-year-olds (compared with eight-to-nine-year-olds; = 0.021) and fourth-grade students (compared with third-grade; = 0.019). This supports the idea that HL evolves throughout life and the importance of schools in this process. With the HLS-Child-Q15-NL, a Dutch measurement instrument of children's HL is available, although it needs further tailoring to the target group. More research is needed to decrease comprehension problems and to investigate retest reliability and construct validity.
由于健康素养（HL）被假设在整个生命过程中发展，因此在儿童时期进行提高将改善其 HL 和整个生命期间的健康状况。目前，很少有有效的、适合儿童年龄的工具来评估儿童的 HL。德语版欧洲健康素养调查问卷儿童版（HLS-Child-Q15-DE）是从成人欧洲健康素养调查问卷改编而来的自报式问卷。本研究旨在将 HLS-Child-Q15 翻译成荷兰语，并探讨样本的 HL 分布情况。HLS-Child-Q15-DE 是根据世界卫生组织的指南进行翻译的，并以数字形式向 209 名荷兰学童（8 至 11 岁）发放。评估了其心理测量学特性，并根据人口统计学特征探讨了样本的 HL 分布情况。HLS-Child-Q15-NL 的内部一致性较高（α=0.860），项目总分相关性中等至较强（均值=0.499）。对于 15 个项目中的 6 个项目，超过 10%的参与者回答“不知道”，表明存在理解问题。与 8 至 9 岁的儿童相比，10 至 11 岁的儿童的 HL 得分更高（ = 0.021），与三年级学生相比，四年级学生的 HL 得分更高（ = 0.019）。这支持了 HL 贯穿整个生命过程发展的观点，以及学校在这一过程中的重要性。有了 HLS-Child-Q15-NL，就有了一个可供测量荷兰儿童 HL 的工具，尽管它还需要进一步针对目标群体进行调整。还需要更多的研究来减少理解问题，并研究重测信度和结构效度。
