Chiara Lorini|Vieri Lastrucci|Diana Paolini|Guglielmo Bonaccorsi
Measuring health literacy combining performance-based and self-assessed measures: the roles of age, educational level and financial resources in predicting health literacy skills. A cross-sectional study conducted in Florence (Italy)
University of Florence|University of Florence|University of Florence|University of Florence
objective compare results performancebased selfassessed measures health literacy hl evaluate contribution joint use assessing hl antecedentsthis crosssectional studythe study conducted general population florence italythis study part larger one participants randomly selected registries 11 general practitioners working municipality florence inclusion criteria following 1869 years age italian speaking exclusion criteria included cognitive impairment severe psychiatric disease endstage disease paper 212 adults includedhl measured using european health literacy survey questionnaire hlseuq16 newest vital sign nvs hl levels obtained means two measurement tools combined new variable described three different levels hl skills low hl skills partial hl skills high hl skills multivariate ordinal logistic regression analysis performed assess predictive roles age class educational level financial resources respect hl skillstwentytwo per cent sample high hl skills 283 low hl skills 495 partial hl skills educational level age class financial resources significantly associated hl skills values higher obtained using nvs hlseuq16 individuallythe combination results obtained using nvs hlseuq16 improves understanding hl new variable generated combination could considered different way assess hl multidimensional contents