1. Health Literacy throughout adolescence: Invariance and validity study of three measurement scales in the general population
- Author
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Virginie Ringa, Laurent Rigal, Francis Guillemin, Christine Hassler, Alexandra Rouquette, Stephan Van den Broucke, Cécile Allaire, Sylvie Azogui-Levy, Julien Mancini, Centre de recherche en épidémiologie et santé des populations (CESP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay, Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale (SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Biostatistique et technologies de l'information et de la communication (BioSTIC) - [Hôpital de la Timone - APHM] (BiosTIC ), Assistance Publique - Hôpitaux de Marseille (APHM)- Hôpital de la Timone [CHU - APHM] (TIMONE), Centre d'investigation clinique [Nancy] (CIC), Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL), Université Catholique de Louvain = Catholic University of Louvain (UCL), Santé publique France - French National Public Health Agency [Saint-Maurice, France], Laboratoire Educations et Pratiques de Santé (LEPS), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Sorbonne Paris Nord, AP-HP. Université Paris Saclay, AP-HP Hôpital Bicêtre (Le Kremlin-Bicêtre), Adaptation, mesure et évaluation en santé. Approches interdisciplinaires (APEMAC), Université de Lorraine (UL), Centre d'investigation clinique - Epidémiologie clinique [Nancy] (CIC-EC), Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL)-Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lorraine (UL), Laboratoire éducations et promotion de la santé (LEPS), Université Paris Cité – UFR Odontologie [Santé] (UPCité UFR Odontologie), Université Paris Cité (UPCité), HAL UVSQ, Équipe, UFR Odontologie [Santé] - Université Paris Cité (UFR Odontologie UPCité), Université Paris Cité – UFR Odontologie [Santé] (UPC UFR Odontologie), Université Paris Cité (UPC), Hôpital Bicêtre, Université de Lorraine (UL)-Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy)-Institut National de la Santé et de la Recherche Médicale (INSERM), and UCL - SSH/IPSY - Psychological Sciences Research Institute
- Subjects
HLSAC ,Adolescent ,Psychometrics ,[SDV]Life Sciences [q-bio] ,HAS-A ,Population ,030209 endocrinology & metabolism ,Health literacy ,psychometric properties ,Developmental psychology ,HLS-EU-Q16 ,03 medical and health sciences ,0302 clinical medicine ,Surveys and Questionnaires ,Humans ,Measurement invariance ,030212 general & internal medicine ,Child ,education ,Statistical hypothesis testing ,education.field_of_study ,4. Education ,Reproducibility of Results ,General Medicine ,Confirmatory factor analysis ,Adolescence ,[SDV] Life Sciences [q-bio] ,Psychometric properties ,Health promotion ,Convergent validity ,Scale (social sciences) ,adolescence ,Factor Analysis, Statistical ,Psychology ,health literacy - Abstract
International audience; Objective: To simultaneously investigate the psychometric properties of three recently developed health literacy measurement scales throughout adolescence in the general population. Methods: French versions of the Health Literacy for School-Aged Children (HLSAC, unidimensional) scale, the Health Literacy Assessment Scale for Adolescents (HAS-A, multidimensional) and the 16-item European Health Literacy Survey questionnaire (HLS-EU-Q16, unidimensional) were completed by 1 444 adolescents in 8th, 9th, 11th grade in general school and 11-12th grade in vocational school. Psychometric properties were studied using confirmatory factor analysis, McDonald's omega coefficient and hypothesis testing. Results: Structural validity was acceptable (HLS-EU-Q16) to good (HAS-A and HLSAC), no measurement invariance issue was found and internal consistency was acceptable for the three scales (0.68-0.84). Convergent validity was low (Pearson correlation coefficients < 0.5) and the only scale for which results were in agreement with a priori hypotheses was the HLSAC. Conclusions: Our results were supportive of the use of HLSAC to assess health literacy during adolescence but the HAS-A, with a slightly better structural validity, can also be promoted due to its three measured dimensions. Practice implications: The use of these scales in practice will help to focus on health literacy, a critical factor for prevention and health promotion in adolescence.
- Published
- 2022
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