1. Cross-Cultural Validation of the High Blood Pressure Health Literacy Scale in a Chinese Community
- Author
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Songyuan Tang, Yang Lei, Na Zhang, Yali Dai, Qinghua Zhang, Jingping Zhang, Zaoling Liu, Weiming Tang, Fei-Fei Huang, and Tanmay Mahapatra
- Subjects
Male ,Psychometrics ,lcsh:Medicine ,Social Sciences ,Blood Pressure ,Kazakh People ,030204 cardiovascular system & hematology ,Vascular Medicine ,Literacy ,Geographical Locations ,0302 clinical medicine ,Mathematical and Statistical Techniques ,Content validity ,Medicine and Health Sciences ,Ethnicity ,Medicine ,Ethnicities ,Psychology ,030212 general & internal medicine ,lcsh:Science ,media_common ,Aged, 80 and over ,Multidisciplinary ,Han Chinese ,Middle Aged ,Exploratory factor analysis ,Confirmatory factor analysis ,Health Education and Awareness ,Hypertension ,Physical Sciences ,Female ,Factor Analysis ,Statistics (Mathematics) ,Clinical psychology ,Research Article ,Adult ,Cross-Cultural Comparison ,China ,Asia ,Adolescent ,media_common.quotation_subject ,Health literacy ,Context (language use) ,Research and Analysis Methods ,03 medical and health sciences ,Young Adult ,Cronbach's alpha ,Humans ,Statistical Methods ,Aged ,business.industry ,lcsh:R ,Biology and Life Sciences ,Health Literacy ,Health Care ,Cross-Sectional Studies ,People and Places ,lcsh:Q ,Population Groupings ,business ,Mathematics - Abstract
Background Considering the importance of health literacy (HL) for the maximum yield from the hypertension control programs, development of a reliable and valid instrument of hypertension-related HL is critical. This study aimed to translate and validate the High Blood Pressure-Health Literacy Scale (HBP-HLS) into Chinese (C-HBP-HLS) and evaluate its psychometric properties in Chinese context. Method Between June 2013 and January 2014, a cross-sectional study was conducted among recruited hypertensive patients belonging to the Han and Kazakh-Chinese communities in Urumqi, Xinjiang, China. Results A pilot sample (n = 242) was selected for the exploratory factor analysis of the translated and modified instrument. Another sample (n = 308) was recruited for the confirmatory factor analysis. C-HBP-HLS consisted of five dimensions (Print Health Literacy, Medication Label, Understanding Ability, Newest Vital Sign Test, and Avoiding Food Allergy) containing 15 items, accounting for 77.7% of the total variance. The 5-factor model demonstrated a good overall fit. The scale-level content validity index was 0.85. Cronbach’s alpha of the overall scale was 0.78 and test-retest reliability was 0.96. Education level had a strong positive correlation with the scores for items Q1, Q2, and Q3(r = 0.481, 0.492, 0.475, respectively). Health Literacy scores among Kazakh patients were significantly lower than Han (7.13±7.90 vs. 30.10±13.42, Z = -14.573, P
- Published
- 2016