• Gac Med Mex · Jan 2023

    Validation of the health literacy scale in patients with hypertension in Mexico.

    • Eva M García-Vera, Svetlana V Doubova, Rosalinda Sánchez-Arenas, and Adriana Monroy-Guzmán.
    • Family Medicine Unit 26, Instituto Mexicano del Seguro Social.
    • Gac Med Mex. 2023 Jan 1; 159 (4): 322330322-330.

    IntroductionHealth literacy integrates skills around health care. The measurement of health literacy is relevant for proposing improvement interventions. The European HLS-EU-Q16 scale allows to comprehensively evaluate health literacy, but its psychometric properties have not been assessed in Mexico.ObjectiveTo validate the HLS-EU-Q16 scale in patients with hypertension in Mexico.MethodsA validation study of a measuring instrument was carried out. The construct was evaluated by means of factor analysis; internal consistency, using Cronbach's alpha; and test-retest reliability, using intraclass correlation coefficient (ICC). The information was collected by interviewing 349 patients with hypertension in a family medicine unit of the Mexican Institute of Social Security, from April to June 2022.ResultsIn 23.8% of the patients, health literacy was inadequate; in 44.4%, problematic; and in 31.8%, sufficient. The scale was found to retain 12 items and two factors (HLS-EU-Q12M). Cronbach's alpha was 0.83, and ICC was 0.94.ConclusionThe HLS-EU-Q12M scale in Mexican Spanish is a valid instrument for assessing health literacy in adults with hypertension.Copyright: © 2023 Permanyer.

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