Xiangyang Tian|Zeqing Di|Yibin Cheng|Xuefeng Ren|Yi Chai|Fan Ding|Jibin Chen|Jodi Southerland|Zengwei Cui|Xiaoqi Hu|Jun Xu|Shuang Xu|Guohong Qian|Liang Wang
Study on the development of an infectious disease-specific health literacy scale in the Chinese population
Chinese Preventive Medicine Association|Chinese Center For Disease Control and Prevention|Chinese Preventive Medicine Association|East Tennessee State University|Chinese Preventive Medicine Association|East Tennessee State University
develop scale assess infectious diseasespecific health literacy idshl china test initial psychometric propertiesitem pooling reduction assessment psychometric properties conducted scale divided 2 subscales subscale 1 assessed individuals skills preventtreat infectious diseases subscale 2 assessed cognitive ability 2014 9000 people aged 1569 years randomly sampled 3 provinces asked complete idshl questionnaire cronbachs calculated assess reliability exploratory factor analysis ttest correlations receiver operating characteristic roc curve logistic regression used examine validityeach 22 items subscale 1 content validity index 08 total 8858 people completed scale principal components factor analysis suggested 5factor solution factor loadings 040 p005 idshl score 2207791 meansd total score3862 significant differences observed across age r0276 sex males 2165803 females 2247778 education 1416819 2655626 2week morbidity present 2062817 absent 2235783 p0001 health literacy highest lowest 27 score groups p005 roc curve indicated 762 respondents adequate idshl binary logistic regression analysis revealed 12 predictors idshl adequacy p005 among 22 remaining items corrected itemtotal correlation ranged 0316 0504 cronbachs values ranged 0754 0810 items deleted overall value 0839 difficulty coefficient ranged 119 408 subscale 2 statistically significant differences mean scores correctincorrect answer p0001the newly developed 28item scale provides efficient psychometrically sound userfriendly measure idshl chinese population