Concurrent validation of two key health literacy instruments in a South Eastern European population

Ervin Toçi, Genc Burazeri, Kristine Sørensen, Haxhi Kamberi, Helmut Brand

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background: Public health practice has come to increasing recognition of health promotion and the central role of knowledge, attitude, beliefs and practices in achieving health promotion. Health literacy (HL) is an under-explored topic in South Eastern European countries. There are no HL reports from Albania to date. The aim of this study was to assess the concurrent validity of the European Health Literacy Survey Questionnaire (HLS-EU-Q) and the Test of Functional Health Literacy in Adults (TOFHLA) in a population-based sample of adults in Albania. Methods: A cross-sectional study was conducted in 2013 in Tirana, Albania, including 239 individuals aged ≥ 18 years (61% women; 87% response). A structured interviewer-administered questionnaire was applied twice (test and retest procedure after 2 weeks) including HLS-EU-Q and TOFHLA instruments. Results: The internal consistency was high for both instruments (Cronbach's alpha for the test procedure was 0.92 for TOFHLA and 0.98 for HLS-EU-Q). Both tools exhibited a high stability over time (Spearman's rho: 0.88 for TOFHLA and 0.87 for HLS-EU). Mean values of both instruments were similar in men and women (mean score for TOFHLA: 76.0 vs. 76.5, P = 0.83; mean score for HLS-EU-Q: 32.2 vs. 32.6, P = 0.63). For both instruments, higher HL scores were significantly associated with younger age, higher educational and economic level and lower body mass index. Conclusions: Our study provides valuable novel evidence on concurrent validation of two major HL instruments in a South Eastern European population-based sample. Future studies should be conducted in order to confirm and expand our findings.

Original languageEnglish
Pages (from-to)482-486
Number of pages5
JournalEuropean Journal of Public Health
Volume25
Issue number3
DOIs
Publication statusPublished - 01-01-2015

Fingerprint

Health Literacy
Albania
Population
Health Promotion
Public Health Practice
Health Knowledge, Attitudes, Practice
Health Surveys
Body Mass Index
Cross-Sectional Studies
Economics
Interviews

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

Toçi, Ervin ; Burazeri, Genc ; Sørensen, Kristine ; Kamberi, Haxhi ; Brand, Helmut. / Concurrent validation of two key health literacy instruments in a South Eastern European population. In: European Journal of Public Health. 2015 ; Vol. 25, No. 3. pp. 482-486.
@article{707bd66180c04df7a506f959504c4f79,
title = "Concurrent validation of two key health literacy instruments in a South Eastern European population",
abstract = "Background: Public health practice has come to increasing recognition of health promotion and the central role of knowledge, attitude, beliefs and practices in achieving health promotion. Health literacy (HL) is an under-explored topic in South Eastern European countries. There are no HL reports from Albania to date. The aim of this study was to assess the concurrent validity of the European Health Literacy Survey Questionnaire (HLS-EU-Q) and the Test of Functional Health Literacy in Adults (TOFHLA) in a population-based sample of adults in Albania. Methods: A cross-sectional study was conducted in 2013 in Tirana, Albania, including 239 individuals aged ≥ 18 years (61{\%} women; 87{\%} response). A structured interviewer-administered questionnaire was applied twice (test and retest procedure after 2 weeks) including HLS-EU-Q and TOFHLA instruments. Results: The internal consistency was high for both instruments (Cronbach's alpha for the test procedure was 0.92 for TOFHLA and 0.98 for HLS-EU-Q). Both tools exhibited a high stability over time (Spearman's rho: 0.88 for TOFHLA and 0.87 for HLS-EU). Mean values of both instruments were similar in men and women (mean score for TOFHLA: 76.0 vs. 76.5, P = 0.83; mean score for HLS-EU-Q: 32.2 vs. 32.6, P = 0.63). For both instruments, higher HL scores were significantly associated with younger age, higher educational and economic level and lower body mass index. Conclusions: Our study provides valuable novel evidence on concurrent validation of two major HL instruments in a South Eastern European population-based sample. Future studies should be conducted in order to confirm and expand our findings.",
author = "Ervin To{\cc}i and Genc Burazeri and Kristine S{\o}rensen and Haxhi Kamberi and Helmut Brand",
year = "2015",
month = "1",
day = "1",
doi = "10.1093/eurpub/cku190",
language = "English",
volume = "25",
pages = "482--486",
journal = "European Journal of Public Health",
issn = "1101-1262",
publisher = "Oxford University Press",
number = "3",

}

Concurrent validation of two key health literacy instruments in a South Eastern European population. / Toçi, Ervin; Burazeri, Genc; Sørensen, Kristine; Kamberi, Haxhi; Brand, Helmut.

In: European Journal of Public Health, Vol. 25, No. 3, 01.01.2015, p. 482-486.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Concurrent validation of two key health literacy instruments in a South Eastern European population

AU - Toçi, Ervin

AU - Burazeri, Genc

AU - Sørensen, Kristine

AU - Kamberi, Haxhi

AU - Brand, Helmut

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Background: Public health practice has come to increasing recognition of health promotion and the central role of knowledge, attitude, beliefs and practices in achieving health promotion. Health literacy (HL) is an under-explored topic in South Eastern European countries. There are no HL reports from Albania to date. The aim of this study was to assess the concurrent validity of the European Health Literacy Survey Questionnaire (HLS-EU-Q) and the Test of Functional Health Literacy in Adults (TOFHLA) in a population-based sample of adults in Albania. Methods: A cross-sectional study was conducted in 2013 in Tirana, Albania, including 239 individuals aged ≥ 18 years (61% women; 87% response). A structured interviewer-administered questionnaire was applied twice (test and retest procedure after 2 weeks) including HLS-EU-Q and TOFHLA instruments. Results: The internal consistency was high for both instruments (Cronbach's alpha for the test procedure was 0.92 for TOFHLA and 0.98 for HLS-EU-Q). Both tools exhibited a high stability over time (Spearman's rho: 0.88 for TOFHLA and 0.87 for HLS-EU). Mean values of both instruments were similar in men and women (mean score for TOFHLA: 76.0 vs. 76.5, P = 0.83; mean score for HLS-EU-Q: 32.2 vs. 32.6, P = 0.63). For both instruments, higher HL scores were significantly associated with younger age, higher educational and economic level and lower body mass index. Conclusions: Our study provides valuable novel evidence on concurrent validation of two major HL instruments in a South Eastern European population-based sample. Future studies should be conducted in order to confirm and expand our findings.

AB - Background: Public health practice has come to increasing recognition of health promotion and the central role of knowledge, attitude, beliefs and practices in achieving health promotion. Health literacy (HL) is an under-explored topic in South Eastern European countries. There are no HL reports from Albania to date. The aim of this study was to assess the concurrent validity of the European Health Literacy Survey Questionnaire (HLS-EU-Q) and the Test of Functional Health Literacy in Adults (TOFHLA) in a population-based sample of adults in Albania. Methods: A cross-sectional study was conducted in 2013 in Tirana, Albania, including 239 individuals aged ≥ 18 years (61% women; 87% response). A structured interviewer-administered questionnaire was applied twice (test and retest procedure after 2 weeks) including HLS-EU-Q and TOFHLA instruments. Results: The internal consistency was high for both instruments (Cronbach's alpha for the test procedure was 0.92 for TOFHLA and 0.98 for HLS-EU-Q). Both tools exhibited a high stability over time (Spearman's rho: 0.88 for TOFHLA and 0.87 for HLS-EU). Mean values of both instruments were similar in men and women (mean score for TOFHLA: 76.0 vs. 76.5, P = 0.83; mean score for HLS-EU-Q: 32.2 vs. 32.6, P = 0.63). For both instruments, higher HL scores were significantly associated with younger age, higher educational and economic level and lower body mass index. Conclusions: Our study provides valuable novel evidence on concurrent validation of two major HL instruments in a South Eastern European population-based sample. Future studies should be conducted in order to confirm and expand our findings.

UR - http://www.scopus.com/inward/record.url?scp=84939484084&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84939484084&partnerID=8YFLogxK

U2 - 10.1093/eurpub/cku190

DO - 10.1093/eurpub/cku190

M3 - Article

VL - 25

SP - 482

EP - 486

JO - European Journal of Public Health

JF - European Journal of Public Health

SN - 1101-1262

IS - 3

ER -