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Open AccessArticle

Psychometric Assessment of the European Health Literacy Survey Questionnaire (HLS-EU-Q16) for Arabic/French-Speaking Migrants in Southern Europe

1
Department of Nursing and Physiotherapy, University Institute of Research in Social Sustainable Development (INDESS), University of Cadiz, 11009 Cadiz, Spain
2
Department of Nursing and Physiotherapy, Faculty of Nursing, University of Cadiz, 11207 Cadiz, Spain
3
Department of Statistics and Operational Research, Faculty of Medicine, University of Cadiz, 11003 Cadiz, Spain
4
Department of Socio-Sanitary Sciences, University of Murcia, 30100 Murcia, Spain
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(21), 8181; https://doi.org/10.3390/ijerph17218181
Received: 30 July 2020 / Revised: 21 October 2020 / Accepted: 30 October 2020 / Published: 5 November 2020
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
Improving health literacy (HL) is critical for addressing health inequalities. Low literacy rates are believed to be more prevalent in ethnic minorities, which may have an impact on people’s health. For measures to be implemented in this regard, HL must be evaluated to obtain specific indicators. Our aim, therefore, was to develop a version of the European Health Literacy Survey Questionnaire (HLS-EU-Q16), which is recommended to be used with vulnerable populations, suited to Arabic/French-speaking migrants who reside in south-eastern Spain, and to explore its psychometric properties for assessing health literacy in this population. A cross-sectional survey was carried out in a convenient sample of 205 migrants. The structural validity was calculated by a confirmatory factorial analysis (CFA), which suggested appropriate adjustment indicators, and which indicated that the three-dimensional model is adequately adjusted to the data obtained in the study. The coefficient omega showed high internal consistency in the three HL dimensions (health care, disease prevention, and health promotion). Concurrent validity presented a significant correlation with the Newest Vital Sign test (r = 0.390; p < 0.001). The multigroup CFA showed that the heterogeneity of the sample used was not a problem for establishing the structural validity of the scale. The Arabic/French version showed good construct validity. View Full-Text
Keywords: health literacy; migrants; psychometrics; reliability and validity; surveys and questionnaires health literacy; migrants; psychometrics; reliability and validity; surveys and questionnaires
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MDPI and ACS Style

Bas-Sarmiento, P.; Poza-Méndez, M.; Fernández-Gutiérrez, M.; González-Caballero, J.L.; Falcón Romero, M. Psychometric Assessment of the European Health Literacy Survey Questionnaire (HLS-EU-Q16) for Arabic/French-Speaking Migrants in Southern Europe. Int. J. Environ. Res. Public Health 2020, 17, 8181. https://doi.org/10.3390/ijerph17218181

AMA Style

Bas-Sarmiento P, Poza-Méndez M, Fernández-Gutiérrez M, González-Caballero JL, Falcón Romero M. Psychometric Assessment of the European Health Literacy Survey Questionnaire (HLS-EU-Q16) for Arabic/French-Speaking Migrants in Southern Europe. International Journal of Environmental Research and Public Health. 2020; 17(21):8181. https://doi.org/10.3390/ijerph17218181

Chicago/Turabian Style

Bas-Sarmiento, Pilar; Poza-Méndez, Miriam; Fernández-Gutiérrez, Martina; González-Caballero, Juan L.; Falcón Romero, María. 2020. "Psychometric Assessment of the European Health Literacy Survey Questionnaire (HLS-EU-Q16) for Arabic/French-Speaking Migrants in Southern Europe" Int. J. Environ. Res. Public Health 17, no. 21: 8181. https://doi.org/10.3390/ijerph17218181

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