Measuring Health Literacy in Childhood and Adolescence with the Scale Health Literacy in School-Aged Children - German Version The Psychometric Properties of the German-Language Version of the WHO Health Survey Scale HLSAC

Saskia M. Fischer; Kevin Dadaczynsky; Gorden Sudeck; Katharina Rathmann; Olli Paakkari; Leena Paakkari; Ludwig Bilz

doi:10.1026/0012-1924/a000296

Measuring Health Literacy in Childhood and Adolescence with the Scale Health Literacy in School-Aged Children - German Version The Psychometric Properties of the German-Language Version of the WHO Health Survey Scale HLSAC

Titel in Übersetzung: Messung der Gesundheitskompetenz im Kindes- und Jugendalter mit der Skala „Health Literacy in School-Aged Children-German“ (HLSAC-German). Psychometrische Eigenschaften der deutschsprachigen Version einer Skala aus der WHO Kinder- und Jugendgesundheitsstudie HBSC

Saskia M. Fischer
, Kevin Dadaczynsky
, Gorden Sudeck
, Katharina Rathmann
, Olli Paakkari
, Leena Paakkari
, Ludwig Bilz

Publikation: Beiträge in Zeitschriften › Zeitschriftenaufsätze › Forschung › Begutachtung

12 Zitate (Scopus)

Abstract

Die 10-Item-Skala „Health Literacy in School-Aged Children“ (HLSAC) ist ein ökonomisches Verfahren zur Messung der Gesundheitskompetenz im Kindes- und Jugendalter, das im Rahmen der HBSC-Studie (Health Behavior in School-Aged Children) entwickelt und überprüft wurde. Im vorliegenden Beitrag werden die Dimensionalität und Messinvarianz der deutschen Version der Skala, HLSAC-German, sowie Zusammenhänge zu gesundheitsbezogenen Indikatoren anhand der Daten der deutschen HBSC-Studie 2018 (N = 4 347 Schülerinnen und Schüler im Alter von 11, 13 und 15 Jahren) überprüft. Der Einsatz in der Gruppe der 11-Jährigen stellt eine Erweiterung im Vergleich zur Originalskala dar. Explorative und konfirmatorische Faktorenanalysen belegen die Eindimensionalität der Skala (α = .88). Es zeigen sich vollständige skalare Messinvarianz bezüglich des Geschlechts und partielle skalare Messinvarianz bezüglich Altersgruppen und Schulform, welche Mittelwertvergleiche erlauben. Erwartungsgemäße Zusammenhänge zu Indikatoren der Gesundheit und des Gesundheitsverhaltens belegen weiter die Konstruktvalidität der Skala. HLSAC-German ist zur ökonomischen Messung eines allgemeinen Faktors der Gesundheitskompetenz sowohl bei 11- als auch bei 13- und 15-Jährigen geeignet, wobei die Dimensionalität in der jüngsten Altersgruppe weiter überprüft werden sollte.

Titel in Übersetzung	Messung der Gesundheitskompetenz im Kindes- und Jugendalter mit der Skala „Health Literacy in School-Aged Children-German“ (HLSAC-German). Psychometrische Eigenschaften der deutschsprachigen Version einer Skala aus der WHO Kinder- und Jugendgesundheitsstudie HBSC
Originalsprache	Englisch
Zeitschrift	Diagnostica
Jahrgang	68
Ausgabenummer	4
Seiten (von - bis)	184-196
Seitenumfang	13
ISSN	0012-1924
DOIs	https://doi.org/10.1026/0012-1924/a000296
Publikationsstatus	Erschienen - 01.10.2022

Bibliographische Notiz

Publisher Copyright:
© 2022 The Author(s). Distributed as a Hogrefe OpenMind.

UN SDGs

Dieser Output leistet einen Beitrag zu folgendem(n) Ziel(en) für nachhaltige Entwicklung

SDG 10 – Weniger Ungleichheiten

Fachgebiete und Schlagwörter

Gesundheitswissenschaften

ASJC Scopus Sachgebiete

Klinische Psychologie

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Fischer, S. M., Dadaczynsky, K., Sudeck, G., Rathmann, K., Paakkari, O., Paakkari, L., & Bilz, L. (2022). Measuring Health Literacy in Childhood and Adolescence with the Scale Health Literacy in School-Aged Children - German Version The Psychometric Properties of the German-Language Version of the WHO Health Survey Scale HLSAC. Diagnostica, 68(4), 184-196. https://doi.org/10.1026/0012-1924/a000296

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abstract = "Health literacy can help explain health inequalities in childhood and adolescence. However, suitable instruments for assessing health literacy in this age group are rare, especially in the German-speaking countries. One economical measure is the 10-item Health Literacy in School-Aged Children (HLSAC) scale, developed and reviewed as part of the WHO Child and Adolescent Health Study (HBSC, Health Behavior in School-Aged Children). In the present study, we tested dimensionality, measurement invariance, and associations with health-related measures of the German version of the scale (HLSAC–German), using data from the 2018 national German HBSC study (N = 4,347 students aged 11, 13, and 15 years). We also tested HLSAC–German with 11-year-olds, representing an expansion of the original scale. Exploratory and confirmatory factor analyses consistently demonstrated the unidimensionality of the scale (α = .88). Complete scalar measurement invariance was found for sex and partial scalar measurement invariance for age groups and school type, allowing for the comparison of means. Associations with indicators of health and health behavior further demonstrate the construct validity of the scale. The analyses show that the scale is suitable for the economic measurement of a general factor of health literacy in 11- as well as in 13- and 15-year-olds.",

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Fischer, SM, Dadaczynsky, K, Sudeck, G, Rathmann, K, Paakkari, O, Paakkari, L & Bilz, L 2022, 'Measuring Health Literacy in Childhood and Adolescence with the Scale Health Literacy in School-Aged Children - German Version The Psychometric Properties of the German-Language Version of the WHO Health Survey Scale HLSAC', Diagnostica, Jg. 68, Nr. 4, S. 184-196. https://doi.org/10.1026/0012-1924/a000296

Measuring Health Literacy in Childhood and Adolescence with the Scale Health Literacy in School-Aged Children - German Version The Psychometric Properties of the German-Language Version of the WHO Health Survey Scale HLSAC. / Fischer, Saskia M.; Dadaczynsky, Kevin; Sudeck, Gorden et al.
in: Diagnostica, Jahrgang 68, Nr. 4, 01.10.2022, S. 184-196.

Publikation: Beiträge in Zeitschriften › Zeitschriftenaufsätze › Forschung › Begutachtung

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T1 - Measuring Health Literacy in Childhood and Adolescence with the Scale Health Literacy in School-Aged Children - German Version The Psychometric Properties of the German-Language Version of the WHO Health Survey Scale HLSAC

AU - Fischer, Saskia M.

AU - Dadaczynsky, Kevin

AU - Sudeck, Gorden

AU - Rathmann, Katharina

AU - Paakkari, Olli

AU - Paakkari, Leena

AU - Bilz, Ludwig

PY - 2022/10/1

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N2 - Health literacy can help explain health inequalities in childhood and adolescence. However, suitable instruments for assessing health literacy in this age group are rare, especially in the German-speaking countries. One economical measure is the 10-item Health Literacy in School-Aged Children (HLSAC) scale, developed and reviewed as part of the WHO Child and Adolescent Health Study (HBSC, Health Behavior in School-Aged Children). In the present study, we tested dimensionality, measurement invariance, and associations with health-related measures of the German version of the scale (HLSAC–German), using data from the 2018 national German HBSC study (N = 4,347 students aged 11, 13, and 15 years). We also tested HLSAC–German with 11-year-olds, representing an expansion of the original scale. Exploratory and confirmatory factor analyses consistently demonstrated the unidimensionality of the scale (α = .88). Complete scalar measurement invariance was found for sex and partial scalar measurement invariance for age groups and school type, allowing for the comparison of means. Associations with indicators of health and health behavior further demonstrate the construct validity of the scale. The analyses show that the scale is suitable for the economic measurement of a general factor of health literacy in 11- as well as in 13- and 15-year-olds.

AB - Health literacy can help explain health inequalities in childhood and adolescence. However, suitable instruments for assessing health literacy in this age group are rare, especially in the German-speaking countries. One economical measure is the 10-item Health Literacy in School-Aged Children (HLSAC) scale, developed and reviewed as part of the WHO Child and Adolescent Health Study (HBSC, Health Behavior in School-Aged Children). In the present study, we tested dimensionality, measurement invariance, and associations with health-related measures of the German version of the scale (HLSAC–German), using data from the 2018 national German HBSC study (N = 4,347 students aged 11, 13, and 15 years). We also tested HLSAC–German with 11-year-olds, representing an expansion of the original scale. Exploratory and confirmatory factor analyses consistently demonstrated the unidimensionality of the scale (α = .88). Complete scalar measurement invariance was found for sex and partial scalar measurement invariance for age groups and school type, allowing for the comparison of means. Associations with indicators of health and health behavior further demonstrate the construct validity of the scale. The analyses show that the scale is suitable for the economic measurement of a general factor of health literacy in 11- as well as in 13- and 15-year-olds.

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KW - childhood

KW - adolescence

KW - measurement invariance

KW - validity

KW - Health sciences

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Fischer SM, Dadaczynsky K, Sudeck G, Rathmann K, Paakkari O, Paakkari L et al. Measuring Health Literacy in Childhood and Adolescence with the Scale Health Literacy in School-Aged Children - German Version The Psychometric Properties of the German-Language Version of the WHO Health Survey Scale HLSAC. Diagnostica. 2022 Okt 1;68(4):184-196. doi: 10.1026/0012-1924/a000296