Kirsi Tiitinen Mekhail|Bo Burström|Anneli Marttila|Josefin Wångdahl|Lene Lindberg
Psychometric qualities of the HLS-EU-Q16 instrument for parental health literacy in Swedish multicultural settings
Karolinska Institutet|Karolinska Institutet|Karolinska Institutet|Uppsala University|Stockholm County Council
health literacy hl important individuals terms knowledge competence make decisions healthcare health promotion disease prevention migrants generally demonstrate lower hl levels compared majority populations hl interventions among migrants rarely studied thus need find useful hl measurements multicultural settings importance understanding parents hl related key role providing promoting health children study aimed add knowledge psychometric properties hlseuq16 instrument swedish version among parents swedish multicultural settingsa cross sectional design used totally 193 firsttime parents n 193 recruited two child healthcare centres stockholm parents interviewed infants 2 months old using structured questionnaires including hlseuq16 psychometric evaluation hlseuq16 instrument exploratory factor analyses efa used test internal consistency n 164 hl levels subgroups explored kruskalwallischi2 tests participants comments hlseuq16 questionnaire viewed explore questions perceived target populationone factor solution efa explained 373 total variance hlseuq16 statistically significant differences hl levels found relation migration including language difficulties level education study population access support line previous research challenges related understanding hlseuq16 questionnaire found among participants migrant backgroundthe swedish version hlseuq16 could used together instruments measuring overall hl multicultural settings hlseuq16 appears discriminate different levels hl relation migrant background shorter education limited access support however measures hl adapted use multicultural settings need explored studies parental hl relationship child health multicultural settingsthe study retrospectively registered 18 february 2020 isrctn registry isrctn10336603