Measuring Health Literacy in Childhood and Adolescence with the Scale Health Literacy in School-Aged Children – German Version : The Psychometric Properties of the German-Language Version of the WHO Health Survey Scale HLSAC
Fischer, Saskia M., Dadaczynski, Kevin, Sudeck, Gorden, Rathmann, Katharina, Paakkari, Olli, Paakkari, Leena, Bilz, Ludwig, the HBSC Study Group Germany. (2022). Measuring Health Literacy in Childhood and Adolescence with the Scale Health Literacy in School-Aged Children – German Version : The Psychometric Properties of the German-Language Version of the WHO Health Survey Scale HLSAC. Diagnostica, 68(4), 184-196. https://doi.org/10.1026/0012-1924/a000296
Published in
DiagnosticaAuthors
Date
2022Copyright
© 2022The Author(s)
Health literacy can help explain health inequalities in childhood and adolescence. However, suitable instruments for assessing health literacy in this age group are rare, especially in the German-speaking countries. One economical measure is the 10-item Health Literacy in School-Aged Children (HLSAC) scale, developed and reviewed as part of the WHO Child and Adolescent Health Study (HBSC, Health Behavior in School-Aged Children). In the present study, we tested dimensionality, measurement invariance, and associations with health-related measures of the German version of the scale (HLSAC–German), using data from the 2018 national German HBSC study (N = 4,347 students aged 11, 13, and 15 years). We also tested HLSAC–German with 11-year-olds, representing an expansion of the original scale. Exploratory and confirmatory factor analyses consistently demonstrated the unidimensionality of the scale (α = .88). Complete scalar measurement invariance was found for sex and partial scalar measurement invariance for age groups and school type, allowing for the comparison of means. Associations with indicators of health and health behavior further demonstrate the construct validity of the scale. The analyses show that the scale is suitable for the economic measurement of a general factor of health literacy in 11- as well as in 13- and 15-year-olds.
...
Publisher
Hogrefe Publishing GroupISSN Search the Publication Forum
0012-1924Keywords
Publication in research information system
https://converis.jyu.fi/converis/portal/detail/Publication/156546070
Metadata
Show full item recordCollections
- Liikuntatieteiden tiedekunta [3076]
License
Related items
Showing items with similar title or keywords.
-
The cross-national measurement invariance of the health literacy for school-aged children (HLSAC) instrument
Paakkari, Olli; Torppa, Minna; Boberova, Zuzana; Välimaa, Raili; Maier, Gunter; Mazur, Joanna; Kannas, Lasse; Paakkari, Leena (Oxford University Press, 2019)Background Health literacy (HL) is an important determinant of health and health behaviours, and there is a need to monitor HL levels among all population groups. It is therefore essential to develop instruments to ... -
Translation and Validation of a Brief Health Literacy Instrument for School-Age Children in a Danish Context
Bonde, Ane H.; Stjernqvist, Nanna W.; Klinker, Charlotte D.; Maindal, Helle T.; Paakkari, Olli; Elsborg, Peter (SLACK, Inc., 2022)Low health literacy (HL) is associated with adverse health behaviors and poor health, and brief, high-quality instruments for measuring HL in children are scarce. The Health Literacy for School-Aged Children (HLSAC) ... -
The Brief Health Literacy Scale for Adults : Adaptation and Validation of the Health Literacy for School-Aged Children Questionnaire
Rasmussen, Stinne Eika; Aaby, Anna; Søjbjerg, Anne; Mygind, Anna; Terkildsen Maindal, Helle; Paakkari, Olli; Sparle Christensen, Kaj (MDPI AG, 2023)The Health Literacy for School-Aged Children (HLSAC) is a brief, generic instrument measuring health literacy among school-aged children. Given its brevity and broad conceptualization of health literacy, the HLSAC is a ... -
The development and cross-national validation of the short health literacy for school-aged children (HLSAC-5) instrument
Paakkari, Olli; Kulmala, Markus; Lyyra, Nelli; Torppa, Minna; Mazur, Joanna; Boberova, Zuzana; Paakkari, Leena (Nature Publishing Group, 2023)Health literacy is an asset for and indicator of adolescents’ health and wellbeing, and should therefore be monitored and addressed across countries. This study aimed to develop and validate a shorter version of the original ... -
Developing an Instrument for Measuring Health Literacy among School-aged Children
Paakkari, Olli (Jyväskylän yliopisto, 2020)Health literacy (HL) is an important determinant of health and health behaviours. The aim of this research was to develop a brief, comprehensive, and theory-based instrument for the measurement of subjective HL among ...