Rababah Jehad A, Al-Hammouri Mohammed M, Aldalaykeh Mohammed
Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
Community and Mental Health Department, Faculty of Nursing, Jordan University of Science and Technology, Jordan.
Heliyon. 2022 Apr 18;8(4):e09301. doi: 10.1016/j.heliyon.2022.e09301. eCollection 2022 Apr.
Health literacy plays a key role in empowering individuals and enabling them to make health-related decisions. Despite the advances in health literacy research, there are gaps in the literature that require further inquiry, and establishing comprehensive and valid measurements is one of them. Thus, this research was conducted to examine the psychometric properties of the Arabic Health Literacy Questionnaire (HLQ), including the reliability, validity, and measurement invariances of the nine HLQ scales. A cross-sectional design was used in this study. A sample of university students (N = 1011) was recruited, the mean of age was 21.1 years old (SD = 2.28). The Arabic HLQ and a demographics questionnaire were completed by the participants. Confirmatory factor analyses (CFA) and measurement invariances were performed for each HLQ scale. The values of Cronbach's α and composite reliability were above .70 for all HLQ scales. The CFA analyses showed that all HLQ scales meet the criteria that were set : RMSEA ≤.07, CFI ≥.95, and Chisq/df < 5. In addition, all standardized factor loadings were above .50. Regarding the measurement invariance, the results supported the equal form measurement invariance for all HLQ scales. The equality of factor loadings measurement invariance across gender was also supported for all HLQ scales. Measurement invariance of factor loadings and equality of indicator intercepts was partially supported. These results show that the internal consistency, convergence, and factor structure of the HLQ are all supported. The Arabic HLQ is a reliable, valid tool to measure health literacy among Arabic-speaking populations.
健康素养在增强个体能力并使其能够做出与健康相关的决策方面发挥着关键作用。尽管健康素养研究取得了进展，但文献中仍存在需要进一步探究的空白，建立全面且有效的测量方法便是其中之一。因此，本研究旨在检验阿拉伯语健康素养问卷（HLQ）的心理测量特性，包括九个HLQ量表的信度、效度和测量不变性。本研究采用横断面设计。招募了一组大学生样本（N = 1011），平均年龄为21.1岁（标准差 = 2.28）。参与者完成了阿拉伯语HLQ和一份人口统计学问卷。对每个HLQ量表进行了验证性因素分析（CFA）和测量不变性分析。所有HLQ量表的Cronbach's α值和组合信度均高于0.70。CFA分析表明，所有HLQ量表均符合设定的标准：RMSEA≤0.07，CFI≥0.95，Chisq/df < 5。此外，所有标准化因素载荷均高于0.50。关于测量不变性，结果支持所有HLQ量表的等形式测量不变性。所有HLQ量表在性别间因素载荷测量不变性的平等性也得到了支持。因素载荷的测量不变性和指标截距的平等性得到了部分支持。这些结果表明，HLQ的内部一致性、收敛性和因素结构均得到了支持。阿拉伯语HLQ是一种可靠、有效的工具，可用于测量阿拉伯语人群的健康素养。
