Iris van der Heide|Ellen Uiters|Kristine Sørensen|Florian Röthlin|Jürgen M. Pelikan|Jany Rademakers|Hendriek C. Boshuizen
Health literacy in Europe: the development and validation of health literacy prediction models
Netherlands Center for Occupational Diseases|Academic Medical Center|University of Amsterdam|National Institute for Public Health and the Environment|Maastricht University|Gesundheit Österreich|Ludwig Boltzmann Institut Health Promotion Research|Maastricht University|Netherlands Institute for Health Services Research|National Institute for Public Health and the Environment|Wageningen University & Research
health literacy important determinant health national health literacy levels known european countries study aims examine extent national health literacy levels estimated based publicly available census datamultivariate models used predict two types health literacy population level predictors selected based literature european health literacy survey hlseu adult literacy life skills survey hlseu provides insight selfassessed health literacy performance individuals health literacy tasks performancebased health literacy dutch hlseu data used construct prediction models based 23 data validated remaining 13 data case selfassessed health literacy data seven european countrieseducation significant predictor perceived performancebased health literacy age working status significant predictors performancebased health literacy whereas gender income significant predictors selfassessed health literacy typologies health literacy satisfactorily predicted within samples dutch population accuracy estimated selfassessed health literacy varied seven european countriesprediction models based publicly available census data used estimating selfassessed performancebased health literacy population level observed health literacy levels better prediction models required one interested ranking european countries