Short Assessment of Health Literacy-Spanish and English: A Comparable Test of Health Literacy for Spanish and English Speakers

Short Assessment of Health Literacy-Spanish and English: A Comparable Test of Health Literacy for Spanish and English Speakers
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DOI:
10.1111/j.1475-6773.2010.01119.x
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发表时间:
2010-08-01
影响因子:
3.4
通讯作者:
Bender, Deborah E.
Bender, Deborah E.
中科院分区:
医学3区
文献类型:
--
作者:
Lee, Shoou-Yih Daniel;Stucky, Brian D.;Bender, Deborah E.

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ObjectiveThe intent of the study was to develop and validate a comparable health literacy test for Spanish-speaking and English-speaking populations.Study DesignThe design of the instrument, named the Short Assessment of Health Literacy-Spanish and English (SAHL-S&E), combined a word recognition test, as appearing in the Rapid Estimate of Adult Literacy in Medicine (REALM), and a comprehension test using multiple-choice questions designed by an expert panel. We used the item response theory (IRT) in developing and validating the instrument.Data CollectionValidation of SAHL-S&E involved testing and comparing the instrument with other health literacy instruments in a sample of 201 Spanish-speaking and 202 English-speaking subjects recruited from the Ambulatory Care Center at the University of North Carolina Healthcare System.Principal FindingsBased on IRT analysis, 18 items were retained in the comparable test. The Spanish version of the test, SAHL-S, was highly correlated with other Spanish health literacy instruments, Short Assessment of Health Literacy for Spanish-Speaking Adults (r=0.88, p